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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. Bossing Sign (prominent forehead)






2. 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






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






4. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






5. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






6. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






7. Protruding tongue






8. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






9. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






10. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






11. Swimming






12. 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






13. 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






14. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






15. Petechiae. Treated with heparin.






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






17. Ottorhea






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






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






20. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






21. TPN(total parenteral nutrition) given in subclavian line.






22. No nasotracheal suctioning with head injury or skull fracture.






23. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






24. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






25. Patent ductuous arteriousus in infants! Valve doesn't close!






26. Ascending muscle paralysis.. dont confuse with MG






27. Upper part of the uterus






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






29. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






30. Burning on urination






31. 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.






32. *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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33. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






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






35. Butterfly rashes






36. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






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






38. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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39. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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40. 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%-






41. 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






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






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






44. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






45. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






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






47. Glucose






48. Rebound tenderness






49. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






50. Lymes is found mostly in Conneticuts