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






2. Systemic Lupus Ethramoutus.... (Lupus)






3. In a five -year old breathe once for every 5 compressions doing cpr.






4. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






5. ** IVP requires bowel prep so they can visualize the bladder better






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






7. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






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






9. The MMR vaccine is given SQ not IM.






10. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






11. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






12. Increased temp - pulse and HTN






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






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






15. Femur or lower leg instability






16. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






17. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






19. A LATE sign! Always~!






20. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






21. Low magnesium and high creatinine signal renal failure.






22. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






23. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






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






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






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






27. 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.






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






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

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






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






32. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






33. 1 gram = 1000 mg






34. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






35. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






36. 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






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. Butterfly rashes






39. Salty skin






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






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






42. 1 t (teaspoon)= 5 ml






43. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






44. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






45. For Meningitis check for Kernig's/ Brudzinski's signs.






46. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






47. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






48. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






49. TPN(total parenteral nutrition) given in subclavian line.






50. 3 D'S -- Drooling - Dysphonia - Dysphagia







Sorry!:) No result found.

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