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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. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






2. 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






3. 1 cup= 8 oz






4. (incision behind hairline) --> elevate HOB 30-45 degrees






5. For knee replacement use continuous passive motion machine.






6. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






7. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






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






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

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






11. Normal in CHF from the squishin'.. Not normal in an MI patient






12. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






13. 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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14. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






15. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






16. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






17. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






18. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






19. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






20. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






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






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






23. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






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






25. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






26. Glucose






27. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






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






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






30. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






31. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






32. With low back aches - bend knees to relieve






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






34. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






35. Moon face appearance and buffalo hump






36. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






37. After a hydrocele repair provide ice bags and scrotal support.






38. Portal hypotension + albuminemia= Ascites.






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






40. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






41. For Meningitis check for Kernig's/ Brudzinski's signs.






42. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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43. 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






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






45. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






46. Irritable - and poor sucking






47. OAmniotic fluid yellow with particles = meconium stained`






48. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






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






50. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.