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






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






3. After endoscopy check gag reflex.






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






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






6. 1 pint= 2 cups






7. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






8. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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9. Orange tag in triage is non emergent Psych






10. 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






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






12. 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').






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






14. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






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






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






18. Pulse area cpr on infant






19. Hodgkin's disease= cancer of lymph is very curable in early stage.






20. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






21. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






22. Med administration is rarely a good choice






23. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






24. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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25. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






26. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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






28. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






29. Pilling rolling tremors






30. Just know the MMR and Varicella immunizations come later (15 months).






31. For knee replacement use continuous passive motion machine.






32. Hydration is a big priority!






33. Expiratory grunt -- Causes Infant respiratory distress!






34. Hallmark= Sore throat - cervical lymph adenopathy - fever






35. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






36. Coarse facial features






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






38. Nurses First action is to listen to fetal rate/tone






39. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






40. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






41. 3 -4 -6






42. * 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.






43. 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






44. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






45. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






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






47. Private Room or cohort mask






48. Position pt in left side - lying (Sim's) with knee flexed






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






50. Charcot's Triad (IAN)