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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. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






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






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






4. 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






5. Flapping tremors






6. Med administration is rarely a good choice






7. Brain problems occur






8. Red beefy tongue






9. 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.






10. 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.






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. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






13. Charcot's Triad (IAN)






14. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






15. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






16. Kussmauls breathing (deep rapid RR)






17. Olive like mass






18. Osession is to thought. Compulsion is to action






19. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






20. An occulsive dressing is used






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






22. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






25. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






26. Risus Sardonicus






27. 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.






28. Stepladder like fever with chills






29. Bossing Sign (prominent forehead)






30. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






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






32. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






33. Confirms multiple myeloma






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






35. Pain is usually the highest priority with RA






36. (severe acute resp syndrome) airborne + contact (just like varicella)






37. 1 quart = 2 pints






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






39. 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






40. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






41. Renal impairment: serum creatinine elevated and urine clearance decreased






42. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






43. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






44. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






45. Just know the MMR and Varicella immunizations come later (15 months).






46. Kopliks spots






47. A newly diagnosed hypertension patient should have BP assessed in both arms






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






49. PainLESS vision loss - opacity of lens - blurring of the vision






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







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