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






2. Absence of menstruation leads to osteoporosis in the anorexic.






3. Expiratory grunt -- Causes Infant respiratory distress!






4. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






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






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






7. Co2 causes vasoconstriction.






8. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






9. Pilling rolling tremors






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






11. 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.






12. Always check lead posioning levels






13. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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14. **If kid has cold - can still give immunizations






15. Pumonary tuberculosis






16. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






17. Side lying






18. HYPERtension TACHYpnea and TACHYcardia






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






20. Opposites! Nursing connection! Think about it!






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






22. For Meningitis check for Kernig's/ Brudzinski's signs.






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






24. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






25. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






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






27. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






28. After endoscopy check gag reflex.






29. 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%-






30. MRI- claustrophobia - no metal - assess pacemaker






31. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






32. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






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






34. Glaucoma patients lose peripheral vision. Treated with meds






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






36. 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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37. 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






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






39. Glucose






40. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






41. Risus Sardonicus






42. Hodgkin's disease= cancer of lymph is very curable in early stage.






43. Birth weight doubles by 6 month and triple by 1 year of age.






44. 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






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






46. 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






47. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






48. 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






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

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50. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle







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