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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. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






3. 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.






4. 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.






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

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6. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






7. Protruding tongue






8. For Meningitis check for Kernig's/ Brudzinski's signs.






9. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






10. 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






11. A newly diagnosed hypertension patient should have BP assessed in both arms






12. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






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






14. Rose spots on abdomen






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






16. One pound equals 16 0z






17. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






18. No meat and milk together






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






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






21. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






22. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






23. Knee - chest position or Trendelenburg






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






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






26. Place the apparatus first then place the weight (der)






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






28. If HR is <100 do not give dig to children.






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






30. Visual floaters - flashes of light - curtain vision






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






32. EleVate Veins; dAngle Arteries for better perfusion






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






34. Machine like murmur






35. Glomerulonephritis: take vs q 4 hrs + daily weights






36. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






37. Side lying






38. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






39. Liver - brain - lung - bone - and lymph






40. 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






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






42. 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.






43. 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.






44. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






45. Lymes is found mostly in Conneticuts






46. Small frequent is better than large






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






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






49. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






50. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)







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