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






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






3. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






4. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






5. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






6. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






7. Bossing Sign (prominent forehead)






8. Small frequent is better than large






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

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10. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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11. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






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






13. Lymes is found mostly in Conneticuts






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






15. Renal impairment: serum creatinine elevated and urine clearance decreased






16. 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






17. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






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






19. Brain problems occur






20. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






21. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






23. 3 -4 -6






24. Chipmunk face






25. On bedrest while implant in place






26. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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27. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






28. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






29. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






30. 1 t (teaspoon)= 5 ml






31. Bethamethasone (celestone)=surfactant. Med for lung expansion.






32. 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.






33. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






34. 3 D'S -- Drooling - Dysphonia - Dysphagia






35. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






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






37. Children <3yoa - <35 lbs with femur fx

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38. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






39. Second voided urine most accurate when testing for ketones and glucose.






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






41. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






42. 1 cup= 8 oz






43. 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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44. After endoscopy check gag reflex.






45. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






47. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






48. Orange tag in triage is non emergent Psych






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






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