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






2. 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






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






4. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V


5. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






6. 1 pint= 2 cups






7. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






8. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






9. Mothers receive rhogam to protect next baby.






10. In a five -year old breathe once for every 5 compressions doing cpr.






11. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






12. 2.2






13. 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.






14. Low residue diet means low fiver






15. Hypotension and vasoconstricting meds






16. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






17. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






18. Small frequent is better than large






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






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






21. Children <3yoa - <35 lbs with femur fx


22. ** IVP requires bowel prep so they can visualize the bladder better






23. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






24. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






25. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






26. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






27. 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!






28. Pulse area cpr on infant






29. Ascending muscle paralysis.. dont confuse with MG






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






31. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






32. Lymes is found mostly in Conneticuts






33. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






34. Petechiae. Treated with heparin.






35. 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






36. 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.






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






38. 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.






39. 1 quart = 2 pints






40. Rusty sputum






41. 7 - 10ml / kg






42. 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


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


44. Patent ductuous arteriousus in infants! Valve doesn't close!






45. Increased temp - pulse and HTN






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






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


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






49. 1 gram = 1000 mg






50. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.