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






2. 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






3. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






4. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






5. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






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






7. (skin traction) --> elevate foot of bed for counter - traction

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8. 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)






9. Butterfly rashes






10. TPN(total parenteral nutrition) given in subclavian line.






11. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






12. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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13. Its important to be aware of the lab result for prothrombin time






14. Bananas - potatoes - citrus fruits






15. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






16. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






17. Ambient air (room air) contains 21 % o2






18. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






19. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






20. B/c of low platelets






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






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






23. 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.






24. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






25. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






26. Kussmauls breathing (deep rapid RR)






27. 1 t (teaspoon)= 5 ml






28. Stepladder like fever with chills






29. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






30. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






31. Respiratory problems!






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

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






34. Irritable - and poor sucking






35. 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






36. Knee - chest position or Trendelenburg






37. (incision at nape of neck)--> position pt flat and lateral on either side.






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






39. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






40. Pilling rolling tremors






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






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






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






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






45. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






46. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






47. 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.






48. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






49. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






50. (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)







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