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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. Petechiae or + Herman's sign






2. Salty skin






3. 1 quart = 2 pints






4. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






5. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






6. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






7. Rhematic fever






8. Olive like mass






9. Opposites! Nursing connection! Think about it!






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






11. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






12. ** IVP requires bowel prep so they can visualize the bladder better






13. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






14. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






15. 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.






16. A LATE sign! Always~!






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






18. 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






19. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






20. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






21. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






22. Rice watery stool






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






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






25. 3 D'S -- Drooling - Dysphonia - Dysphagia






26. 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






27. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






28. Respiratory problems!






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






30. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






31. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






32. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






33. B/c of low platelets






34. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






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

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36. **If kid has cold - can still give immunizations






37. Expiratory grunt -- Causes Infant respiratory distress!






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






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






40. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






42. Birth weight doubles by 6 month and triple by 1 year of age.






43. 1 gram = 1000 mg






44. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






45. Protruding tongue






46. 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!






47. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






48. Ottorhea






49. Toes curl= GREAT Toes fan = BAD






50. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's