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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. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






2. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






3. Normal in CHF from the squishin'.. Not normal in an MI patient






4. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






5. Skeletal or skin






6. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






8. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






9. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






10. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






11. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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12. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






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






14. Bull's eye rash

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15. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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16. Rebound tenderness






17. Beta cells of pancreas produce insulin






18. Broncospasm (anaphylaxis)






19. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






20. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






21. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






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






23. 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






24. Bronze like skin pigmentation






25. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






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






28. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






29. Area of detachment should be in the dependent position -- dependent meaning supported by something






30. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






31. CVA (cerebrovascular accident) is with dead brain tissue.






32. 3 D'S -- Drooling - Dysphonia - Dysphagia






33. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






34. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






35. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






36. Dystocia= baby cannot make it down to canal






37. 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.






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






39. Weight






40. Systemic Lupus Ethramoutus.... (Lupus)






41. Bananas - potatoes - citrus fruits






42. 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






43. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






44. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






45. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






46. Vastus lateralis is IM administration site for 6month infants 






47. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






48. Gonorrhea is a reportable disease






49. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






50. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms







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