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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. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






2. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






3. Painless hematuria... CA=Cancer ! Duhh






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






5. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






6. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






7. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






8. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






9. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






10. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






11. Pumonary tuberculosis






12. Knee immobility






13. (incision behind hairline) --> elevate HOB 30-45 degrees






14. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






15. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






16. Knee - chest position or Trendelenburg






17. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






18. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






19. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






20. If patients have hallucinations redirect them. In delusions distract them.






21. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






22. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






23. Petechiae or + Herman's sign






24. 1 t (teaspoon)= 5 ml






25. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






26. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






27. Glucose






28. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






29. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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30. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






31. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






32. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






33. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






34. If HR is <100 do not give dig to children.






35. 3 -4 -6






36. Machine like murmur






37. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






38. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






39. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






40. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






41. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






42. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






43. Risus Sardonicus






44. Glaucoma patients lose peripheral vision. Treated with meds






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






46. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






47. Cat's eye reflex (grayish discoloration of the pupil)






48. Elevate HOB 30 degrees to decrease intracranial pressure






49. Side lying






50. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.