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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. Petechiae. Treated with heparin.






2. 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.






3. Hypotension and vasoconstricting meds






4. Mothers receive rhogam to protect next baby.






5. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






6. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






7. 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.






8. Cultures






9. Dystocia= baby cannot make it down to canal






10. 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.






11. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






12. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






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






14. 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.






15. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






16. 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






17. A laxative is given the night before an IVP in order to better visualize the organs.






18. TIA (transient ischemic attack) mini stroke with no dead brain tissue






19. Tet spells treated with morphine.






20. No nasotracheal suctioning with head injury or skull fracture.






21. Hydration is a big priority!






22. 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






23. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






25. Place in prone position






26. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






27. 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.






28. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






29. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






30. Weight






31. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






32. 30 ml = 1 oz






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






34. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






35. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






36. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






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






38. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






39. Most spinal cord injuries are at the cervical or lumbar regions






40. 1 cup= 8 oz






41. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






42. 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






43. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






44. Handle any blood






45. 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






46. Skeletal or skin






47. Its important to be aware of the lab result for prothrombin time






48. Opposites! Nursing connection! Think about it!






49. Chipmunk face






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