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






2. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






3. 1 quart = 2 pints






4. 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






5. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






6. 1 cup= 8 oz






7. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






8. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






9. 30 ml = 1 oz






10. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






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






12. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






13. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






14. Position prone (on abdomen) so that sac does not rupture






15. Increased temp - pulse and HTN






16. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






17. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






18. Never release traction unless you have an order from an MD to do so






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






20. Tet spells treated with morphine.






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






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






23. Visual floaters - flashes of light - curtain vision






24. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






25. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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






27. 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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28. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






30. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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31. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






33. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






34. 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%






35. Area of detachment should be in the dependent position -- dependent meaning supported by something






36. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






37. Ascending muscle paralysis.. dont confuse with MG






38. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






39. Mothers receive rhogam to protect next baby.






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






41. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






42. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






43. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






44. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






45. LLQ - diverticulitis - low residue - no seeds - nuts - peas






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






47. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






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

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50. Hydration is a big priority!