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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. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






3. 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






4. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






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






6. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






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






8. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






9. Peptic ulcer






10. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






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






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






13. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






14. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






15. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






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






17. 3 D'S -- Drooling - Dysphonia - Dysphagia






18. The biggest concern with cold stress and the newborn is respiratory distress.






19. Position on the RIGHT side with legs flexed






20. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






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






22. 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






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






24. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






25. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






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






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






28. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






29. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






30. - 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






31. Bossing Sign (prominent forehead)






32. Bananas - potatoes - citrus fruits






33. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






34. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






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






36. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






37. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






38. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






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






40. Knee immobility






41. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






42. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






43. For Meningitis check for Kernig's/ Brudzinski's signs.






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






45. 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






46. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






47. Flapping tremors






48. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






49. 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






50. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.