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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. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






3. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






4. Sausage shaped mass - Dance sign (empty portion of RLQ)






5. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






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






8. Psuedo membrane formation






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






10. B/c of low platelets






11. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






12. (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)






13. 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






14. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






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






16. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






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






18. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






19. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






20. Intercostal retractions=bad!






21. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






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






23. Low residue diet means low fiver






24. Hydration is a big priority!






25. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






26. 30 ml = 1 oz






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






28. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






29. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






30. Coarse facial features






31. 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.






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






33. Burning on urination






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






35. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






36. Chvostek and Trosseaus sign! Also hypomag!






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






38. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






39. 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.






40. Trousseau and Tchovoski signs observed in hypocalcemia






41. Systemic Lupus Ethramoutus.... (Lupus)






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






43. Pumonary tuberculosis






44. A laxative is given the night before an IVP in order to better visualize the organs.






45. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






46. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






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






48. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






49. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






50. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.