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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. Knee immobility






2. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






3. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






4. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






5. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






6. Bull's eye rash


7. With low back aches - bend knees to relieve






8. CHRONIC pain






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






10. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






11. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






12. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






13. Nurses First action is to listen to fetal rate/tone






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






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






16. For knee replacement use continuous passive motion machine.






17. Bananas - potatoes - citrus fruits






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






19. Orange tag in triage is non emergent Psych






20. Elevate HOB 30 degrees to decrease intracranial pressure






21. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






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






23. 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).






24. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






25. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis


26. Vertigo - Tinnitus


27. (severe acute resp syndrome) airborne + contact (just like varicella)






28. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






29. 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).






30. Slowed physical and mental function - sensitivity to cold - dry skin and hair






31. Chipmunk face






32. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






33. 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






34. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






35. Always check lead posioning levels






36. 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).






37. 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!






38. 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!






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






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






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






42. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






43. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






44. 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






45. A newly diagnosed hypertension patient should have BP assessed in both arms






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






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






48. Trachea shifts to the opposite side






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






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