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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. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






2. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






3. 1 cup= 8 oz






4. Stepladder like fever with chills






5. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






6. Second voided urine most accurate when testing for ketones and glucose.






7. 1 t (teaspoon)= 5 ml






8. 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.






9. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






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






11. Expiratory grunt -- Causes Infant respiratory distress!






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






13. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






14. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






15. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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16. Chemo - radiation - surgery - allow to die with dignity.






17. Rusty sputum






18. Bethamethasone (celestone)=surfactant. Med for lung expansion.






19. Private Room or cohort mask






20. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






21. Orange tag in triage is non emergent Psych






22. The MMR vaccine is given SQ not IM.






23. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






24. Psuedo membrane formation






25. Red beefy tongue






26. Dystocia= baby cannot make it down to canal






27. Reduced size and force of urine






28. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






29. Ottorhea






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






31. - 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






32. 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').






33. Elevate HOB 30 degrees to decrease intracranial pressure






34. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






35. Never release traction unless you have an order from an MD to do so






36. Renal impairment: serum creatinine elevated and urine clearance decreased






37. Vertigo - Tinnitus

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38. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






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






40. Risus Sardonicus






41. Salty skin






42. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






43. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






44. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






45. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






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






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






48. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






49. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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50. 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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