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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. Protruding tongue






2. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






3. 1 t (teaspoon)= 5 ml






4. In a five -year old breathe once for every 5 compressions doing cpr.






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






6. Place in prone position






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






8. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






9. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






10. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






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






12. Position on the RIGHT side with legs flexed






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






14. (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.






15. ICP (intracranial pressure) should be <2. measure head circonference.






16. Burning on urination






17. Strawberry tongue






18. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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19. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






20. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






21. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






22. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






23. For Meningitis check for Kernig's/ Brudzinski's signs.






24. 1 quart = 2 pints






25. Always check lead posioning levels






26. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






27. 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






28. 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






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






30. 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






31. Gonorrhea is a reportable disease






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






33. Never release traction unless you have an order from an MD to do so






34. EleVate Veins; dAngle Arteries for better perfusion






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






36. 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.






37. Expiratory grunt -- Causes Infant respiratory distress!






38. Orange tag in triage is non emergent Psych






39. Pilling rolling tremors






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






41. 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






42. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






43. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






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






45. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






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






47. Painless hematuria... CA=Cancer ! Duhh






48. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






49. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






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