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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. 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 -






2. Glucose






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






4. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






5. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






6. 1 pint= 2 cups






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






8. Psuedo membrane formation






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






10. Broncospasm (anaphylaxis)






11. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






12. Peptic ulcer






13. Olive like mass






14. Rose spots on abdomen






15. Rusty sputum






16. Skeletal or skin






17. 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






18. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






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






20. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






21. Rebound tenderness






22. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






23. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






24. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






25. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






26. Trachea shifts to the opposite side






27. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






28. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






29. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






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






31. 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.






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

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33. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






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






35. * 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.






36. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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37. Battles Sign and Racoon's eyes






38. Knee - chest position or Trendelenburg






39. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






40. Just know the MMR and Varicella immunizations come later (15 months).






41. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






42. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






43. Wheezing on EXPIRATION






44. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






45. Inspiratory stridor.. LTB = croup!!!!






46. Skin to skin contact on mom with a blanket






47. Machine like murmur






48. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






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






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

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