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






2. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






4. 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






5. Dystocia= baby cannot make it down to canal






6. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






8. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






9. Tet spells treated with morphine.






10. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






11. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






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






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






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






15. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






16. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






17. Place a wheelchair parallel to the bed on the side of weakness






18. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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


20. Femur or lower leg instability






21. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






22. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






23. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






24. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






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






26. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






27. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






28. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






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






30. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






31. 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






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






33. A newly diagnosed hypertension patient should have BP assessed in both arms






34. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs


35. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






36. The MMR vaccine is given SQ not IM.






37. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






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






39. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






40. LLQ - diverticulitis - low residue - no seeds - nuts - peas






41. 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






42. Lie flat with legs elevated






43. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






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






45. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






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






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






48. Trousseau and Tchovoski signs observed in hypocalcemia






49. 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






50. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t