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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. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






2. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






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






4. Patent ductuous arteriousus in infants! Valve doesn't close!






5. 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.






6. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






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






8. 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






9. Portal hypotension + albuminemia= Ascites.






10. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






11. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






12. Skin to skin contact on mom with a blanket






13. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






14. (skin traction) --> elevate foot of bed for counter - traction


15. Hydration is a big priority!






16. Handle any blood






17. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






18. Place a wheelchair parallel to the bed on the side of weakness






19. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






20. Brain problems occur






21. Protruding tongue






22. Another c section with any more kids






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






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






25. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






26. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






27. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






28. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






29. 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






30. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






31. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






32. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






33. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






34. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






35. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






36. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






37. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






38. Small frequent is better than large






39. Olive like mass






40. 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


41. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






42. * 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.






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


44. 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.






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






46. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






47. 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






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






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






50. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues