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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. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.


2. Confirms multiple myeloma






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






4. CSF in meningitis will have high protein - and low glucose.






5. 30 ml = 1 oz






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






7. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






8. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






9. Barrel chest






10. Ascending muscle paralysis.. dont confuse with MG






11. 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.






12. Reduced size and force of urine






13. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






14. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






15. 1 gr (grain)= 60 mg






16. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






17. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






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


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






21. If patients have hallucinations redirect them. In delusions distract them.






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






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






24. Children <3yoa - <35 lbs with femur fx


25. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






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






27. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






28. Cat's eye reflex (grayish discoloration of the pupil)






29. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






30. Handle any blood






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






32. 7 - 10ml / kg






33. 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






34. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs


35. 1 t (teaspoon)= 5 ml






36. It is X- linked. Mother passes the disease to her son






37. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






38. Beta cells of pancreas produce insulin






39. Hydration is a big priority!






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






41. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






42. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






43. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






44. Skin to skin contact on mom with a blanket






45. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






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






47. Broncospasm (anaphylaxis)






48. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






49. Machine like murmur






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