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






2. Bull's eye rash

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3. Cultures






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






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






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






7. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






8. Position prone (on abdomen) so that sac does not rupture






9. 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






10. Kopliks spots






11. 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






12. Low residue diet means low fiver






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






14. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






15. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






16. Red beefy tongue






17. 2.2






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






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






20. Psuedo membrane formation






21. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






22. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






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






25. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






26. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






27. Pulse area cpr on infant






28. 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.






29. No nasotracheal suctioning with head injury or skull fracture.






30. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






31. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






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

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34. Systematic desensitization






35. Chvostek and Trosseaus sign! Also hypomag!






36. * 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.






37. 7 - 10ml / kg






38. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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






40. Lie flat with legs elevated






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






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






43. Wheezing on EXPIRATION






44. Trachea shifts to the opposite side






45. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






46. Intercostal retractions=bad!






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






48. (severe acute resp syndrome) airborne + contact (just like varicella)






49. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






50. Elevate HOB 30 degrees to decrease intracranial pressure