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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. Kussmauls breathing (deep rapid RR)






2. * 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.






3. Lymes is found mostly in Conneticuts






4. Knee immobility






5. Toes curl= GREAT Toes fan = BAD






6. Flapping tremors






7. Always check lead posioning levels






8. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






9. One pound equals 16 0z






10. HYPERtension TACHYpnea and TACHYcardia






11. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






12. Hypotension and vasoconstricting meds






13. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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






15. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






16. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






17. Vesicular rash (central to distal) dew drop on rose petal






18. 2.2






19. Private Room or cohort mask






20. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






22. 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






23. 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.






24. 1 t (teaspoon)= 5 ml






25. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






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






27. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






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






29. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






30. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






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






33. Femur or lower leg instability






34. Visual floaters - flashes of light - curtain vision






35. Expiratory grunt -- Causes Infant respiratory distress!






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






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






38. 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






39. 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.






40. No meat and milk together






41. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






42. Hydration is a big priority!






43. Peptic ulcer






44. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






45. 1 cup= 8 oz






46. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






47. Painless hematuria... CA=Cancer ! Duhh






48. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






49. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






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