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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. If patients have hallucinations redirect them. In delusions distract them.






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






3. OAmniotic fluid yellow with particles = meconium stained`






4. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






5. Lymes is found mostly in Conneticuts






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






7. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






8. Orange tag in triage is non emergent Psych






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






10. Psuedo membrane formation






11. Ottorhea






12. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






13. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






14. Portal hypotension + albuminemia= Ascites.






15. Burning on urination






16. 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).






17. Rice watery stool






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






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






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






21. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






22. Broncospasm (anaphylaxis)






23. 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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24. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






25. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






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

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27. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






29. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






30. Weight






31. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






32. Systemic Lupus Ethramoutus.... (Lupus)






33. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






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






35. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






36. Chest tubes are placed in the pleural space.






37. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






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






39. 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






40. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






41. Petechiae or + Herman's sign






42. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






43. Rebound tenderness






44. Handle any blood






45. Another c section with any more kids






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






47. MRI- claustrophobia - no metal - assess pacemaker






48. Coarse facial features






49. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






50. Knee - chest position or Trendelenburg