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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. 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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2. Position prone (on abdomen) so that sac does not rupture






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






4. Knee immobility






5. Sausage shaped mass - Dance sign (empty portion of RLQ)






6. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






7. 3 -4 -6






8. Pain is usually the highest priority with RA






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






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






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






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






13. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






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






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






16. Alk Ash diet - milk - veggies - rhubarb - salmon






17. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






18. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






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






20. 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






21. Barrel chest






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






23. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






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






25. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






26. If HR is <100 do not give dig to children.






27. 7 - 10ml / kg






28. Trousseau and Tchovoski signs observed in hypocalcemia






29. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






30. Salty skin






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






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






33. 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






34. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






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






36. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






37. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






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






39. Another c section with any more kids






40. Small frequent is better than large






41. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






42. Dystocia= baby cannot make it down to canal






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






44. Chvostek and Trosseaus sign! Also hypomag!






45. Lioning face






46. 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






47. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






48. 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






49. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






50. 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