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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. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






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






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






4. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






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


6. Recurrent bloody diarrhea






7. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






8. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






9. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






10. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






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






12. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.


13. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






14. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






15. Small frequent is better than large






16. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






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






18. 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






19. Rusty sputum






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






21. Protruding tongue






22. 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


23. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






24. Inspiratory stridor.. LTB = croup!!!!






25. Toes curl= GREAT Toes fan = BAD






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






27. With low back aches - bend knees to relieve






28. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






29. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






30. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






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. Moon face appearance and buffalo hump






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






34. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






35. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






36. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






37. A






38. Osession is to thought. Compulsion is to action






39. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






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






41. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






42. 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






43. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






44. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






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






46. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






47. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






48. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






49. 1 quart = 2 pints






50. 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