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






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






3. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






4. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






5. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






6. Hodgkin's disease= cancer of lymph is very curable in early stage.






7. Chemo - radiation - surgery - allow to die with dignity.






8. Rice watery stool






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






10. Visual floaters - flashes of light - curtain vision






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






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






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






14. Bronze like skin pigmentation






15. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






16. Glomerulonephritis: take vs q 4 hrs + daily weights






17. 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






18. Inspiratory stridor.. LTB = croup!!!!






19. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






20. Alk Ash diet - milk - veggies - rhubarb - salmon






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






22. Bull's eye rash

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23. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






24. 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






25. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






26. Orange tag in triage is non emergent Psych






27. Age 4 to 5 yrs child needs DPT/MMR/OPV






28. Allergic to eggs (Tristan D. ) !






29. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






30. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






31. Flapping tremors






32. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






33. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






34. Petechiae or + Herman's sign






35. Second voided urine most accurate when testing for ketones and glucose.






36. Reduced size and force of urine






37. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






38. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






39. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






40. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






41. In a five -year old breathe once for every 5 compressions doing cpr.






42. 1 gram = 1000 mg






43. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






44. Low magnesium and high creatinine signal renal failure.






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






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






47. 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.

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48. (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.






49. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






50. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst