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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. Sausage shaped mass - Dance sign (empty portion of RLQ)






2. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






3. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






4. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






5. 30 ml = 1 oz






6. Glucose






7. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






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






9. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






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






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






12. Toes curl= GREAT Toes fan = BAD






13. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






14. Brain problems occur






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


16. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






17. Ascending muscle paralysis.. dont confuse with MG






18. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






20. 2.2






21. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






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






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






24. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






25. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






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






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






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






29. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






30. 1 gr (grain)= 60 mg






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






32. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






33. Machine like murmur






34. Olive like mass






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






36. Rose spots on abdomen






37. 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.






38. Allergic to eggs (Tristan D. ) !






39. 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%






40. 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






41. 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






42. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






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






45. Wheezing on EXPIRATION






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






47. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






48. 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!






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






50. After endoscopy check gag reflex.