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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. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






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






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






4. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






5. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






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






7. Side lying






8. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






9. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






10. Cultures






11. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






12. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






13. 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






14. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






15. Chvostek and Trosseaus sign! Also hypomag!






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






17. Glucose






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






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






20. Vastus lateralis is IM administration site for 6month infants 






21. Recurrent bloody diarrhea






22. 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.






23. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






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






25. Absence of menstruation leads to osteoporosis in the anorexic.






26. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






27. Position on the RIGHT side with legs flexed






28. An occulsive dressing is used






29. 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






30. Lioning face






31. Hodgkin's disease= cancer of lymph is very curable in early stage.






32. Most spinal cord injuries are at the cervical or lumbar regions






33. Bronze like skin pigmentation






34. Knee immobility






35. CVA (cerebrovascular accident) is with dead brain tissue.






36. Always check lead posioning levels






37. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






38. 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






39. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






40. 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%






41. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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42. 1 T(tablespoon)= 3 t = 15 ml






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






44. 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).






45. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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






47. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






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






49. 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!






50. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.