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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. Cat's eye reflex (grayish discoloration of the pupil)






2. 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






3. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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4. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






5. 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%-






6. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






7. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






8. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






9. Cultures






10. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






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






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






13. For knee replacement use continuous passive motion machine.






14. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






15. Co2 causes vasoconstriction.






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






17. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






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






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






20. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






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






22. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






23. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






24. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






25. 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






26. 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.






27. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






28. Absence of menstruation leads to osteoporosis in the anorexic.






29. Salty skin






30. 2.2






31. PainLESS vision loss - opacity of lens - blurring of the vision






32. 1 gr (grain)= 60 mg






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






34. Pain is usually the highest priority with RA






35. Vastus lateralis is IM administration site for 6month infants 






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






37. Risus Sardonicus






38. Slowed physical and mental function - sensitivity to cold - dry skin and hair






39. 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. ...






40. Pilling rolling tremors






41. It is X- linked. Mother passes the disease to her son






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






43. Inspiratory stridor.. LTB = croup!!!!






44. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






45. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






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






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






48. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






49. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






50. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.