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






2. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






3. 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






4. Pumonary tuberculosis






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






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






7. Protruding tongue






8. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






9. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






10. 1 T(tablespoon)= 3 t = 15 ml






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






12. 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.






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






14. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






15. 3 D'S -- Drooling - Dysphonia - Dysphagia






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






17. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






18. Stepladder like fever with chills






19. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






20. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






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






22. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






23. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






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






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






27. Butterfly rashes






28. Knee - chest position or Trendelenburg






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






30. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






31. CVA (cerebrovascular accident) is with dead brain tissue.






32. B/c of low platelets






33. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






34. Chvostek and Trosseaus sign! Also hypomag!






35. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






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






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






38. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






39. 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.






40. 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






41. Toes curl= GREAT Toes fan = BAD






42. Red beefy tongue






43. Osession is to thought. Compulsion is to action






44. Flapping tremors






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






46. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






47. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






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






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






50. On bedrest while implant in place