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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. Mothers receive rhogam to protect next baby.






2. B/c of low platelets






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






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






5. Systematic desensitization






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






7. 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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8. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






9. An occulsive dressing is used






10. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






11. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






12. Trachea shifts to the opposite side






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






14. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






15. Rebound tenderness






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






17. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






18. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






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






20. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






21. Upper part of the uterus






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






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






24. 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.






25. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






26. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






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






28. 7 - 10ml / kg






29. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






30. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






32. The MMR vaccine is given SQ not IM.






33. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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






35. Age 4 to 5 yrs child needs DPT/MMR/OPV






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






37. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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






39. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






40. Yogurt has live cultures - dont give to immunosuppressed pt

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






42. 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.






43. Toes curl= GREAT Toes fan = BAD






44. Place a wheelchair parallel to the bed on the side of weakness






45. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






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






47. Osession is to thought. Compulsion is to action






48. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






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






50. Lymes is found mostly in Conneticuts