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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. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






2. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






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






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






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






6. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






7. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






8. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






9. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






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






11. Yogurt has live cultures - dont give to immunosuppressed pt

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12. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






13. 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






14. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






15. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






16. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






18. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






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






20. Lie flat with legs elevated






21. Toes curl= GREAT Toes fan = BAD






22. CVA (cerebrovascular accident) is with dead brain tissue.






23. Private Room or cohort mask






24. Questions about a halo Remember safety first - have a screwdriver nearby.






25. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






26. 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






27. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






28. 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






29. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






30. Its important to be aware of the lab result for prothrombin time






31. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






32. Chest tubes are placed in the pleural space.






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






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






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






36. 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






37. Bull's eye rash

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38. 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






39. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






40. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






41. 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






42. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






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






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






46. Machine like murmur






47. Tet spells treated with morphine.






48. 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!






49. Systemic Lupus Ethramoutus.... (Lupus)






50. Position on the RIGHT side with legs flexed