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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. For knee replacement use continuous passive motion machine.






2. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






3. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






4. 3 D'S -- Drooling - Dysphonia - Dysphagia






5. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






6. - 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






7. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






8. Psuedo membrane formation






9. 3 -4 -6






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






11. Purple bruises around the belly button... Pancreatitis!






12. Kopliks spots






13. Liver - brain - lung - bone - and lymph






14. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






15. (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)






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

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17. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






18. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






19. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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20. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






21. Patent ductuous arteriousus in infants! Valve doesn't close!






22. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






23. Butterfly rashes






24. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






25. 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!






26. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






27. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






28. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






29. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






30. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






31. ICP (intracranial pressure) should be <2. measure head circonference.






32. Normal in CHF from the squishin'.. Not normal in an MI patient






33. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






34. Portal hypotension + albuminemia= Ascites.






35. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






36. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






37. 1 quart = 2 pints






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






39. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






40. Age 4 to 5 yrs child needs DPT/MMR/OPV






41. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






42. HYPERtension TACHYpnea and TACHYcardia






43. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






44. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






45. Rhematic fever






46. TPN(total parenteral nutrition) given in subclavian line.






47. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






48. 1 gram = 1000 mg






49. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






50. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings