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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. 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






2. Toes curl= GREAT Toes fan = BAD






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






4. Cultures






5. Strawberry tongue






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






7. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






8. (severe acute resp syndrome) airborne + contact (just like varicella)






9. 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






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






11. Skeletal or skin






12. 1 pint= 2 cups






13. 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)






14. MRI- claustrophobia - no metal - assess pacemaker






15. Children <3yoa - <35 lbs with femur fx

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16. 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






17. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






18. Elevate HOB 30 degrees to decrease intracranial pressure






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






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






21. Portal hypotension + albuminemia= Ascites.






22. Hypotension and bradypnea / bradycardia are major risks and emergencies.






23. Low or semi - Fowler's - support head - neck and shoulders.






24. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






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






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






27. Bethamethasone (celestone)=surfactant. Med for lung expansion.






28. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






29. The MMR vaccine is given SQ not IM.






30. PainLESS vision loss - opacity of lens - blurring of the vision






31. Lioning face






32. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






33. Risus Sardonicus






34. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






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. Recurrent bloody diarrhea






37. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






38. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






39. 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






40. Pain is usually the highest priority with RA






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

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42. 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').






43. Mothers receive rhogam to protect next baby.






44. Glomerulonephritis: take vs q 4 hrs + daily weights






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






46. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






47. Place the apparatus first then place the weight (der)






48. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






49. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






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






Can you answer 50 questions in 15 minutes?



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