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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. Lioning face






2. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






3. Place the apparatus first then place the weight (der)






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






5. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






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






7. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






8. Ottorhea






9. Flapping tremors






10. Intercostal retractions=bad!






11. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






12. Pulse area cpr on infant






13. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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






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






16. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






17. Place in prone position






18. 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






19. Sausage shaped mass - Dance sign (empty portion of RLQ)






20. Pumonary tuberculosis






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






22. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






23. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






24. 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.






25. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






26. A LATE sign! Always~!






27. 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.






28. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






29. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






30. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






31. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






32. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






33. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






34. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






35. Machine like murmur






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






37. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






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

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39. Chemo - radiation - surgery - allow to die with dignity.






40. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






41. Another c section with any more kids






42. Vertigo - Tinnitus

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43. ICP (intracranial pressure) should be <2. measure head circonference.






44. Lymes is found mostly in Conneticuts






45. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






46. 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






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

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






49. An occulsive dressing is used






50. Peptic ulcer