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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. CVA (cerebrovascular accident) is with dead brain tissue.






2. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






3. 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)






4. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






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






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






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






8. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






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






10. **If kid has cold - can still give immunizations






11. 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.






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






13. Hydration is a big priority!






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






15. Increased temp - pulse and HTN






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






17. A






18. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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


20. 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






21. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






22. 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.






23. Ambient air (room air) contains 21 % o2






24. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






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






26. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






27. Liver - brain - lung - bone - and lymph






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






29. Small frequent is better than large






30. Reduced size and force of urine






31. Pumonary tuberculosis






32. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






33. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






34. Petechiae. Treated with heparin.






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






36. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






37. Skeletal or skin






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






39. Battles Sign and Racoon's eyes






40. 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






41. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






42. Bananas - potatoes - citrus fruits






43. After endoscopy check gag reflex.






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






45. Glomerulonephritis: take vs q 4 hrs + daily weights






46. 1 T(tablespoon)= 3 t = 15 ml






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






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






49. 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.






50. Always check lead posioning levels