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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. Descending muscle weakness






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






3. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






4. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






6. 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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7. Rice watery stool






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






9. 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.






10. 3 D'S -- Drooling - Dysphonia - Dysphagia






11. Portal hypotension + albuminemia= Ascites.






12. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






13. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






14. Upper part of the uterus






15. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






16. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






17. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






18. Expiratory grunt -- Causes Infant respiratory distress!






19. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






20. Stepladder like fever with chills






21. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






22. 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






23. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






24. Patent ductuous arteriousus in infants! Valve doesn't close!






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






26. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






27. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






28. 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






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






30. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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31. Med administration is rarely a good choice






32. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






33. Rebound tenderness






34. Chvostek and Trosseaus sign! Also hypomag!






35. Area of detachment should be in the dependent position -- dependent meaning supported by something






36. 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)






37. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






38. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






39. Bananas - potatoes - citrus fruits






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






41. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






42. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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43. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






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






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






46. 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.






47. 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.






48. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






49. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






50. 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!