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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. MRI- claustrophobia - no metal - assess pacemaker






2. Handle any blood






3. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






4. Rhematic fever






5. Dystocia= baby cannot make it down to canal






6. Bananas - potatoes - citrus fruits






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






8. Trachea shifts to the opposite side






9. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






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






11. Machine like murmur






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






13. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






14. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






15. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






16. Bull's eye rash

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17. Ottorhea






18. If HR is <100 do not give dig to children.






19. Salty skin






20. 1 gram = 1000 mg






21. Allergic to eggs (Tristan D. ) !






22. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






23. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






24. Recurrent bloody diarrhea






25. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






26. 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.






27. After endoscopy check gag reflex.






28. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






29. 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






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






31. 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.






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






33. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






34. 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






35. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






36. Position prone (on abdomen) so that sac does not rupture






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

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38. Chvostek and Trosseaus sign! Also hypomag!






39. Petechiae. Treated with heparin.






40. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






41. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






42. Battles Sign and Racoon's eyes






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






44. 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






45. Rusty sputum






46. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






47. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






48. 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






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






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