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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. Reduced size and force of urine






2. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






4. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






5. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






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






7. The MMR vaccine is given SQ not IM.






8. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






10. Level of consciousness is the most important assessment parameter with status epilepticus.






11. MRI- claustrophobia - no metal - assess pacemaker






12. Peptic ulcer






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






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






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






16. 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






17. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






18. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






19. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






20. Visual floaters - flashes of light - curtain vision






21. Rice watery stool






22. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






23. Seizure>






24. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






25. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






26. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






27. 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%-






28. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






29. Bronze like skin pigmentation






30. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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






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






33. 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






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






35. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






36. Knee - chest position or Trendelenburg






37. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






38. Stepladder like fever with chills






39. Petechiae. Treated with heparin.






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






41. Pulse area cpr on infant






42. TPN(total parenteral nutrition) given in subclavian line.






43. Risus Sardonicus






44. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






45. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






46. Glaucoma patients lose peripheral vision. Treated with meds






47. Chemo - radiation - surgery - allow to die with dignity.






48. Increased temp - pulse and HTN






49. 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.






50. Charcot's Triad (IAN)