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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. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






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






3. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






4. Rice watery stool






5. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






6. Orange tag in triage is non emergent Psych






7. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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






9. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






10. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






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






12. Battles Sign and Racoon's eyes






13. The MMR vaccine is given SQ not IM.






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






15. Always check lead posioning levels






16. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






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






18. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






19. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






20. 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






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






22. Uremic fetor --> smell urine on the breath






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






24. Protruding tongue






25. Low magnesium and high creatinine signal renal failure.






26. 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.






27. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






28. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






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






30. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






31. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






32. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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33. 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






34. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






35. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






36. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






37. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






38. Hypotension and bradypnea / bradycardia are major risks and emergencies.






39. Yogurt has live cultures - dont give to immunosuppressed pt

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40. The biggest concern with cold stress and the newborn is respiratory distress.






41. Another c section with any more kids






42. 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






43. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






44. Risus Sardonicus






45. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






46. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






47. * 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.






48. Bethamethasone (celestone)=surfactant. Med for lung expansion.






49. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






50. Nurses First action is to listen to fetal rate/tone






Can you answer 50 questions in 15 minutes?



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