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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. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






2. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






3. Position pt in left side - lying (Sim's) with knee flexed






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






5. EleVate Veins; dAngle Arteries for better perfusion






6. Flapping tremors






7. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






8. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






10. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






11. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






12. Lymes is found mostly in Conneticuts






13. 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.






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






15. Chest tubes are placed in the pleural space.






16. Dystocia= baby cannot make it down to canal






17. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






18. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






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






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






21. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






22. Slowed physical and mental function - sensitivity to cold - dry skin and hair






23. Rusty sputum






24. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






25. A newly diagnosed hypertension patient should have BP assessed in both arms






26. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






27. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






28. 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 (






29. Confirms multiple myeloma






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






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






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






33. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






34. For Meningitis check for Kernig's/ Brudzinski's signs.






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






36. Broncospasm (anaphylaxis)






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






38. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






39. Rebound tenderness






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






41. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






42. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






43. Weight






44. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






45. Expiratory grunt -- Causes Infant respiratory distress!






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






47. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






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






49. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






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