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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. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






2. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






3. Pumonary tuberculosis






4. 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






5. No meat and milk together






6. Position prone (on abdomen) so that sac does not rupture






7. 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 -






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






9. The biggest concern with cold stress and the newborn is respiratory distress.






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






11. 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






12. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






13. 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.






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






15. 30 ml = 1 oz






16. Hodgkin's disease= cancer of lymph is very curable in early stage.






17. MRI- claustrophobia - no metal - assess pacemaker






18. With low back aches - bend knees to relieve






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






20. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






21. A LATE sign! Always~!






22. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






23. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






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






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






26. Rusty sputum






27. 1 quart = 2 pints






28. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






29. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






30. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






32. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






33. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






34. Bananas - potatoes - citrus fruits






35. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






36. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






37. Chest tubes are placed in the pleural space.






38. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






39. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






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






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






42. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






43. LLQ - diverticulitis - low residue - no seeds - nuts - peas






44. Brain problems occur






45. Barrel chest






46. Chvostek and Trosseaus sign! Also hypomag!






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






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






49. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






50. Never release traction unless you have an order from an MD to do so