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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. Slowed physical and mental function - sensitivity to cold - dry skin and hair






2. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






3. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






4. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






5. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






6. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






7. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






8. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






9. Bronze like skin pigmentation






10. Brain problems occur






11. 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.






12. A LATE sign! Always~!






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






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






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






16. Vastus lateralis is IM administration site for 6month infants 






17. Portal hypotension + albuminemia= Ascites.






18. 1 t (teaspoon)= 5 ml






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






20. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






21. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






22. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






23. Uremic fetor --> smell urine on the breath






24. Charcot's Triad (IAN)






25. Pulse area cpr on infant






26. ** IVP requires bowel prep so they can visualize the bladder better






27. 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






28. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






29. Chest tubes are placed in the pleural space.






30. Orange tag in triage is non emergent Psych






31. Its important to be aware of the lab result for prothrombin time






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






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






34. Skeletal or skin






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






36. 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.






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






38. Knee - chest position or Trendelenburg






39. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






40. 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 (






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






42. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






43. 7 - 10ml / kg






44. Nurses First action is to listen to fetal rate/tone






45. 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).






46. 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.






47. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






48. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






49. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






50. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.