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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. Uremic fetor --> smell urine on the breath






2. Bossing Sign (prominent forehead)






3. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






4. One pound equals 16 0z






5. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






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






7. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






8. Femur or lower leg instability






9. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






10. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






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






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






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






14. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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15. Weight






16. 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)






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






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






19. Battles Sign and Racoon's eyes






20. Orange tag in triage is non emergent Psych






21. Reduced size and force of urine






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






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






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






25. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






26. Position on the RIGHT side with legs flexed






27. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






28. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






29. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






30. Expiratory grunt -- Causes Infant respiratory distress!






31. Lioning face






32. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






33. 3 D'S -- Drooling - Dysphonia - Dysphagia






34. 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






35. 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).






36. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






37. Beta cells of pancreas produce insulin






38. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






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






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






41. Salty skin






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






43. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






44. 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






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






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






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






48. 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






49. (incision at nape of neck)--> position pt flat and lateral on either side.






50. Ascending muscle paralysis.. dont confuse with MG