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






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






3. 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






4. Expiratory grunt -- Causes Infant respiratory distress!






5. Handle any blood






6. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






7. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






8. Area of detachment should be in the dependent position -- dependent meaning supported by something






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






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






11. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






12. Reduced size and force of urine






13. Private Room or cohort mask






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






15. No nasotracheal suctioning with head injury or skull fracture.






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






17. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






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






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






20. Rusty sputum






21. 1 t (teaspoon)= 5 ml






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






23. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






24. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






26. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






27. 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)






28. 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.






29. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






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






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






32. No meat and milk together






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






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






35. Gonorrhea is a reportable disease






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






37. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






39. (skin traction) --> elevate foot of bed for counter - traction

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40. Absence of menstruation leads to osteoporosis in the anorexic.






41. Ascending muscle paralysis.. dont confuse with MG






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






43. 7 - 10ml / kg






44. For knee replacement use continuous passive motion machine.






45. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






46. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






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






48. 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






49. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






50. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc







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