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NCLEX Final Ati Study

Instructions:
  • Answer 50 questions in 15 minutes.
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  • 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. 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






2. Systematic desensitization






3. 30 ml = 1 oz






4. Ascending muscle paralysis.. dont confuse with MG






5. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






6. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






7. Mothers receive rhogam to protect next baby.






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






9. 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.






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






11. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






13. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






14. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






15. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






16. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






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






18. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






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






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






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

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22. It is X- linked. Mother passes the disease to her son






23. Charcot's Triad (IAN)






24. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






25. 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






26. Vastus lateralis is IM administration site for 6month infants 






27. 1 gram = 1000 mg






28. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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29. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






30. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






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






32. Co2 causes vasoconstriction.






33. Orange tag in triage is non emergent Psych






34. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






35. 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






36. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






37. With low back aches - bend knees to relieve






38. Pulse area cpr on infant






39. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






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






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






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






43. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






44. Petechiae. Treated with heparin.






45. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






46. Beta cells of pancreas produce insulin






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






48. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






49. 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






50. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster







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