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






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






3. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






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






5. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






6. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






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






8. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






9. 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).






10. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






11. CSF in meningitis will have high protein - and low glucose.






12. Skin to skin contact on mom with a blanket






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






14. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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






16. 1 T(tablespoon)= 3 t = 15 ml






17. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






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






19. 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






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






21. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






22. Normal in CHF from the squishin'.. Not normal in an MI patient






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






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






25. Wheezing on EXPIRATION






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






27. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






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






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






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






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






32. (skin traction) --> elevate foot of bed for counter - traction

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33. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






34. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






35. 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.






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






37. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






38. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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39. 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






40. 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






41. Med administration is rarely a good choice






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






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






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






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






46. 1 t (teaspoon)= 5 ml






47. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






48. Pain is usually the highest priority with RA






49. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






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