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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. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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


3. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.


4. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






5. Uremic fetor --> smell urine on the breath






6. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






7. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






8. Wheezing on EXPIRATION






9. Weight






10. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






11. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






12. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






13. 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






14. Vesicular rash (central to distal) dew drop on rose petal






15. 30 ml = 1 oz






16. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






17. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






18. 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






19. Position pt in left side - lying (Sim's) with knee flexed






20. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






21. Toes curl= GREAT Toes fan = BAD






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






23. Level of consciousness is the most important assessment parameter with status epilepticus.






24. 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






25. 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.






26. Always check lead posioning levels






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






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






29. A laxative is given the night before an IVP in order to better visualize the organs.






30. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






31. Age 4 to 5 yrs child needs DPT/MMR/OPV






32. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






33. It is X- linked. Mother passes the disease to her son






34. 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






35. 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






36. Ottorhea






37. A






38. Moon face appearance and buffalo hump






39. Side lying






40. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






41. Cat's eye reflex (grayish discoloration of the pupil)






42. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






43. 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.






44. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






46. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






47. Mothers receive rhogam to protect next baby.






48. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






49. Alk Ash diet - milk - veggies - rhubarb - salmon






50. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots