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






2. MRI- claustrophobia - no metal - assess pacemaker






3. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






4. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






5. Salty skin






6. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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7. HYPERtension TACHYpnea and TACHYcardia






8. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






9. TIA (transient ischemic attack) mini stroke with no dead brain tissue






10. 1 T(tablespoon)= 3 t = 15 ml






11. Just know the MMR and Varicella immunizations come later (15 months).






12. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






13. Flapping tremors






14. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






15. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






16. Intercostal retractions=bad!






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






18. Pain is usually the highest priority with RA






19. Hydration is a big priority!






20. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






21. On bedrest while implant in place






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






23. 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').






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






25. Petechiae or + Herman's sign






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






27. EleVate Veins; dAngle Arteries for better perfusion






28. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






29. 7 - 10ml / kg






30. 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






31. 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.






32. Portal hypotension + albuminemia= Ascites.






33. Moon face appearance and buffalo hump






34. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






35. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






36. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






37. B/c of low platelets






38. Mothers receive rhogam to protect next baby.






39. Sausage shaped mass - Dance sign (empty portion of RLQ)






40. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






41. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






42. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






43. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






44. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






45. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






46. (incision at nape of neck)--> position pt flat and lateral on either side.






47. 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.






48. Visual floaters - flashes of light - curtain vision






49. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






50. CHRONIC pain