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






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






3. 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.






4. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






5. 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






6. After a hydrocele repair provide ice bags and scrotal support.






7. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






8. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






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






10. Vastus lateralis is IM administration site for 6month infants 






11. 1 gram = 1000 mg






12. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






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






14. CVA (cerebrovascular accident) is with dead brain tissue.






15. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






16. Normal in CHF from the squishin'.. Not normal in an MI patient






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






18. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






19. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






20. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






21. Barrel chest






22. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






23. One pound equals 16 0z






24. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






25. Kussmauls breathing (deep rapid RR)






26. 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






27. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






28. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






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






30. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






31. EleVate Veins; dAngle Arteries for better perfusion






32. **If kid has cold - can still give immunizations






33. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






34. Olive like mass






35. Peptic ulcer






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






37. Bananas - potatoes - citrus fruits






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

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39. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






40. Knee - chest position or Trendelenburg






41. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






42. 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






43. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






45. Weight






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






47. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






48. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






49. Seizure>






50. 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