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

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2. Gonorrhea is a reportable disease






3. Painless hematuria... CA=Cancer ! Duhh






4. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






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






6. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






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






8. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






9. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






10. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






11. Vertigo - Tinnitus

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12. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






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






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






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






16. 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






17. Tet spells treated with morphine.






18. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






19. 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!






20. Increased temp - pulse and HTN






21. Irritable - and poor sucking






22. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






23. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






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






25. Vesicular rash (central to distal) dew drop on rose petal






26. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






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






28. 30 ml = 1 oz






29. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






30. Expiratory grunt -- Causes Infant respiratory distress!






31. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






32. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






33. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






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






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






36. 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.






37. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






38. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






39. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






40. If patients have hallucinations redirect them. In delusions distract them.






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






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






43. Rose spots on abdomen






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






45. 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






46. Risus Sardonicus






47. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






48. 1 gr (grain)= 60 mg






49. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






50. 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.