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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. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






2. Small frequent is better than large






3. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






4. Wheezing on EXPIRATION






5. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






7. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






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






9. 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






10. CHRONIC pain






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






12. Charcot's Triad (IAN)






13. 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






14. Nurses First action is to listen to fetal rate/tone






15. * 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.






16. Chemo - radiation - surgery - allow to die with dignity.






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






18. 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.






19. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






20. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






21. Level of consciousness is the most important assessment parameter with status epilepticus.






22. No meat and milk together






23. Allergic to eggs (Tristan D. ) !






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






25. Bull's eye rash

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






28. 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






29. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






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






31. 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)






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






33. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






34. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






35. Burning on urination






36. Stepladder like fever with chills






37. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






39. 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






40. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






41. 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%






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






44. 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.






45. 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.






46. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






47. Always check lead posioning levels






48. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






49. Skin to skin contact on mom with a blanket






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