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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. 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






2. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






3. Salty skin






4. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






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

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6. Lie flat with legs elevated






7. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






8. 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






9. CATS - convulsions - arrhythmias - tetany - spasms and stridor






10. Reduced size and force of urine






11. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






12. 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






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






14. Battles Sign and Racoon's eyes






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






16. Vastus lateralis is IM administration site for 6month infants 






17. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






18. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






19. 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)






20. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






21. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






22. Bossing Sign (prominent forehead)






23. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






24. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






25. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






26. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






27. Pumonary tuberculosis






28. Flapping tremors






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






30. 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






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






32. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






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






35. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






36. 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.






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






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






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






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






41. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






42. HYPERtension TACHYpnea and TACHYcardia






43. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






44. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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45. 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






46. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






47. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






48. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






49. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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50. 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