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






2. 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.






3. Always check lead posioning levels






4. Mothers receive rhogam to protect next baby.






5. Irritable - and poor sucking






6. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






7. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






8. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






9. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






10. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






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






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






13. Rusty sputum






14. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






15. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






16. 30 ml = 1 oz






17. Chest tubes are placed in the pleural space.






18. Intercostal retractions=bad!






19. Bull's eye rash

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20. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






21. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






22. 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






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






24. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






25. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






26. Inspiratory stridor.. LTB = croup!!!!






27. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






28. Burning on urination






29. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






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






31. Place the apparatus first then place the weight (der)






32. 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






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






34. 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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35. An occulsive dressing is used






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






37. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






38. Ascending muscle paralysis.. dont confuse with MG






39. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






40. One pound equals 16 0z






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






42. Small frequent is better than large






43. Red beefy tongue






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






45. Increased temp - pulse and HTN






46. CHRONIC pain






47. Sausage shaped mass - Dance sign (empty portion of RLQ)






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






49. The biggest concern with cold stress and the newborn is respiratory distress.






50. 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!