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NCLEX Final Ati Study

Subjects : nclex, health-sciences, nursing

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. Red beefy tongue
Kawasaki disease causes
Dumping syndrome
Hypocalemia
Common S/S of pernicious anemia

2. Private Room or cohort mask
Common S/S of MS>
Where are chest tubes placed
Protocol for Droplet Precautions
Psuedomembrane in DIptheria

3. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
If you THINK a patient has new HTN
Common S/S of Liver cirrhoisis
Common S/S of Increased ICP
Nuetropenic patients

4. 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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5. (incision at nape of neck)--> position pt flat and lateral on either side.
After Infratentorial Surgery
Peritoneal Dialysis when outflow is inadequate
Behavior/Developmental - Peds
Before Epidural

6. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
SIADH
Crackles most likely are...
HypoMg
What is obtained before starting any iv antibiotic

7. Trachea shifts to the opposite side
Black - Expectant
NG tube rules
Tension Pneumothorax
Greenstick fracture

8. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Tylenol poisioining
Brachial Pulse
Thrombocyopenia - bleeding precautions
MG and Guillian Barre

9. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)
Apgar Scoring
MORE info on DKA ugh!
For PVD remember
Hirschsprungs is dx how

10. Cat's eye reflex (grayish discoloration of the pupil)
Common S/S of parkinsons
Common S/S of Lyme's disease
Common S/S of Malaria
Common S.S of Retino Blastoma

11. 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%
First sign of cystic fibrosis
Below the knee amputation
Rule of nines
Preload and Afterload

12. Skin to skin contact on mom with a blanket
Alkaline Ash diet
Best way to warm a newborn
Guthrie test
In depth - Color codes

13. The MMR vaccine is given SQ not IM.
More info on droplet precautions
Common S/S of hypocalcemia
MMR SHot
Munchhausen Syndrome

14. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing
Common S/S of pneumonia
Ventilator Alarms
Common S/S of Bladder Cancer
Common S/S of epiglottitis

15. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
From the ass From the Mouth
Pheochromocytoma
ICP and Shock have
S/S of a fat embolism

16. 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!
NG tube rules
Stranger Danger>!
Cath lab
Group - A strep

17. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
Kernigs sign
Radioactive iodine
Dystocia
Pneumonia

18. (severe acute resp syndrome) airborne + contact (just like varicella)
SARS
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Disease precautions
Signs of a hip fracture

19. Birth weight doubles by 6 month and triple by 1 year of age.
Below the knee amputation
Peds weight
Common S/S of Meningitis
Common S/S of Dengue

20. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.
How to treat phobic disorders
Thyroid storm
Age 4=5 year shots
Compartment syndrome

21. Moon face appearance and buffalo hump
Acid/ ASH diet
Common S/S of Cushings syndrome
Amniocentesis is performed and why
Rule of thumb for obsessions/distractions

22. Tet spells treated with morphine.
Common S/S of asthma
What to do in the case of tube feeding with decreased LOC
What treats tet spells
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis

23. 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!
Blood typing
Risus Sardonicus
Normal Hemoglobin
Besides sodium - water also follows

24. 2.2
Shilling test
1 kg= How many pounds
Peds weight
PDA

25. Irritable - and poor sucking
TB health risk
Apgar scores/scoring
Heroin withdrawl in a neonate
Black - Expectant

26. Ascending muscle paralysis.. dont confuse with MG
Common S/S of guillian Barre Syndrome
1 g = How many mg
Asthma and arthritis best excercise
Common S/S of asthma

27. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION
HyperKalemia
Signs of a hip fracture
Common S/S of GERD
Nephrotic syndrome

28. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Hearing the baby in OB
Protocol for Airborne Transmission
Western blot test
Common S/S of MS>

29. Dystocia= baby cannot make it down to canal
Grey Turners sign
Dystocia
Hyperthyroidism
Common S/S of MS>

30. 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.
Uremic Fetor
Hightest priority for RA
Rule of nines
Asthmas and wheezers

31. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (
Traction in kids
Emphysema
What is a bad sign in asthma
Cranial Nerves

32. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Before giving MMR>
Kids pain relief in NCLEX land
Kids with RSV>
Tylenol poisioining

33. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).
Osteomyeltitis
1 tsp= How many ml
Dance Sign
What happens when phenylalanine increases

34. Chvostek and Trosseaus sign! Also hypomag!
Pulmonary sarcoidosis
During epidural puncture
When a pt comes in and she is in active labor
Common S/S of hypocalcemia

35. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Apgar scores/scoring
Liver biopsy
Diff between angina and MI
Color codes

36. Trousseau and Tchovoski signs observed in hypocalcemia
Signs observed in hypocalemia
Common S/S of Cataract
Common S/S of TEF
Lymes mostly found in

37. Inspiratory stridor.. LTB = croup!!!!
Common S/S of LTB
Common S/S of DKA
Fetal alcohol sydrome
For PVD remember

38. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Coomb's test
Nepphrotic syndrome
Common S/S of glaucoma
Common S/S of pernicious anemia

39. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about
Besides meds and congenital problems .. What can lead to decreased preload
Decorticate and Decerebrate
For PVD remember
Anorexia sucks because

40. Med administration is rarely a good choice
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Main hypersensitivity for antiplatelet drugs
Shift to the left means
When patient is in distress

41. Hallmark= Sore throat - cervical lymph adenopathy - fever
Common S/S of Infectious Mononucleosis
Other S/S of MS
Addisons
When a pt comes in and she is in active labor

42. Ottorhea
Latex allergies
ABG drawin
Acid/ ASH diet
Common S/S of Basilar Fracture

43. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s
Birth control - Diaphram
Liver biopsy
Fetal alcohol sydrome
First sign of pe

44. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Facts about hemophilia
Cerebral angio prep
Meconium stained protocol
Side effects of thyroid hormones

45. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Russel Traction =
Penis Problems
Pathological jaundice
Nondairy sources of calcium

46. 3 D'S -- Drooling - Dysphonia - Dysphagia
NMS
Common S/S of LTB
Common S/S of epiglottitis
Common S/S of Diptheria

47. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Decorticate and Decerebrate
After Cataract surgery
Cephalhematoma (caput succinidanium)
Common S/S of TEF

48. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Phenalalanine
Tet spells
Below the knee amputation
TB test confirmation

49. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.
Common S/S of Bulimia
More info on EEG
Incentive Spirometry steps
Diff between placenta previa and placenta abrupto

50. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
Huntington's Chorea
Hba1c
SARS
During CBI (continuous bladder irrigation)