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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. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






2. A LATE sign! Always~!






3. Liver - brain - lung - bone - and lymph






4. Brain problems occur






5. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






7. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






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






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






10. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






11. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






13. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






14. 7 - 10ml / kg






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

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16. Low residue diet means low fiver






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






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






19. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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20. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






21. 1 t (teaspoon)= 5 ml






22. (skin traction) --> elevate foot of bed for counter - traction

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23. Low or semi - Fowler's - support head - neck and shoulders.






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






25. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






26. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






27. Lie flat with legs elevated






28. 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

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29. Chipmunk face






30. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






31. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






32. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






33. Psuedo membrane formation






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






35. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






36. Intercostal retractions=bad!






37. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






38. Absence of menstruation leads to osteoporosis in the anorexic.






39. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






40. Salty skin






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






42. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






43. 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.






44. 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






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






46. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






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






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






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