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NCLEX Final Ati Study

Instructions:
  • Answer 50 questions in 15 minutes.
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  • 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. Chvostek and Trosseaus sign! Also hypomag!






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






3. Salty skin






4. 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






5. 2.2






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

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7. A






8. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






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






10. Upper part of the uterus






11. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






12. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






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






14. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






16. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






17. Lie flat with legs elevated






18. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






19. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






20. No meat and milk together






21. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






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






23. Charcot's Triad (IAN)






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






25. 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






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






27. Co2 causes vasoconstriction.






28. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






29. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






30. Position prone (on abdomen) so that sac does not rupture






31. Pain is usually the highest priority with RA






32. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






33. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






34. Mothers receive rhogam to protect next baby.






35. Small frequent is better than large






36. Psuedo membrane formation






37. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






38. 3 D'S -- Drooling - Dysphonia - Dysphagia






39. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






40. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






41. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






42. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






43. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






44. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






45. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






46. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






47. Children <3yoa - <35 lbs with femur fx

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48. After a hydrocele repair provide ice bags and scrotal support.






49. Rose spots on abdomen






50. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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