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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. 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






2. Yogurt has live cultures - dont give to immunosuppressed pt

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






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






5. Skin to skin contact on mom with a blanket






6. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






7. ** IVP requires bowel prep so they can visualize the bladder better






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






9. Upper part of the uterus






10. Its important to be aware of the lab result for prothrombin time






11. Handle any blood






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






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






14. Position prone (on abdomen) so that sac does not rupture






15. Normal in CHF from the squishin'.. Not normal in an MI patient






16. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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17. Inspiratory stridor.. LTB = croup!!!!






18. Moon face appearance and buffalo hump






19. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






20. Increased temp - pulse and HTN






21. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






22. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






23. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






24. Butterfly rashes






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






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






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






28. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






29. Hypotension and vasoconstricting meds






30. (severe acute resp syndrome) airborne + contact (just like varicella)






31. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






32. Absence of menstruation leads to osteoporosis in the anorexic.






33. Pumonary tuberculosis






34. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






35. Strawberry tongue






36. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






37. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






38. After a hydrocele repair provide ice bags and scrotal support.






39. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






40. CATS - convulsions - arrhythmias - tetany - spasms and stridor






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






42. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






43. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






44. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






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






46. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






47. Protruding tongue






48. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






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






50. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.







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