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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. Machine like murmur






2. Olive like mass






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






4. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






5. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






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






7. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






8. Lioning face






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






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






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






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






13. CHRONIC pain






14. Increased temp - pulse and HTN






15. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






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






17. Ottorhea






18. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






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






20. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






21. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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22. Position prone (on abdomen) so that sac does not rupture






23. Confirms multiple myeloma






24. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






25. 1 pint= 2 cups






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






27. Portal hypotension + albuminemia= Ascites.






28. Nurses First action is to listen to fetal rate/tone






29. Uremic fetor --> smell urine on the breath






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

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31. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






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






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






34. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






35. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






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






37. 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.






38. 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






39. Birth weight doubles by 6 month and triple by 1 year of age.






40. Intercostal retractions=bad!






41. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






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






43. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






44. 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)






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






46. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






47. 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






48. 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






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






50. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.







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