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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. 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






2. 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!






3. Orange tag in triage is non emergent Psych






4. 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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5. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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






7. 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.






8. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






9. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






10. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






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






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






13. 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.






14. 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.






15. After endoscopy check gag reflex.






16. Age 4 to 5 yrs child needs DPT/MMR/OPV






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






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






19. (incision behind hairline) --> elevate HOB 30-45 degrees






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






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






22. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






23. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






24. Cat's eye reflex (grayish discoloration of the pupil)






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






26. Osession is to thought. Compulsion is to action






27. EleVate Veins; dAngle Arteries for better perfusion






28. Pilling rolling tremors






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






30. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






31. Slowed physical and mental function - sensitivity to cold - dry skin and hair






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






33. Cultures






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






35. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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36. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






37. Reduced size and force of urine






38. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






39. TIA (transient ischemic attack) mini stroke with no dead brain tissue






40. Low residue diet means low fiver






41. 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%-






42. Recurrent bloody diarrhea






43. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






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






45. Vesicular rash (central to distal) dew drop on rose petal






46. Yogurt has live cultures - dont give to immunosuppressed pt

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47. Glucose






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






49. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






50. Second voided urine most accurate when testing for ketones and glucose.