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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. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






3. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






4. Knee - chest position or Trendelenburg






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






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






7. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






8. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






9. Alk Ash diet - milk - veggies - rhubarb - salmon






10. Rhematic fever






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






12. 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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13. 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.






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






16. Wheezing on EXPIRATION






17. Nurses First action is to listen to fetal rate/tone






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






19. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






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






21. (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)






22. Battles Sign and Racoon's eyes






23. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






24. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






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






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






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






28. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






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






30. 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).






31. Position on the RIGHT side with legs flexed






32. Osession is to thought. Compulsion is to action






33. Low or semi - Fowler's - support head - neck and shoulders.






34. 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






35. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






37. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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38. Broncospasm (anaphylaxis)






39. 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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40. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






41. Burning on urination






42. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






43. 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!






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






45. Birth weight doubles by 6 month and triple by 1 year of age.






46. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






47. Skin to skin contact on mom with a blanket






48. A






49. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






50. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions