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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. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






2. Rusty sputum






3. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






4. Vertigo - Tinnitus


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






6. Chest tubes are placed in the pleural space.






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






8. Orange tag in triage is non emergent Psych






9. Rose spots on abdomen






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






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






12. One pound equals 16 0z






13. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






15. Knee - chest position or Trendelenburg






16. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






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






19. 1 pint= 2 cups






20. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis


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






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






23. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






24. (severe acute resp syndrome) airborne + contact (just like varicella)






25. 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.






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






27. Gonorrhea is a reportable disease






28. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






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






30. Knee immobility






31. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






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






33. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






34. Rice watery stool






35. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






36. Salty skin






37. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






38. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






39. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






40. 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').






41. 1 cup= 8 oz






42. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






44. Liver - brain - lung - bone - and lymph






45. 1 t (teaspoon)= 5 ml






46. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






47. 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






48. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






49. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






50. Irritable - and poor sucking