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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. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






2. 3 D'S -- Drooling - Dysphonia - Dysphagia






3. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






4. Glucose






5. It is X- linked. Mother passes the disease to her son






6. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






7. Area of detachment should be in the dependent position -- dependent meaning supported by something






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






9. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






10. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






11. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






12. 1 pint= 2 cups






13. Confirms multiple myeloma






14. Flapping tremors






15. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






16. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






17. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






18. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






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






20. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






21. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






22. 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






23. 1 T(tablespoon)= 3 t = 15 ml






24. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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25. One pound equals 16 0z






26. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






27. Swimming






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






29. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






30. Co2 causes vasoconstriction.






31. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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32. Systematic desensitization






33. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






34. Battles Sign and Racoon's eyes






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






36. Pilling rolling tremors






37. TIA (transient ischemic attack) mini stroke with no dead brain tissue






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






39. Slowed physical and mental function - sensitivity to cold - dry skin and hair






40. Peptic ulcer






41. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






43. 3 -4 -6






44. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






45. Renal impairment: serum creatinine elevated and urine clearance decreased






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






47. Second voided urine most accurate when testing for ketones and glucose.






48. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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