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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. Absence of menstruation leads to osteoporosis in the anorexic.






2. Kussmauls breathing (deep rapid RR)






3. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






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






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






6. Dystocia= baby cannot make it down to canal






7. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






8. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






9. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






10. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






11. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






12. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






13. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






14. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






15. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






16. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






17. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






18. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






19. It is X- linked. Mother passes the disease to her son






20. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






21. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






22. Visual floaters - flashes of light - curtain vision






23. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






24. 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)






25. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






26. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






27. Med administration is rarely a good choice






28. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






29. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






30. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






31. Private Room or cohort mask






32. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






34. Yogurt has live cultures - dont give to immunosuppressed pt

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35. Ambient air (room air) contains 21 % o2






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






37. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






38. Mothers receive rhogam to protect next baby.






39. 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.






40. Risus Sardonicus






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






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






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






44. Vertigo - Tinnitus

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45. CSF in meningitis will have high protein - and low glucose.






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






47. Increased temp - pulse and HTN






48. Place a wheelchair parallel to the bed on the side of weakness






49. Respiratory problems!






50. Position pt in left side - lying (Sim's) with knee flexed