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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. The MMR vaccine is given SQ not IM.






2. CATS - convulsions - arrhythmias - tetany - spasms and stridor






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






4. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






5. Battles Sign and Racoon's eyes






6. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






8. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






9. Yogurt has live cultures - dont give to immunosuppressed pt

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10. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






11. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






12. Elevate HOB 30 degrees to decrease intracranial pressure






13. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






15. 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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16. Petechiae or + Herman's sign






17. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






18. Vesicular rash (central to distal) dew drop on rose petal






19. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






20. Flapping tremors






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






22. EleVate Veins; dAngle Arteries for better perfusion






23. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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24. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






25. Trachea shifts to the opposite side






26. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






27. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






28. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






29. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






30. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






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






32. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






33. 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.






34. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






35. 1 quart = 2 pints






36. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






37. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






38. Visual floaters - flashes of light - curtain vision






39. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






40. Lie flat with legs elevated






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






42. Absence of menstruation leads to osteoporosis in the anorexic.






43. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






44. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






45. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






46. Uremic fetor --> smell urine on the breath






47. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






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






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






50. Toes curl= GREAT Toes fan = BAD