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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. 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






2. No nasotracheal suctioning with head injury or skull fracture.






3. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






4. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






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






6. Petechiae or + Herman's sign






7. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






8. Never release traction unless you have an order from an MD to do so






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






10. Knee immobility






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






12. Position on the RIGHT side with legs flexed






13. 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.






14. 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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15. OAmniotic fluid yellow with particles = meconium stained`






16. Red beefy tongue






17. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






18. Ottorhea






19. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






20. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






21. 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






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






23. 3 D'S -- Drooling - Dysphonia - Dysphagia






24. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






25. Med administration is rarely a good choice






26. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






28. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






29. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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30. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






31. Portal hypotension + albuminemia= Ascites.






32. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






33. Gonorrhea is a reportable disease






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






35. 1 gram = 1000 mg






36. Bronze like skin pigmentation






37. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






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






39. Chemo - radiation - surgery - allow to die with dignity.






40. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






41. 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






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






43. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






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






45. Weight






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






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






48. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






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






50. Hydration is a big priority!







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