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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. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






2. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






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






4. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






5. Its important to be aware of the lab result for prothrombin time






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






7. Battles Sign and Racoon's eyes






8. Swimming






9. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






10. Lie flat with legs elevated






11. 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






12. Another c section with any more kids






13. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






14. Respiratory problems!






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






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






17. 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






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

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






20. Vesicular rash (central to distal) dew drop on rose petal






21. A newly diagnosed hypertension patient should have BP assessed in both arms






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






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






24. Pilling rolling tremors






25. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






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






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






28. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






29. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






30. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






31. On bedrest while implant in place






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






33. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






34. TIA (transient ischemic attack) mini stroke with no dead brain tissue






35. 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






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






37. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






38. 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






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






40. 3 -4 -6






41. Petechiae. Treated with heparin.






42. 3 D'S -- Drooling - Dysphonia - Dysphagia






43. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






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






45. CHRONIC pain






46. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






47. 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').






48. - 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






49. Allergic to eggs (Tristan D. ) !






50. 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 -