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






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






3. 1 pint= 2 cups






4. Pilling rolling tremors






5. EleVate Veins; dAngle Arteries for better perfusion






6. 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)






7. 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

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8. Lioning face






9. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






10. OAmniotic fluid yellow with particles = meconium stained`






11. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






12. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






13. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






15. Gonorrhea is a reportable disease






16. Rice watery stool






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






18. Chvostek and Trosseaus sign! Also hypomag!






19. Orange tag in triage is non emergent Psych






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






21. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






22. 1 quart = 2 pints






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






24. 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.






25. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






26. Upper part of the uterus






27. Protruding tongue






28. A LATE sign! Always~!






29. Place a wheelchair parallel to the bed on the side of weakness






30. Moon face appearance and buffalo hump






31. 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






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






33. 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






34. Kussmauls breathing (deep rapid RR)






35. MRI- claustrophobia - no metal - assess pacemaker






36. On bedrest while implant in place






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






38. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






39. 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






40. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






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






42. 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






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






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






45. Osession is to thought. Compulsion is to action






46. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






47. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






48. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






49. Coarse facial features






50. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.