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






2. 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






3. Butterfly rashes






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






5. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






6. Hypotension and bradypnea / bradycardia are major risks and emergencies.






7. Cat's eye reflex (grayish discoloration of the pupil)






8. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






9. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






10. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






11. Moon face appearance and buffalo hump






12. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






14. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






15. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






16. One pound equals 16 0z






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






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






19. Bull's eye rash

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20. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






21. (incision at nape of neck)--> position pt flat and lateral on either side.






22. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






23. Orange tag in triage is non emergent Psych






24. Risus Sardonicus






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






26. Salty skin






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






28. HYPERtension TACHYpnea and TACHYcardia






29. Toes curl= GREAT Toes fan = BAD






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






31. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






32. Osession is to thought. Compulsion is to action






33. Vertigo - Tinnitus

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34. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






36. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






38. Systemic Lupus Ethramoutus.... (Lupus)






39. Pumonary tuberculosis






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






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






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






43. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






44. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






45. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






47. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






48. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






49. Vastus lateralis is IM administration site for 6month infants 






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