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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. Low residue diet means low fiver






2. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






4. Pulse area cpr on infant






5. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






6. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






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






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






9. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






10. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






11. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






12. Hodgkin's disease= cancer of lymph is very curable in early stage.






13. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






14. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






15. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






16. The MMR vaccine is given SQ not IM.






17. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






18. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






19. Chemo - radiation - surgery - allow to die with dignity.






20. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






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






22. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






23. Weight






24. Barrel chest






25. HYPERtension TACHYpnea and TACHYcardia






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






27. 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






28. 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






29. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






30. For knee replacement use continuous passive motion machine.






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






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






33. Position pt in left side - lying (Sim's) with knee flexed






34. 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.






35. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






36. Elevate HOB 30 degrees to decrease intracranial pressure






37. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






38. Normal in CHF from the squishin'.. Not normal in an MI patient






39. Private Room or cohort mask






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






41. CSF in meningitis will have high protein - and low glucose.






42. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






44. Wheezing on EXPIRATION






45. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






46. Peptic ulcer






47. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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48. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






49. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






50. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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