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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. Tet spells treated with morphine.






2. 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!






3. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






4. After a hydrocele repair provide ice bags and scrotal support.






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






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






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






8. Renal impairment: serum creatinine elevated and urine clearance decreased






9. 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.






10. After endoscopy check gag reflex.






11. Ambient air (room air) contains 21 % o2






12. 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






13. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






14. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






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

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16. Just know the MMR and Varicella immunizations come later (15 months).






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






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






19. Lymes is found mostly in Conneticuts






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

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21. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






22. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






23. Second voided urine most accurate when testing for ketones and glucose.






24. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






25. Systematic desensitization






26. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






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






28. 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






29. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






30. (incision behind hairline) --> elevate HOB 30-45 degrees






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






32. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






33. 1 T(tablespoon)= 3 t = 15 ml






34. Pilling rolling tremors






35. Visual floaters - flashes of light - curtain vision






36. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






37. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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38. Children <3yoa - <35 lbs with femur fx

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39. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






40. Wheezing on EXPIRATION






41. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






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






43. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






44. Femur or lower leg instability






45. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






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






47. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






48. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






49. 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






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