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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. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






2. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






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






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






5. 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.






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

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






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






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






10. Co2 causes vasoconstriction.






11. Skeletal or skin






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






13. No nasotracheal suctioning with head injury or skull fracture.






14. Level of consciousness is the most important assessment parameter with status epilepticus.






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






16. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






17. 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






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

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19. Barrel chest






20. Trousseau and Tchovoski signs observed in hypocalcemia






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






22. Salty skin






23. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






24. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






25. Birth weight doubles by 6 month and triple by 1 year of age.






26. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






27. Knee - chest position or Trendelenburg






28. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






29. Rusty sputum






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






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






32. After endoscopy check gag reflex.






33. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






34. Mothers receive rhogam to protect next baby.






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






36. Lie flat with legs elevated






37. Low magnesium and high creatinine signal renal failure.






38. 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).






39. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






40. Psuedo membrane formation






41. Burning on urination






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






43. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






44. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






45. 1 pint= 2 cups






46. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






47. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






48. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






49. 1 T(tablespoon)= 3 t = 15 ml






50. Irritable - and poor sucking