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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. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






2. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






3. 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).






4. 3 D'S -- Drooling - Dysphonia - Dysphagia






5. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






6. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






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






9. No meat and milk together






10. 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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11. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






12. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






13. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






14. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






15. Vertigo - Tinnitus

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16. Toes curl= GREAT Toes fan = BAD






17. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






18. 7 - 10ml / kg






19. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






20. Swimming






21. 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.






22. Second voided urine most accurate when testing for ketones and glucose.






23. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






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






25. Painless hematuria... CA=Cancer ! Duhh






26. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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27. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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28. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






29. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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30. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






31. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






32. Peptic ulcer






33. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






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






35. 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').






36. Chest tubes are placed in the pleural space.






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

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38. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






39. The MMR vaccine is given SQ not IM.






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

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






42. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






43. Absence of menstruation leads to osteoporosis in the anorexic.






44. 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






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






46. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






47. Visual floaters - flashes of light - curtain vision






48. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






49. Low residue diet means low fiver






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