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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. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






2. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






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






5. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






6. 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






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






8. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






9. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






11. Pulse area cpr on infant






12. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






13. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






14. Machine like murmur






15. Small frequent is better than large






16. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






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






18. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






19. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






20. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






21. Seizure>






22. 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






23. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






24. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






25. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






26. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






27. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






28. ICP (intracranial pressure) should be <2. measure head circonference.






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






30. Allergic to eggs (Tristan D. ) !






31. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






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


33. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






34. Increased temp - pulse and HTN






35. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






36. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






37. Reduced size and force of urine






38. 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






39. CSF in meningitis will have high protein - and low glucose.






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






41. Bethamethasone (celestone)=surfactant. Med for lung expansion.






42. Systemic Lupus Ethramoutus.... (Lupus)






43. 1 gr (grain)= 60 mg






44. (incision at nape of neck)--> position pt flat and lateral on either side.






45. Burning on urination






46. 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






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






48. Chemo - radiation - surgery - allow to die with dignity.






49. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






50. Respiratory problems!