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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. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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2. Glomerulonephritis: take vs q 4 hrs + daily weights






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






4. Skeletal or skin






5. Lie flat with legs elevated






6. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






7. Rebound tenderness






8. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






9. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






10. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






11. 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.






12. Pulse area cpr on infant






13. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






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






15. A newly diagnosed hypertension patient should have BP assessed in both arms






16. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






17. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






18. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






19. Ambient air (room air) contains 21 % o2






20. Irritable - and poor sucking






21. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






22. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






23. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






24. Butterfly rashes






25. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






26. CSF in meningitis will have high protein - and low glucose.






27. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






28. (incision at nape of neck)--> position pt flat and lateral on either side.






29. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






30. Portal hypotension + albuminemia= Ascites.






31. In a five -year old breathe once for every 5 compressions doing cpr.






32. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






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






34. 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






35. Lymes is found mostly in Conneticuts






36. Age 4 to 5 yrs child needs DPT/MMR/OPV






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






38. Expiratory grunt -- Causes Infant respiratory distress!






39. Bronze like skin pigmentation






40. (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.






41. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






42. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






43. A






44. 1 T(tablespoon)= 3 t = 15 ml






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






46. Strawberry tongue






47. 1 t (teaspoon)= 5 ml






48. One pound equals 16 0z






49. 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).






50. 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.