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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. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






2. CVA (cerebrovascular accident) is with dead brain tissue.






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






4. Inspiratory stridor.. LTB = croup!!!!






5. A LATE sign! Always~!






6. 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.






7. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






8. 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






9. Bossing Sign (prominent forehead)






10. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






11. 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






12. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






13. Glaucoma patients lose peripheral vision. Treated with meds






14. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






15. ** IVP requires bowel prep so they can visualize the bladder better






16. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






17. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






18. Uremic fetor --> smell urine on the breath






19. Skin to skin contact on mom with a blanket






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






21. Salty skin






22. Lioning face






23. Private Room or cohort mask






24. 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.






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






26. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






28. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






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






30. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






31. Age 4 to 5 yrs child needs DPT/MMR/OPV






32. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






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






34. Skeletal or skin






35. Descending muscle weakness






36. Lie flat with legs elevated






37. Allergic to eggs (Tristan D. ) !






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






39. 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






40. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






41. Children <3yoa - <35 lbs with femur fx

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






43. Trousseau and Tchovoski signs observed in hypocalcemia






44. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






45. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






46. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






47. *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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48. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






49. Visual floaters - flashes of light - curtain vision






50. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder