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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. Expiratory grunt -- Causes Infant respiratory distress!






2. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






3. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






4. 2.2






5. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






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






7. 1 t (teaspoon)= 5 ml






8. Irritable - and poor sucking






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






10. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






11. Slowed physical and mental function - sensitivity to cold - dry skin and hair






12. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






13. Charcot's Triad (IAN)






14. Toes curl= GREAT Toes fan = BAD






15. Low residue diet means low fiver






16. Confirms multiple myeloma






17. ICP (intracranial pressure) should be <2. measure head circonference.






18. Rhematic fever






19. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






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






21. *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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22. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






23. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






24. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






25. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






26. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






27. Co2 causes vasoconstriction.






28. Second voided urine most accurate when testing for ketones and glucose.






29. 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).






30. One pound equals 16 0z






31. Another c section with any more kids






32. Small frequent is better than large






33. Butterfly rashes






34. 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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35. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






36. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






38. 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






39. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






40. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






41. Battles Sign and Racoon's eyes






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






43. Kopliks spots






44. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






45. 7 - 10ml / kg






46. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






47. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






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






49. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






50. 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