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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. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






2. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






3. Hypotension and vasoconstricting meds






4. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






5. 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






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






7. 3 -4 -6






8. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






9. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






10. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






11. Lie flat with legs elevated






12. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






14. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






15. 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').






16. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






17. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






18. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






19. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






20. Hodgkin's disease= cancer of lymph is very curable in early stage.






21. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






22. Knee - chest position or Trendelenburg






23. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






24. Hallmark= Sore throat - cervical lymph adenopathy - fever






25. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






26. 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






27. * 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.






28. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






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






30. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






31. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






32. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






33. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






34. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






35. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






36. The MMR vaccine is given SQ not IM.






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






38. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






39. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






40. Coarse facial features






41. Beta cells of pancreas produce insulin






42. Toes curl= GREAT Toes fan = BAD






43. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






44. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






45. Med administration is rarely a good choice






46. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






47. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






48. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






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

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50. Psuedo membrane formation