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






2. 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!






3. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






4. Kussmauls breathing (deep rapid RR)






5. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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






7. It is X- linked. Mother passes the disease to her son






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






9. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






10. Moon face appearance and buffalo hump






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






12. Orange tag in triage is non emergent Psych






13. 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






14. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






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


16. Place in prone position






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






18. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






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






20. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






21. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs


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






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






24. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






25. LLQ - diverticulitis - low residue - no seeds - nuts - peas






26. Expiratory grunt -- Causes Infant respiratory distress!






27. 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






28. Peptic ulcer






29. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






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






32. 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






33. Glucose






34. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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






36. A laxative is given the night before an IVP in order to better visualize the organs.






37. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






38. 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






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






40. Bossing Sign (prominent forehead)






41. A






42. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






43. Risus Sardonicus






44. 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


45. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






46. 30 ml = 1 oz






47. Petechiae. Treated with heparin.






48. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






49. 1 T(tablespoon)= 3 t = 15 ml






50. 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