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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. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






2. 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






3. 30 ml = 1 oz






4. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






5. Red beefy tongue






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






7. Trachea shifts to the opposite side






8. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






9. 3 -4 -6






10. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






11. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






12. EleVate Veins; dAngle Arteries for better perfusion






13. 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.






14. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






15. 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






16. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






17. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






18. Ascending muscle paralysis.. dont confuse with MG






19. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






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






21. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






22. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






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






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






25. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






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






27. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






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






29. Rose spots on abdomen






30. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






31. 1 gram = 1000 mg






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






33. Liver - brain - lung - bone - and lymph






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






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






36. (incision behind hairline) --> elevate HOB 30-45 degrees






37. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






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






39. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






40. Bossing Sign (prominent forehead)






41. 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.






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






43. *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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44. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






45. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






46. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






47. 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






48. 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






49. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






50. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.