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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. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






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






3. If HR is <100 do not give dig to children.






4. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






5. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






6. Pilling rolling tremors






7. On bedrest while implant in place






8. Charcot's Triad (IAN)






9. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.


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






11. 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. ...






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






13. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






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






15. Visual floaters - flashes of light - curtain vision






16. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






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






18. 1 cup= 8 oz






19. Position pt in left side - lying (Sim's) with knee flexed






20. Rusty sputum






21. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






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






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






24. 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






25. 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.






26. Another c section with any more kids






27. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






28. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






29. Strawberry tongue






30. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






31. 1 gram = 1000 mg






32. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






33. Pulse area cpr on infant






34. Never release traction unless you have an order from an MD to do so






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






36. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






37. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






38. 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






39. Systemic Lupus Ethramoutus.... (Lupus)






40. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






42. Femur or lower leg instability






43. Red beefy tongue






44. EleVate Veins; dAngle Arteries for better perfusion






45. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






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






47. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






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


49. 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).






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