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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. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






2. Trachea shifts to the opposite side






3. Burning on urination






4. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






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






6. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






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






8. Toes curl= GREAT Toes fan = BAD






9. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






10. Expiratory grunt -- Causes Infant respiratory distress!






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






12. If HR is <100 do not give dig to children.






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






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






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






16. CHRONIC pain






17. 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






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






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






20. Moon face appearance and buffalo hump






21. Systematic desensitization






22. 7 - 10ml / kg






23. Upper part of the uterus






24. 1 gr (grain)= 60 mg






25. Bronze like skin pigmentation






26. Protruding tongue






27. Chest tubes are placed in the pleural space.






28. Rose spots on abdomen






29. 1 T(tablespoon)= 3 t = 15 ml






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






31. Cat's eye reflex (grayish discoloration of the pupil)






32. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






33. Chvostek and Trosseaus sign! Also hypomag!






34. Sausage shaped mass - Dance sign (empty portion of RLQ)






35. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






36. Handle any blood






37. Portal hypotension + albuminemia= Ascites.






38. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






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






40. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






41. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






42. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






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






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






45. Chipmunk face






46. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






47. (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)






48. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






49. Coarse facial features






50. Vastus lateralis is IM administration site for 6month infants 