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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. 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






2. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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






4. Expiratory grunt -- Causes Infant respiratory distress!






5. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






6. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






7. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






8. 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






9. Knee immobility






10. Private Room or cohort mask






11. Battles Sign and Racoon's eyes






12. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






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






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






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






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






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






18. Most spinal cord injuries are at the cervical or lumbar regions






19. 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.






20. Place in prone position






21. 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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22. Normal in CHF from the squishin'.. Not normal in an MI patient






23. Seizure>






24. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






25. Hydration is a big priority!






26. Rice watery stool






27. 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%-






28. Rebound tenderness






29. Femur or lower leg instability






30. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






31. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






32. - 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






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






34. Elevate HOB 30 degrees to decrease intracranial pressure






35. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






36. Side lying






37. Lie flat with legs elevated






38. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






39. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






41. Lymes is found mostly in Conneticuts






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

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43. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






44. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






45. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






46. Ascending muscle paralysis.. dont confuse with MG






47. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






49. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






50. Petechiae. Treated with heparin.