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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. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






2. 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.






3. 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






4. 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






5. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






6. It is X- linked. Mother passes the disease to her son






7. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






8. A






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






10. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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






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






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






14. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






15. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






16. (severe acute resp syndrome) airborne + contact (just like varicella)






17. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






18. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






19. OAmniotic fluid yellow with particles = meconium stained`






20. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






21. Upper part of the uterus






22. Liver - brain - lung - bone - and lymph






23. Co2 causes vasoconstriction.






24. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






25. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






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






27. Handle any blood






28. After endoscopy check gag reflex.






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






30. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






31. Trachea shifts to the opposite side






32. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






33. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






36. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






37. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






38. Beta cells of pancreas produce insulin






39. 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).






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






41. Barrel chest






42. 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!






43. 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






44. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






45. Rhematic fever






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






47. Med administration is rarely a good choice






48. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






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






50. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)