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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. Dystocia= baby cannot make it down to canal






2. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






3. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






4. Chest tubes are placed in the pleural space.






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






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






7. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






8. Pumonary tuberculosis






9. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






10. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






11. An occulsive dressing is used






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






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






15. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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16. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






17. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






18. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






19. 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. ...






20. 1 cup= 8 oz






21. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






22. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






23. EleVate Veins; dAngle Arteries for better perfusion






24. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






25. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






26. No meat and milk together






27. If patients have hallucinations redirect them. In delusions distract them.






28. For knee replacement use continuous passive motion machine.






29. 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






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






31. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






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






33. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






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






35. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






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






37. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






38. 1 gram = 1000 mg






39. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






40. Handle any blood






41. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






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






43. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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






45. **If kid has cold - can still give immunizations






46. 2.2






47. 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).






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






49. (incision behind hairline) --> elevate HOB 30-45 degrees






50. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






Can you answer 50 questions in 15 minutes?



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