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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. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






2. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






3. 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%-






4. For Meningitis check for Kernig's/ Brudzinski's signs.






5. Low residue diet means low fiver






6. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






7. Stepladder like fever with chills






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






9. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






10. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






11. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






12. Painless hematuria... CA=Cancer ! Duhh






13. A newly diagnosed hypertension patient should have BP assessed in both arms






14. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






15. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






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






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






18. Its important to be aware of the lab result for prothrombin time






19. 1 gr (grain)= 60 mg






20. 1 cup= 8 oz






21. 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






22. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






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






24. Place in prone position






25. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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26. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






27. 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!






28. Upper part of the uterus






29. Systematic desensitization






30. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






32. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






33. Osession is to thought. Compulsion is to action






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






35. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






36. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






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






38. A LATE sign! Always~!






39. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






40. Position on the RIGHT side with legs flexed






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






42. 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. ...






43. ICP (intracranial pressure) should be <2. measure head circonference.






44. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






45. CHRONIC pain






46. Bossing Sign (prominent forehead)






47. Tet spells treated with morphine.






48. Area of detachment should be in the dependent position -- dependent meaning supported by something






49. 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






50. Questions about a halo Remember safety first - have a screwdriver nearby.






Can you answer 50 questions in 15 minutes?



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