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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. CHRONIC pain






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






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






4. CATS - convulsions - arrhythmias - tetany - spasms and stridor






5. After a hydrocele repair provide ice bags and scrotal support.






6. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






8. 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






9. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






10. Cat's eye reflex (grayish discoloration of the pupil)






11. Trousseau and Tchovoski signs observed in hypocalcemia






12. Upper part of the uterus






13. Seizure>






14. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






15. Co2 causes vasoconstriction.






16. Low or semi - Fowler's - support head - neck and shoulders.






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






18. Place the apparatus first then place the weight (der)






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






20. HYPERtension TACHYpnea and TACHYcardia






21. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






22. 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').






23. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






24. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






25. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






26. Barrel chest






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

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






29. Position on the RIGHT side with legs flexed






30. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






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






32. Another c section with any more kids






33. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






34. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






35. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






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






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






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

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39. Opposites! Nursing connection! Think about it!






40. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






41. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






42. Pulse area cpr on infant






43. Petechiae. Treated with heparin.






44. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






45. OAmniotic fluid yellow with particles = meconium stained`






46. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






47. Respiratory problems!






48. Systemic Lupus Ethramoutus.... (Lupus)






49. Flapping tremors






50. Recurrent bloody diarrhea