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






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






3. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






4. 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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5. 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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6. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






7. HYPERtension TACHYpnea and TACHYcardia






8. Slowed physical and mental function - sensitivity to cold - dry skin and hair






9. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






10. A LATE sign! Always~!






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






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






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






14. Portal hypotension + albuminemia= Ascites.






15. 1 pint= 2 cups






16. MRI- claustrophobia - no metal - assess pacemaker






17. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






18. Peptic ulcer






19. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






20. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






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






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






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






24. 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.






25. Petechiae. Treated with heparin.






26. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






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






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

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29. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






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






31. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






32. Descending muscle weakness






33. CATS - convulsions - arrhythmias - tetany - spasms and stridor






34. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






35. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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36. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






37. Patent ductuous arteriousus in infants! Valve doesn't close!






38. Charcot's Triad (IAN)






39. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






40. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






41. Trousseau and Tchovoski signs observed in hypocalcemia






42. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






43. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






44. 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.






45. Red beefy tongue






46. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






47. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






48. Glucose






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






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