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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. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






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






3. Visual floaters - flashes of light - curtain vision






4. Inspiratory stridor.. LTB = croup!!!!






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






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






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






8. Painless hematuria... CA=Cancer ! Duhh






9. Cultures






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






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






12. 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.






13. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






14. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






15. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






16. Kopliks spots






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






18. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






19. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






20. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






21. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






22. Bronze like skin pigmentation






23. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






24. CSF in meningitis will have high protein - and low glucose.






25. 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.






26. An occulsive dressing is used






27. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






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






29. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






30. Place in prone position






31. 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






32. Protruding tongue






33. Systematic desensitization






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






35. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






36. 1 pint= 2 cups






37. Birth weight doubles by 6 month and triple by 1 year of age.






38. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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39. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






40. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






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






42. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






43. For knee replacement use continuous passive motion machine.






44. Bossing Sign (prominent forehead)






45. 7 - 10ml / kg






46. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






47. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






48. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






49. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






50. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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