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






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






3. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






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






5. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






6. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






7. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






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






9. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






10. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






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






12. Femur or lower leg instability






13. 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






14. Hypotension and bradypnea / bradycardia are major risks and emergencies.






15. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






16. 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.






17. 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






18. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






19. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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20. Never release traction unless you have an order from an MD to do so






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






22. ** IVP requires bowel prep so they can visualize the bladder better






23. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






26. Protruding tongue






27. Burning on urination






28. Rose spots on abdomen






29. Risus Sardonicus






30. Intercostal retractions=bad!






31. 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.






32. Gonorrhea is a reportable disease






33. Weight






34. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






35. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






36. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






37. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






38. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






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






40. 1 t (teaspoon)= 5 ml






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






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






43. Pulse area cpr on infant






44. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






45. 2.2






46. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






47. 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






48. Sausage shaped mass - Dance sign (empty portion of RLQ)






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






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