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NCLEX Final Ati Study

Instructions:
  • Answer 50 questions in 15 minutes.
  • If you are not ready to take this test, you can study here.
  • Match each statement with the correct term.
  • Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






2. B/c of low platelets






3. No nasotracheal suctioning with head injury or skull fracture.






4. Chipmunk face






5. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






6. Machine like murmur






7. 3 D'S -- Drooling - Dysphonia - Dysphagia






8. Peptic ulcer






9. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






10. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






11. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






12. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






13. Bananas - potatoes - citrus fruits






14. Hodgkin's disease= cancer of lymph is very curable in early stage.






15. Allergic to eggs (Tristan D. ) !






16. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






17. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






18. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






19. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






20. Renal impairment: serum creatinine elevated and urine clearance decreased






21. Trousseau and Tchovoski signs observed in hypocalcemia






22. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






23. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






24. Pumonary tuberculosis






25. Irritable - and poor sucking






26. The biggest concern with cold stress and the newborn is respiratory distress.






27. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






28. Weight






29. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






30. CVA (cerebrovascular accident) is with dead brain tissue.






31. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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32. Chemo - radiation - surgery - allow to die with dignity.






33. Small frequent is better than large






34. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






35. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






36. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






37. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






38. Hallmark= Sore throat - cervical lymph adenopathy - fever






39. Visual floaters - flashes of light - curtain vision






40. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






41. Knee - chest position or Trendelenburg






42. Bronze like skin pigmentation






43. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






44. Slowed physical and mental function - sensitivity to cold - dry skin and hair






45. Beta cells of pancreas produce insulin






46. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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47. Area of detachment should be in the dependent position -- dependent meaning supported by something






48. Rusty sputum






49. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






50. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.