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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. 3 -4 -6






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






3. Descending muscle weakness






4. Place a wheelchair parallel to the bed on the side of weakness






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






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






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






8. Systemic Lupus Ethramoutus.... (Lupus)






9. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






10. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






11. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






12. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






13. Charcot's Triad (IAN)






14. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






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






16. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






17. 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.






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






19. Machine like murmur






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






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






22. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






23. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






24. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






25. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






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






27. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






28. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






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






30. 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






31. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






32. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






33. Its important to be aware of the lab result for prothrombin time






34. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






35. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






36. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






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






38. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






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






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






41. Pumonary tuberculosis






42. 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






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






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






45. 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.






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






47. 1 T(tablespoon)= 3 t = 15 ml






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






49. Small frequent is better than large






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






Can you answer 50 questions in 15 minutes?



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