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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. Skeletal or skin






2. Skin to skin contact on mom with a blanket






3. Strawberry tongue






4. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






5. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






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


7. 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






8. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






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






10. Wheezing on EXPIRATION






11. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






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






13. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






14. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






15. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






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






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






18. Elevate HOB 30 degrees to decrease intracranial pressure






19. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






20. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






21. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






22. 30 ml = 1 oz






23. Ottorhea






24. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






25. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






26. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






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


28. Most spinal cord injuries are at the cervical or lumbar regions






29. Place in prone position






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






31. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






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






33. Cat's eye reflex (grayish discoloration of the pupil)






34. Birth weight doubles by 6 month and triple by 1 year of age.






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






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






37. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






38. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






39. Rhematic fever






40. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






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






43. 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






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






45. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






46. Recurrent bloody diarrhea






47. 1 quart = 2 pints






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






49. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






50. Glomerulonephritis: take vs q 4 hrs + daily weights