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NCLEX Final Ati Study

Instructions:
  • Answer 50 questions in 15 minutes.
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  • 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. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






2. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






3. 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






4. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






5. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






6. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






7. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






8. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






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






10. Petechiae or + Herman's sign






11. Med administration is rarely a good choice






12. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






13. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






14. No nasotracheal suctioning with head injury or skull fracture.






15. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






16. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






17. Upper part of the uterus






18. One pound equals 16 0z






19. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






20. Reduced size and force of urine






21. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






22. Kopliks spots






23. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






24. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






25. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






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






27. A laxative is given the night before an IVP in order to better visualize the organs.






28. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






29. Just know the MMR and Varicella immunizations come later (15 months).






30. 3 -4 -6






31. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






32. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






33. Glucose






34. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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






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






37. 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






38. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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

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40. Tet spells treated with morphine.






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






42. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






43. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






44. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






45. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






46. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






47. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






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






49. Chvostek and Trosseaus sign! Also hypomag!






50. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings







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