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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. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis


2. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






3. 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






4. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






5. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






6. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






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






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






9. Irritable - and poor sucking






10. 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.






11. 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.






12. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






13. Opposites! Nursing connection! Think about it!






14. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






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


16. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






17. Purple bruises around the belly button... Pancreatitis!






18. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






19. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






20. CVA (cerebrovascular accident) is with dead brain tissue.






21. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






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






23. Glaucoma patients lose peripheral vision. Treated with meds






24. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






25. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






26. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






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






28. B/c of low platelets






29. Cultures






30. Burning on urination






31. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






32. Hallmark= Sore throat - cervical lymph adenopathy - fever






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






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






35. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






36. Risus Sardonicus






37. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






38. 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.






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






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






41. Bananas - potatoes - citrus fruits






42. 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






43. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






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






45. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






46. MRI- claustrophobia - no metal - assess pacemaker






47. Rebound tenderness






48. Intercostal retractions=bad!






49. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






50. A laxative is given the night before an IVP in order to better visualize the organs.