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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. Handle any blood






2. Small frequent is better than large






3. Petechiae. Treated with heparin.






4. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






6. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






7. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






8. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






9. Elevate HOB 30 degrees to decrease intracranial pressure






10. 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






11. Knee - chest position or Trendelenburg






12. If patients have hallucinations redirect them. In delusions distract them.






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






14. Swimming






15. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






16. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






17. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






18. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






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






21. Lie flat with legs elevated






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

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23. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






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






25. Pumonary tuberculosis






26. Place the apparatus first then place the weight (der)






27. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






29. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






30. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






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. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






33. Irritable - and poor sucking






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






35. Recurrent bloody diarrhea






36. A LATE sign! Always~!






37. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






38. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






39. Seizure>






40. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






41. * 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.






42. **If kid has cold - can still give immunizations






43. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






44. Hypotension and vasoconstricting meds






45. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






46. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






47. Pain is usually the highest priority with RA






48. 1 quart = 2 pints






49. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






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