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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. Charcot's Triad (IAN)






2. The biggest concern with cold stress and the newborn is respiratory distress.






3. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






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






5. 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.






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






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






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






9. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






10. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






11. Questions about a halo Remember safety first - have a screwdriver nearby.






12. Low magnesium and high creatinine signal renal failure.






13. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






14. 1 gram = 1000 mg






15. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






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






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






18. Patent ductuous arteriousus in infants! Valve doesn't close!






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






20. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






21. 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.






22. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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23. Dystocia= baby cannot make it down to canal






24. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






25. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






26. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






27. Respiratory problems!






28. Hypotension and vasoconstricting meds






29. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






30. Descending muscle weakness






31. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






32. Side lying






33. 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






34. Beta cells of pancreas produce insulin






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






36. Skin to skin contact on mom with a blanket






37. Portal hypotension + albuminemia= Ascites.






38. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






39. Private Room or cohort mask






40. Co2 causes vasoconstriction.






41. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






42. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






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






44. Petechiae or + Herman's sign






45. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






46. If HR is <100 do not give dig to children.






47. In a five -year old breathe once for every 5 compressions doing cpr.






48. Hypotension and bradypnea / bradycardia are major risks and emergencies.






49. With low back aches - bend knees to relieve






50. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5