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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. Most spinal cord injuries are at the cervical or lumbar regions






2. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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






4. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






5. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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






7. Confirms multiple myeloma






8. No meat and milk together






9. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






10. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






11. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






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






13. No nasotracheal suctioning with head injury or skull fracture.






14. 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 (






15. Hydration is a big priority!






16. Side lying






17. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






18. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






19. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






21. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






22. 2.2






23. CVA (cerebrovascular accident) is with dead brain tissue.






24. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






25. 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






26. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






27. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






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






29. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






30. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






31. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






32. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






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






34. Orange tag in triage is non emergent Psych






35. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






36. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






37. Lioning face






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






39. Femur or lower leg instability






40. 1 pint= 2 cups






41. Brain problems occur






42. Salty skin






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






44. Yogurt has live cultures - dont give to immunosuppressed pt

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45. Barrel chest






46. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






47. Glaucoma patients lose peripheral vision. Treated with meds






48. Mothers receive rhogam to protect next baby.






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






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