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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. Low magnesium and high creatinine signal renal failure.






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






3. Allergic to eggs (Tristan D. ) !






4. Pilling rolling tremors






5. Renal impairment: serum creatinine elevated and urine clearance decreased






6. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






7. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






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

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9. 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






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






11. Barrel chest






12. Chipmunk face






13. After endoscopy check gag reflex.






14. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






15. Bossing Sign (prominent forehead)






16. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






17. Skeletal or skin






18. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






20. Low residue diet means low fiver






21. 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.






22. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






23. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






24. Hypotension and bradypnea / bradycardia are major risks and emergencies.






25. Battles Sign and Racoon's eyes






26. Olive like mass






27. A newly diagnosed hypertension patient should have BP assessed in both arms






28. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






29. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






30. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






31. Mothers receive rhogam to protect next baby.






32. An occulsive dressing is used






33. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






34. Pulse area cpr on infant






35. Charcot's Triad (IAN)






36. 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






37. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






38. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






39. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






40. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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41. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






42. After a hydrocele repair provide ice bags and scrotal support.






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






44. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






45. 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






46. 1 gram = 1000 mg






47. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






48. Position prone (on abdomen) so that sac does not rupture






49. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






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