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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. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






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






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






4. 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.






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






6. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






7. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






8. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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

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






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






12. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






13. Machine like murmur






14. * 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.






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






16. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






17. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






18. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






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






20. Most spinal cord injuries are at the cervical or lumbar regions






21. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






22. For knee replacement use continuous passive motion machine.






23. 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






24. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






26. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






27. Yogurt has live cultures - dont give to immunosuppressed pt

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28. 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)






29. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






30. 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






31. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






32. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






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






34. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






35. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






36. Purple bruises around the belly button... Pancreatitis!






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






38. Inspiratory stridor.. LTB = croup!!!!






39. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






40. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






41. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






42. Pulse area cpr on infant






43. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






44. Petechiae. Treated with heparin.






45. CATS - convulsions - arrhythmias - tetany - spasms and stridor






46. 1 gr (grain)= 60 mg






47. 2.2






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






49. Trousseau and Tchovoski signs observed in hypocalcemia






50. Descending muscle weakness







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