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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. Charcot's Triad (IAN)






2. Glucose






3. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






4. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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

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6. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






7. Reduced size and force of urine






8. Hypotension and bradypnea / bradycardia are major risks and emergencies.






9. 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






10. Gonorrhea is a reportable disease






11. Kopliks spots






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






13. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






14. Trousseau and Tchovoski signs observed in hypocalcemia






15. Barrel chest






16. Descending muscle weakness






17. Bossing Sign (prominent forehead)






18. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






19. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






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






21. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






22. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






23. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






24. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






25. Toes curl= GREAT Toes fan = BAD






26. Questions about a halo Remember safety first - have a screwdriver nearby.






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






28. Rose spots on abdomen






29. A






30. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






31. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






32. Battles Sign and Racoon's eyes






33. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






34. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






35. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






36. Another c section with any more kids






37. Petechiae or + Herman's sign






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






39. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






41. Low magnesium and high creatinine signal renal failure.






42. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






43. 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






44. Inspiratory stridor.. LTB = croup!!!!






45. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






46. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






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






48. 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%-






49. Hallmark= Sore throat - cervical lymph adenopathy - fever






50. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient







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