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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. Red beefy tongue






2. Flapping tremors






3. Always check lead posioning levels






4. 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






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






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






7. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






8. Butterfly rashes






9. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






10. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






11. Mothers receive rhogam to protect next baby.






12. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






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






14. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






15. Trachea shifts to the opposite side






16. Descending muscle weakness






17. Vesicular rash (central to distal) dew drop on rose petal






18. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






19. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






20. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






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






22. 30 ml = 1 oz






23. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






24. (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.






25. Hallmark= Sore throat - cervical lymph adenopathy - fever






26. Opposites! Nursing connection! Think about it!






27. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






28. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






29. Purple bruises around the belly button... Pancreatitis!






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






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






32. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






33. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






34. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






35. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






36. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






37. Chvostek and Trosseaus sign! Also hypomag!






38. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






39. 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






40. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






41. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






42. Chipmunk face






43. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






45. LLQ - diverticulitis - low residue - no seeds - nuts - peas






46. Painless hematuria... CA=Cancer ! Duhh






47. Glucose






48. MRI- claustrophobia - no metal - assess pacemaker






49. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






50. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin