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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. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






2. (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)






3. 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






4. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






6. Alk Ash diet - milk - veggies - rhubarb - salmon






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






8. On bedrest while implant in place






9. Salty skin






10. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






11. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






12. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






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






14. Hallmark= Sore throat - cervical lymph adenopathy - fever






15. Low residue diet means low fiver






16. 2.2






17. Glucose






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






19. A LATE sign! Always~!






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






21. Vertigo - Tinnitus


22. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






23. Skeletal or skin






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






25. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






26. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






27. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






28. Yogurt has live cultures - dont give to immunosuppressed pt


29. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






30. Inspiratory stridor.. LTB = croup!!!!






31. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






32. 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%-






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






34. (severe acute resp syndrome) airborne + contact (just like varicella)






35. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






36. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






37. Skin to skin contact on mom with a blanket






38. Rice watery stool






39. Lioning face






40. With low back aches - bend knees to relieve






41. Orange tag in triage is non emergent Psych






42. Trachea shifts to the opposite side






43. 1 quart = 2 pints






44. Femur or lower leg instability






45. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






46. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






47. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






48. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






49. 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






50. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)