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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. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






2. Pumonary tuberculosis






3. TPN(total parenteral nutrition) given in subclavian line.






4. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






5. Knee - chest position or Trendelenburg






6. Rose spots on abdomen






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






8. EleVate Veins; dAngle Arteries for better perfusion






9. Position on the RIGHT side with legs flexed






10. 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 -






11. Rusty sputum






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






13. Beta cells of pancreas produce insulin






14. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






16. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






17. On bedrest while implant in place






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






19. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






20. 3 D'S -- Drooling - Dysphonia - Dysphagia






21. For Meningitis check for Kernig's/ Brudzinski's signs.






22. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






23. CHRONIC pain






24. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






25. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






26. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






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






28. Pilling rolling tremors






29. It is X- linked. Mother passes the disease to her son






30. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






31. 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






32. 1 gr (grain)= 60 mg






33. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






34. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






35. Liver - brain - lung - bone - and lymph






36. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






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






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






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






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

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41. 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






42. Mothers receive rhogam to protect next baby.






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






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






45. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






46. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






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






48. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






49. Broncospasm (anaphylaxis)






50. Its important to be aware of the lab result for prothrombin time