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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. 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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2. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






3. 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






4. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






5. Med administration is rarely a good choice






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






7. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






8. Bananas - potatoes - citrus fruits






9. Lioning face






10. Liver - brain - lung - bone - and lymph






11. Bull's eye rash

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12. Brain problems occur






13. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






14. Allergic to eggs (Tristan D. ) !






15. 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. ...






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






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






18. Chvostek and Trosseaus sign! Also hypomag!






19. Wheezing on EXPIRATION






20. Opposites! Nursing connection! Think about it!






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






22. 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






23. Ambient air (room air) contains 21 % o2






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






25. Absence of menstruation leads to osteoporosis in the anorexic.






26. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






27. Patent ductuous arteriousus in infants! Valve doesn't close!






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






29. Respiratory problems!






30. Pain is usually the highest priority with RA






31. Handle any blood






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






33. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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34. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






35. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






36. 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






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






38. (incision at nape of neck)--> position pt flat and lateral on either side.






39. MRI- claustrophobia - no metal - assess pacemaker






40. Questions about a halo Remember safety first - have a screwdriver nearby.






41. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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






43. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






44. Position pt in left side - lying (Sim's) with knee flexed






45. Hypotension and vasoconstricting meds






46. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






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

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48. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






49. Vesicular rash (central to distal) dew drop on rose petal






50. HYPERtension TACHYpnea and TACHYcardia