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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. A LATE sign! Always~!






2. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






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






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






5. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






6. 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.






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






8. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






9. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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10. Cultures






11. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






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. Position on the RIGHT side with legs flexed






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






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






16. Birth weight doubles by 6 month and triple by 1 year of age.






17. CHRONIC pain






18. Chvostek and Trosseaus sign! Also hypomag!






19. 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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20. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






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






22. 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 (






23. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






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






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






26. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






27. 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)






28. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






29. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






30. Rice watery stool






31. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






32. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






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






34. Rose spots on abdomen






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






36. Risus Sardonicus






37. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






38. Beta cells of pancreas produce insulin






39. Always check lead posioning levels






40. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






41. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






42. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






43. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






44. Kussmauls breathing (deep rapid RR)






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






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






47. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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48. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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






50. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.







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