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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. Weight






2. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






3. Always check lead posioning levels






4. A LATE sign! Always~!






5. 1 gr (grain)= 60 mg






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






7. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






9. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






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






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






12. Red beefy tongue






13. Salty skin






14. Place the apparatus first then place the weight (der)






15. Peptic ulcer






16. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






17. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






18. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






19. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






20. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






21. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






22. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






23. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






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






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






26. Systemic Lupus Ethramoutus.... (Lupus)






27. 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.






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






29. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






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






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. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






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

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34. Machine like murmur






35. 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).






36. 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






37. Cultures






38. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






39. Co2 causes vasoconstriction.






40. Age 4 to 5 yrs child needs DPT/MMR/OPV






41. Just know the MMR and Varicella immunizations come later (15 months).






42. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






43. Glomerulonephritis: take vs q 4 hrs + daily weights






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






45. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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






47. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






48. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






49. 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






50. Swimming