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






2. Co2 causes vasoconstriction.






3. PainLESS vision loss - opacity of lens - blurring of the vision






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






5. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






6. TPN(total parenteral nutrition) given in subclavian line.






7. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






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






9. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






10. Strawberry tongue






11. For Meningitis check for Kernig's/ Brudzinski's signs.






12. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






13. 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






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


15. Visual floaters - flashes of light - curtain vision






16. Rice watery stool






17. 2.2






18. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






19. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






20. Cultures






21. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






22. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






23. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






24. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






25. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






26. Olive like mass






27. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






28. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






29. Knee - chest position or Trendelenburg






30. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






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






32. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






33. 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).






34. Handle any blood






35. 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.






36. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






37. Bronze like skin pigmentation






38. 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


39. Glucose






40. Purple bruises around the belly button... Pancreatitis!






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






42. Place a wheelchair parallel to the bed on the side of weakness






43. One pound equals 16 0z






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






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






46. 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).






47. Rose spots on abdomen






48. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






49. 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






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