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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. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






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






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






4. 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.






5. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






6. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






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






8. Inspiratory stridor.. LTB = croup!!!!






9. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






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






11. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






12. 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).






13. Hypotension and bradypnea / bradycardia are major risks and emergencies.






14. Pilling rolling tremors






15. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






17. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






18. 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






19. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






20. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






21. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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22. Chest tubes are placed in the pleural space.






23. Pumonary tuberculosis






24. (skin traction) --> elevate foot of bed for counter - traction

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25. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






26. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






27. Chipmunk face






28. Upper part of the uterus






29. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






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






31. Med administration is rarely a good choice






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






33. Bull's eye rash

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






35. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






36. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






37. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






38. Questions about a halo Remember safety first - have a screwdriver nearby.






39. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






40. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






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






42. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






43. 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 -






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






45. Respiratory problems!






46. Allergic to eggs (Tristan D. ) !






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






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






49. 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






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