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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. Broncospasm (anaphylaxis)






2. Hodgkin's disease= cancer of lymph is very curable in early stage.






3. PainLESS vision loss - opacity of lens - blurring of the vision






4. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






5. Chemo - radiation - surgery - allow to die with dignity.






6. Strawberry tongue






7. Mothers receive rhogam to protect next baby.






8. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






9. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






10. Moon face appearance and buffalo hump






11. Trousseau and Tchovoski signs observed in hypocalcemia






12. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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

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14. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






15. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






16. Risus Sardonicus






17. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






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






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






20. 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.






21. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






22. 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






23. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






25. Lie flat with legs elevated






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






27. 1 gram = 1000 mg






28. Bronze like skin pigmentation






29. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






30. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






31. Red beefy tongue






32. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






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






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






35. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






36. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






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






38. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






39. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






40. Pain is usually the highest priority with RA






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






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






43. The MMR vaccine is given SQ not IM.






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






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






46. 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.






47. 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.






48. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






49. 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






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