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


2. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






3. Alk Ash diet - milk - veggies - rhubarb - salmon






4. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






5. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






6. 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






7. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






8. 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%-






9. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






10. Level of consciousness is the most important assessment parameter with status epilepticus.






11. Systemic Lupus Ethramoutus.... (Lupus)






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






13. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






14. 2.2






15. 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






16. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






17. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






18. 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






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. Pulse area cpr on infant






21. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.


22. A newly diagnosed hypertension patient should have BP assessed in both arms






23. 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.






24. Portal hypotension + albuminemia= Ascites.






25. Glomerulonephritis: take vs q 4 hrs + daily weights






26. Birth weight doubles by 6 month and triple by 1 year of age.






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






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






29. An occulsive dressing is used






30. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






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






32. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






33. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






34. Chvostek and Trosseaus sign! Also hypomag!






35. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






36. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






37. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






38. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






39. Another c section with any more kids






40. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






41. Machine like murmur






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


43. Broncospasm (anaphylaxis)






44. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






45. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






46. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






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






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






49. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






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