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






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






3. Strawberry tongue






4. Low or semi - Fowler's - support head - neck and shoulders.






5. Pilling rolling tremors






6. Kopliks spots






7. 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






8. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






9. Bronze like skin pigmentation






10. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






11. Questions about a halo Remember safety first - have a screwdriver nearby.






12. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






13. Skin to skin contact on mom with a blanket






14. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






15. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






16. 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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17. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






18. Level of consciousness is the most important assessment parameter with status epilepticus.






19. Elevate HOB 30 degrees to decrease intracranial pressure






20. Opposites! Nursing connection! Think about it!






21. Risus Sardonicus






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






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






24. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






26. Petechiae. Treated with heparin.






27. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






28. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






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






30. 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.






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






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






33. - 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






34. Renal impairment: serum creatinine elevated and urine clearance decreased






35. Hypotension and vasoconstricting meds






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






37. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






38. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






39. 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 (






40. Lymes is found mostly in Conneticuts






41. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






42. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






43. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






44. Chvostek and Trosseaus sign! Also hypomag!






45. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






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






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






48. Stepladder like fever with chills






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






50. Small frequent is better than large