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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. Place in prone position






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






3. Bull's eye rash

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4. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






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






6. - 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






7. Kopliks spots






8. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






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






10. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






11. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






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






14. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






15. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






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






18. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






19. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






20. Olive like mass






21. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






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






23. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






24. HYPERtension TACHYpnea and TACHYcardia






25. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






26. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






27. 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.






28. Tet spells treated with morphine.






29. Place a wheelchair parallel to the bed on the side of weakness






30. Lymes is found mostly in Conneticuts






31. On bedrest while implant in place






32. Brain problems occur






33. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






34. 1 cup= 8 oz






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






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






37. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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38. Moon face appearance and buffalo hump






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






40. Femur or lower leg instability






41. 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






42. Inspiratory stridor.. LTB = croup!!!!






43. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






44. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






45. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






46. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






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






48. 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.






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






50. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.