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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. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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2. Lymes is found mostly in Conneticuts






3. Coarse facial features






4. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






5. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






6. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






8. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






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






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






11. ICP (intracranial pressure) should be <2. measure head circonference.






12. 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 (






13. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






14. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






16. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






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






18. Side lying






19. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






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






21. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






22. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






23. Lioning face






24. Rose spots on abdomen






25. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






26. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






27. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






28. Recurrent bloody diarrhea






29. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






30. TIA (transient ischemic attack) mini stroke with no dead brain tissue






31. Chvostek and Trosseaus sign! Also hypomag!






32. Psuedo membrane formation






33. Stepladder like fever with chills






34. Opposites! Nursing connection! Think about it!






35. Olive like mass






36. It is X- linked. Mother passes the disease to her son






37. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






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






39. Another c section with any more kids






40. A LATE sign! Always~!






41. Petechiae. Treated with heparin.






42. Rice watery stool






43. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






44. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






45. Peptic ulcer






46. MRI- claustrophobia - no metal - assess pacemaker






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






48. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






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

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50. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing