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






2. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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3. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






5. Kopliks spots






6. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






7. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






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






9. 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').






10. Increased temp - pulse and HTN






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






12. After a hydrocele repair provide ice bags and scrotal support.






13. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






14. 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






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






16. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






17. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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18. 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.






19. Gonorrhea is a reportable disease






20. Glucose






21. Visual floaters - flashes of light - curtain vision






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






23. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






24. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






25. Femur or lower leg instability






26. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






27. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






29. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






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






32. Rose spots on abdomen






33. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






34. The MMR vaccine is given SQ not IM.






35. OAmniotic fluid yellow with particles = meconium stained`






36. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






37. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






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






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






40. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






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






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






43. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






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






45. Broncospasm (anaphylaxis)






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






47. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






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






49. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






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