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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. 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.






2. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






3. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






4. 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!






5. Beta cells of pancreas produce insulin






6. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






8. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






9. No nasotracheal suctioning with head injury or skull fracture.






10. 1 cup= 8 oz






11. Knee immobility






12. A LATE sign! Always~!






13. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






14. Rebound tenderness






15. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






16. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






17. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






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






19. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






20. Weight






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






22. Moon face appearance and buffalo hump






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






24. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.


25. 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.






26. ** IVP requires bowel prep so they can visualize the bladder better






27. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






28. 1 gr (grain)= 60 mg






29. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






30. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






31. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






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






33. Brain problems occur






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






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






36. Descending muscle weakness






37. 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!






38. Dystocia= baby cannot make it down to canal






39. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






40. 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.






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






42. Pulse area cpr on infant






43. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






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






45. Inspiratory stridor.. LTB = croup!!!!






46. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






47. 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






48. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






49. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






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