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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. 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 (






2. Side lying






3. OAmniotic fluid yellow with particles = meconium stained`






4. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






5. The MMR vaccine is given SQ not IM.






6. Expiratory grunt -- Causes Infant respiratory distress!






7. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






8. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






9. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






10. MRI- claustrophobia - no metal - assess pacemaker






11. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






12. 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






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






14. Confirms multiple myeloma






15. Second voided urine most accurate when testing for ketones and glucose.






16. Broncospasm (anaphylaxis)






17. 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.






18. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






19. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






20. Rose spots on abdomen






21. Knee - chest position or Trendelenburg






22. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






23. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






24. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






25. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






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






27. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






28. For knee replacement use continuous passive motion machine.






29. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






30. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






31. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






32. Mothers receive rhogam to protect next baby.






33. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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






35. (incision at nape of neck)--> position pt flat and lateral on either side.






36. Hypotension and vasoconstricting meds






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






38. Nurses First action is to listen to fetal rate/tone






39. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






40. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






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






42. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






43. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






44. 1 cup= 8 oz






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






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






47. Kussmauls breathing (deep rapid RR)






48. Alk Ash diet - milk - veggies - rhubarb - salmon






49. Swimming






50. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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