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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. Recurrent bloody diarrhea






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






3. 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






4. Upper part of the uterus






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






6. 3 D'S -- Drooling - Dysphonia - Dysphagia






7. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






8. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






9. The MMR vaccine is given SQ not IM.






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






11. Painless hematuria... CA=Cancer ! Duhh






12. 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.






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






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






15. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






16. 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






17. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






18. LLQ - diverticulitis - low residue - no seeds - nuts - peas






19. 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






20. One pound equals 16 0z






21. Its important to be aware of the lab result for prothrombin time






22. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






23. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






24. 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.






25. Bull's eye rash

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26. Dystocia= baby cannot make it down to canal






27. 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.






28. CVA (cerebrovascular accident) is with dead brain tissue.






29. The biggest concern with cold stress and the newborn is respiratory distress.






30. Vesicular rash (central to distal) dew drop on rose petal






31. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






32. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






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






35. 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.






36. Another c section with any more kids






37. 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






38. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






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






40. Lie flat with legs elevated






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






42. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






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






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






45. 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.






46. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






48. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






50. Sausage shaped mass - Dance sign (empty portion of RLQ)