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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. TIA (transient ischemic attack) mini stroke with no dead brain tissue






2. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






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






4. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






5. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






6. Charcot's Triad (IAN)






7. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






8. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






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






10. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






11. Med administration is rarely a good choice






12. Red beefy tongue






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






14. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






15. If patients have hallucinations redirect them. In delusions distract them.






16. Battles Sign and Racoon's eyes






17. Birth weight doubles by 6 month and triple by 1 year of age.






18. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






19. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






20. Position on the RIGHT side with legs flexed






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






22. The MMR vaccine is given SQ not IM.






23. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






24. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






25. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






27. Rebound tenderness






28. Visual floaters - flashes of light - curtain vision






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






30. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






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






32. Intercostal retractions=bad!






33. Hallmark= Sore throat - cervical lymph adenopathy - fever






34. Questions about a halo Remember safety first - have a screwdriver nearby.






35. Rhematic fever






36. 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!






37. Swimming






38. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






40. Systemic Lupus Ethramoutus.... (Lupus)






41. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






42. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






43. Trousseau and Tchovoski signs observed in hypocalcemia






44. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






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

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46. 2.2






47. 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.






48. PainLESS vision loss - opacity of lens - blurring of the vision






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






50. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.