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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. 1 T(tablespoon)= 3 t = 15 ml






2. Age 4 to 5 yrs child needs DPT/MMR/OPV






3. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






4. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






6. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






7. Handle any blood






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

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9. Rusty sputum






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






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






12. Petechiae. Treated with heparin.






13. CVA (cerebrovascular accident) is with dead brain tissue.






14. Trousseau and Tchovoski signs observed in hypocalcemia






15. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






16. 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.






17. 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%-






18. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






19. Lymes is found mostly in Conneticuts






20. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






21. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






22. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






23. Pulse area cpr on infant






24. 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.






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






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






27. Charcot's Triad (IAN)






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






29. Questions about a halo Remember safety first - have a screwdriver nearby.






30. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






31. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






32. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






33. 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






34. Elevate HOB 30 degrees to decrease intracranial pressure






35. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






36. HYPERtension TACHYpnea and TACHYcardia






37. A






38. Knee immobility






39. 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






40. Knee - chest position or Trendelenburg






41. Olive like mass






42. Rhematic fever






43. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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44. 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






45. Rose spots on abdomen






46. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






47. Battles Sign and Racoon's eyes






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






49. Skin to skin contact on mom with a blanket






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