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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. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






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

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3. Slowed physical and mental function - sensitivity to cold - dry skin and hair






4. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






5. Allergic to eggs (Tristan D. ) !






6. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






7. Olive like mass






8. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






9. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






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. Purple bruises around the belly button... Pancreatitis!






12. 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!






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






14. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






15. Barrel chest






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






17. 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.






18. (severe acute resp syndrome) airborne + contact (just like varicella)






19. 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






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






21. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






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






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






24. Lymes is found mostly in Conneticuts






25. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






26. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






27. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






28. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






29. Small frequent is better than large






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






31. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






32. 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.






33. 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.






34. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






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






36. Trachea shifts to the opposite side






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






38. 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






39. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






40. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






41. 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






42. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






43. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






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






45. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






46. Battles Sign and Racoon's eyes






47. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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48. Salty skin






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






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







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