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






2. Private Room or cohort mask






3. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






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






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






7. 1 gr (grain)= 60 mg






8. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






9. Pumonary tuberculosis






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






11. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






13. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






14. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






15. 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






16. 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






17. Another c section with any more kids






18. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






19. 3 -4 -6






20. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






21. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






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






24. Low or semi - Fowler's - support head - neck and shoulders.






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






26. Machine like murmur






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






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






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






30. Butterfly rashes






31. 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






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






33. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






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






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






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






37. A LATE sign! Always~!






38. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






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






40. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






41. 1 T(tablespoon)= 3 t = 15 ml






42. CSF in meningitis will have high protein - and low glucose.






43. Opposites! Nursing connection! Think about it!






44. Place in prone position






45. Painless hematuria... CA=Cancer ! Duhh






46. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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






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






49. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






50. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)