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






2. 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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3. Irritable - and poor sucking






4. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






5. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






6. Position on the RIGHT side with legs flexed






7. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






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






9. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






10. 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






11. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






12. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






13. Machine like murmur






14. EleVate Veins; dAngle Arteries for better perfusion






15. The biggest concern with cold stress and the newborn is respiratory distress.






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






17. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






19. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






20. Patent ductuous arteriousus in infants! Valve doesn't close!






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






22. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






23. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






24. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






25. Chipmunk face






26. 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






27. Peptic ulcer






28. Glucose






29. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






30. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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






32. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






33. Questions about a halo Remember safety first - have a screwdriver nearby.






34. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






36. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






37. Yogurt has live cultures - dont give to immunosuppressed pt

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38. 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






39. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






40. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






41. 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






42. ** IVP requires bowel prep so they can visualize the bladder better






43. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






44. Ascending muscle paralysis.. dont confuse with MG






45. 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.






46. Burning on urination






47. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






48. 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').






49. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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