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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. 1 T(tablespoon)= 3 t = 15 ml






2. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






3. Rusty sputum






4. 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






5. 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.






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






7. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






8. Lie flat with legs elevated






9. 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!






10. Opposites! Nursing connection! Think about it!






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






12. Hypotension and bradypnea / bradycardia are major risks and emergencies.






13. Salty skin






14. 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%






15. Rice watery stool






16. Most spinal cord injuries are at the cervical or lumbar regions






17. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






18. (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)






19. MRI- claustrophobia - no metal - assess pacemaker






20. OAmniotic fluid yellow with particles = meconium stained`






21. Inspiratory stridor.. LTB = croup!!!!






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






23. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






24. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






25. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






26. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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27. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






28. Hodgkin's disease= cancer of lymph is very curable in early stage.






29. Swimming






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






31. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






32. 2.2






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






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






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






36. 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.






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






38. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






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






40. Coarse facial features






41. 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






42. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






43. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






45. Bronze like skin pigmentation






46. Wheezing on EXPIRATION






47. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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48. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






49. Hypotension and vasoconstricting meds






50. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!