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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. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






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






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






4. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






5. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






6. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






7. Side lying






8. 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.






9. 30 ml = 1 oz






10. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






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






12. 1 gr (grain)= 60 mg






13. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






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






15. Rhematic fever






16. No meat and milk together






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






18. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






19. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






20. B/c of low platelets






21. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






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






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






24. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






25. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






26. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






27. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






28. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






29. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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30. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






31. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






32. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






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






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






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






36. Systematic desensitization






37. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






38. CHRONIC pain






39. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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40. 1 pint= 2 cups






41. Inspiratory stridor.. LTB = croup!!!!






42. Liver - brain - lung - bone - and lymph






43. 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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44. Risus Sardonicus






45. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






46. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






47. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






48. 3 -4 -6






49. Orange tag in triage is non emergent Psych






50. 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