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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. Rhematic fever






2. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






3. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






4. (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.






5. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






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






7. 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%






8. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






9. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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10. For Meningitis check for Kernig's/ Brudzinski's signs.






11. 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).






12. 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.






13. Systemic Lupus Ethramoutus.... (Lupus)






14. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






15. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






16. Butterfly rashes






17. Small frequent is better than large






18. Red beefy tongue






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






20. 1 gram = 1000 mg






21. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






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






23. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






24. 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)






25. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






26. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






27. Alk Ash diet - milk - veggies - rhubarb - salmon






28. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






29. Low residue diet means low fiver






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






31. Cat's eye reflex (grayish discoloration of the pupil)






32. Visual floaters - flashes of light - curtain vision






33. Another c section with any more kids






34. Protruding tongue






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






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






37. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






38. Side lying






39. Descending muscle weakness






40. 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






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






42. 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.






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






44. Gonorrhea is a reportable disease






45. In a five -year old breathe once for every 5 compressions doing cpr.






46. Lioning face






47. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






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






49. 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






50. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse







Sorry!:) No result found.

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