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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. 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






2. 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.






3. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






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






5. Handle any blood






6. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






7. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






8. 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






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






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






11. Beta cells of pancreas produce insulin






12. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






13. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






14. Bananas - potatoes - citrus fruits






15. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






16. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






17. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






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






19. 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






20. Birth weight doubles by 6 month and triple by 1 year of age.






21. Coarse facial features






22. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






23. Trousseau and Tchovoski signs observed in hypocalcemia






24. 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.






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






26. CATS - convulsions - arrhythmias - tetany - spasms and stridor






27. If patients have hallucinations redirect them. In delusions distract them.






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






29. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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

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31. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






32. Increased temp - pulse and HTN






33. Cultures






34. Hypotension and bradypnea / bradycardia are major risks and emergencies.






35. Burning on urination






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

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






38. Knee immobility






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






40. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






41. Bossing Sign (prominent forehead)






42. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






43. Butterfly rashes






44. 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.






45. Skin to skin contact on mom with a blanket






46. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






47. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






48. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






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






50. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.