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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. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






2. 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 -






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






4. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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






6. 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






7. Coarse facial features






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






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






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






11. Vastus lateralis is IM administration site for 6month infants 






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






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






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






15. Expiratory grunt -- Causes Infant respiratory distress!






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






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






18. Bossing Sign (prominent forehead)






19. 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.






20. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






21. Most spinal cord injuries are at the cervical or lumbar regions






22. Opposites! Nursing connection! Think about it!






23. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






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






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






26. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






27. 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






28. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






29. Barrel chest






30. Battles Sign and Racoon's eyes






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






32. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






33. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






34. Recurrent bloody diarrhea






35. 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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36. (incision behind hairline) --> elevate HOB 30-45 degrees






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






38. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






39. 1 T(tablespoon)= 3 t = 15 ml






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






41. Slowed physical and mental function - sensitivity to cold - dry skin and hair






42. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






43. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






44. Ottorhea






45. Just know the MMR and Varicella immunizations come later (15 months).






46. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






47. EleVate Veins; dAngle Arteries for better perfusion






48. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






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






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