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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. 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






2. Opposites! Nursing connection! Think about it!






3. Skin to skin contact on mom with a blanket






4. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






5. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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6. 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!






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






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






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






11. Flapping tremors






12. 1 gram = 1000 mg






13. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






14. 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






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






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






17. 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.






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






19. Co2 causes vasoconstriction.






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






21. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






22. Med administration is rarely a good choice






23. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






24. HYPERtension TACHYpnea and TACHYcardia






25. 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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26. Purple bruises around the belly button... Pancreatitis!






27. Uremic fetor --> smell urine on the breath






28. 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.






29. Cultures






30. Coarse facial features






31. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






32. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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33. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






34. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






35. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






36. 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)






37. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






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






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






40. Vastus lateralis is IM administration site for 6month infants 






41. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






42. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






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






44. Questions about a halo Remember safety first - have a screwdriver nearby.






45. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






46. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






47. Beta cells of pancreas produce insulin






48. Painless hematuria... CA=Cancer ! Duhh






49. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






50. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech