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






2. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






3. Vertigo - Tinnitus

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4. Trousseau and Tchovoski signs observed in hypocalcemia






5. 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.






6. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






7. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






8. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






9. Visual floaters - flashes of light - curtain vision






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






11. OAmniotic fluid yellow with particles = meconium stained`






12. Battles Sign and Racoon's eyes






13. Glucose






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






15. 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.






16. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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17. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






18. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






19. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






20. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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21. Bronze like skin pigmentation






22. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






23. Kussmauls breathing (deep rapid RR)






24. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






25. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






26. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






27. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






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






29. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






30. Charcot's Triad (IAN)






31. Position prone (on abdomen) so that sac does not rupture






32. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






33. 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.






34. 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






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






36. Intercostal retractions=bad!






37. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






38. Burning on urination






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






40. Elevate HOB 30 degrees to decrease intracranial pressure






41. ICP (intracranial pressure) should be <2. measure head circonference.






42. Bossing Sign (prominent forehead)






43. Beta cells of pancreas produce insulin






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

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45. Olive like mass






46. 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






47. Chest tubes are placed in the pleural space.






48. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






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






50. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)