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






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






3. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






4. Protruding tongue






5. Low or semi - Fowler's - support head - neck and shoulders.






6. Stepladder like fever with chills






7. Respiratory problems!






8. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






9. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






10. Machine like murmur






11. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






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

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13. (incision behind hairline) --> elevate HOB 30-45 degrees






14. Reduced size and force of urine






15. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






16. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






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






18. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






19. 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






20. With low back aches - bend knees to relieve






21. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






22. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






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






24. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






25. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






26. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






27. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






28. Glaucoma patients lose peripheral vision. Treated with meds






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






30. Psuedo membrane formation






31. 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.






32. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






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






34. Always check lead posioning levels






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






36. 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

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37. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






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






39. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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40. 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






41. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






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






43. 3 D'S -- Drooling - Dysphonia - Dysphagia






44. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






45. Small frequent is better than large






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






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






48. Recurrent bloody diarrhea






49. Strawberry tongue






50. Rebound tenderness