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






2. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






3. 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






4. 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






5. Portal hypotension + albuminemia= Ascites.






6. Low magnesium and high creatinine signal renal failure.






7. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






8. Opposites! Nursing connection! Think about it!






9. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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10. Chipmunk face






11. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






12. Salty skin






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






14. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






15. Knee immobility






16. On bedrest while implant in place






17. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






18. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






19. (skin traction) --> elevate foot of bed for counter - traction

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20. Burning on urination






21. 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






22. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






23. 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






24. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






25. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






26. Vertigo - Tinnitus

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






28. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






29. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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30. 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






31. Charcot's Triad (IAN)






32. One pound equals 16 0z






33. For knee replacement use continuous passive motion machine.






34. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






35. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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






37. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






38. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






39. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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






41. Systematic desensitization






42. 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






43. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






44. Chest tubes are placed in the pleural space.






45. Second voided urine most accurate when testing for ketones and glucose.






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






47. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






48. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






49. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






50. 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