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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. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






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






3. Red beefy tongue






4. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






5. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






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






7. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






8. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






9. Butterfly rashes






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






11. Strawberry tongue






12. Confirms multiple myeloma






13. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






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






15. No meat and milk together






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






17. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






18. 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






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






20. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






21. 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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22. 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)






23. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






24. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






25. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






26. Bronze like skin pigmentation






27. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






28. 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






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






30. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






31. Trousseau and Tchovoski signs observed in hypocalcemia






32. Moon face appearance and buffalo hump






33. 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.






34. A laxative is given the night before an IVP in order to better visualize the organs.






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






36. 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






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






38. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






39. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






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






41. Its important to be aware of the lab result for prothrombin time






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






43. A






44. Osession is to thought. Compulsion is to action






45. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






46. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






47. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






48. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






49. Low or semi - Fowler's - support head - neck and shoulders.






50. Alk Ash diet - milk - veggies - rhubarb - salmon







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