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






2. Lie flat with legs elevated






3. Lymes is found mostly in Conneticuts






4. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






5. Handle any blood






6. Low magnesium and high creatinine signal renal failure.






7. After endoscopy check gag reflex.






8. If patients have hallucinations redirect them. In delusions distract them.






9. Pulse area cpr on infant






10. Bossing Sign (prominent forehead)






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






12. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






13. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






14. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






15. Charcot's Triad (IAN)






16. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






17. Bronze like skin pigmentation






18. Side lying






19. 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 -






20. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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21. 1 quart = 2 pints






22. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






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

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25. Trachea shifts to the opposite side






26. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






27. Co2 causes vasoconstriction.






28. Allergic to eggs (Tristan D. ) !






29. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






30. Hallmark= Sore throat - cervical lymph adenopathy - fever






31. 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.






32. ** IVP requires bowel prep so they can visualize the bladder better






33. Olive like mass






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






35. 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.






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






37. Burning on urination






38. Salty skin






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






40. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






41. A laxative is given the night before an IVP in order to better visualize the organs.






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






43. Area of detachment should be in the dependent position -- dependent meaning supported by something






44. B/c of low platelets






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






46. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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47. Reduced size and force of urine






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






49. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






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