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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. 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






2. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






3. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






4. Butterfly rashes






5. Knee immobility






6. Mothers receive rhogam to protect next baby.






7. Pain is usually the highest priority with RA






8. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






9. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






10. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






11. 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






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






13. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






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






15. Expiratory grunt -- Causes Infant respiratory distress!






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

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17. 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






18. 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').






19. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






20. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






21. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






22. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






23. Reduced size and force of urine






24. Intercostal retractions=bad!






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






26. Risus Sardonicus






27. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






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






29. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






30. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






31. Descending muscle weakness






32. 7 - 10ml / kg






33. 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






34. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






35. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






36. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






37. Handle any blood






38. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






39. Rebound tenderness






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






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






42. Bossing Sign (prominent forehead)






43. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






44. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






45. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






46. Kussmauls breathing (deep rapid RR)






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






48. 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






49. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






50. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)