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NCLEX Final Ati Study

Subjects : nclex, health-sciences, nursing

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. Recurrent bloody diarrhea
First sign of pe
Common S/S of Ulcerative Colitis
In depth - Color codes
Common S/S of guillian Barre Syndrome

2. Skeletal or skin
Dunlap traction=
Ventilator Alarms
Disease precautions
SIADH

3. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
Group - A strep
To prevent dumping syndrome
Common S/S of Meningitis
Hep A precautions

4. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)
Incentive Spirometry steps
Munchhausen Syndrome
When is Rhogam given and how
Common S/S of Pemphigus Vulgaris

5. Position prone (on abdomen) so that sac does not rupture
Infant with Spina Bifida
Osteomyeltitis
Brachial Pulse
Kids with RSV>

6. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
TPN is given in
After Total Hip Replacement
Burn Degrees
PCWP

7. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Myxedema/ hypothroidism
Vertical C section
S/S of a fat embolism
After lumbar puncture

8. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
Traction in kids
MG and Guillian Barre
Appendicitis
Common S/S of GERD

9. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist
CPR in a five year old
Chvostek and Trosseaus sign
Dangerous thing to get during pregnancy
Knee replacement

10. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
Blood typing
Pneumonia
Temp conversion
Cute way to remember glascow coma

11. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
More info on lumbar puncture
Depression manifests itself
Shilling test
Besides sodium - water also follows

12. - 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
Hirschsprungs is dx how
1 pint = How many cups
Munchhausen Syndrome
Before Epidural

13. Descending muscle weakness
Common S/S of MG
First sign of pe
Bryant's traction=
During internal radiation

14. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').
Common S/S of MG
Alkaline Ash diet
What to do in a sucking stab wound
4 year olds

15. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others
Common S/S of Kawasaki syndrome
Greeks
Use of cold and hot
1 tablespoon = How many ml

16. Second voided urine most accurate when testing for ketones and glucose.
Common S/S of Intusseption
Low crit/hemoglobin
MORE info on DKA ugh!
When to test urine for ketones and glucose

17. ** IVP requires bowel prep so they can visualize the bladder better
Common S/S of Basilar Fracture
GTT for preggos
IVP requires
s3 heart sound is normal not

18. Reduced size and force of urine
Decorticate and Decerebrate
PCWP
During CBI (continuous bladder irrigation)
Common S/S of BPH

19. 1 t (teaspoon)= 5 ml
Paget's disease
1 tsp= How many ml
Highest priortiy in status elipticus
Thyroid storm and myxedema

20. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
Most accurate way to test kids for medication accuracy
Fetal alcohol sydrome
After Cataract surgery
To prevent dumping syndrome

21. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
Hep B vaccine always ask
Every new admission needs
Bryant's traction=
Med that can't be infused Intra osseously

22. 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
Tenkhoff cath
Every new admission needs
Color codes
Yeast infection in a babys mouth

23. Psuedo membrane formation
Common S/S of Cushings syndrome
Jews
Common S/S of Diptheria
Guillian Barre

24. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Hyponatremia
During CBI (continuous bladder irrigation)
Koplick's spots
Tylenol poisioining

25. 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.
Other S/S of MS
What will alter the accuracy of o2 sats
Common S/S of Meningitis
Cryptoorchidism

26. 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!
Hyponatremia
1 gr= How many mg
Gross things to remember about nurses with herpes!!!!
Myelogram

27. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Common S/S of Basilar Fracture
Cerebral angio prep
IVP requires
VRSA

28. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
MMR and Varicella
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Hemovac
What disease leads to cardiac valve malfunctions

29. 1 gram = 1000 mg
CABG
1 g = How many mg
TB test confirmation
From the ass From the Mouth

30. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
Common S/S of MS>
Prior to liver biopsy
Best indicator of dehydration
How to itch under a cast

31. Patent ductuous arteriousus in infants! Valve doesn't close!
Who produces insulin
Crackles most likely are...
PDA
Every new admission needs

32. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.
More info on intussception
What to do in the case of - an Air/Pulmonary Embolism
TB test confirmation
Suctioning is good -- except

33. Alk Ash diet - milk - veggies - rhubarb - salmon
Appendicitis
Alkaline Ash diet
Low crit/hemoglobin
Tet spells

34. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.
Birth control - Diaphram
Common S/S of MS>
Grey Turners sign
Fontanelles

35. Battles Sign and Racoon's eyes
CABG
Pt with edema and walking
Botox
Common S/S of orbital fracture

36. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
Hypovolemia
1 pint = How many cups
Menieres's disease
Common S/S of pancreatitis

37. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).
Potassium and acid base balance
Tenkhoff cath
Greeks
Rule of thumb for obsessions/distractions

38. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se
MMR and Varicella
Grey Turners sign
Black - Expectant
Kids with RSV>

39. MRI- claustrophobia - no metal - assess pacemaker
Common S/S of orbital fracture
Chvostek and Trosseaus sign
Dance Sign
MRI

40. If HR is <100 do not give dig to children.
Dig rule for kids
Head Injury
Common S/S of Shock
Autonomic Dysreflexia

41. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

42. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
Common S/S Duchennes Muscular Dystrophy
Hypernatremia
Common S/S of TEF
Hemovac

43. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
S/S of a fat embolism
How many liters of O2
Where should placenta be
Common S/S of pancreatitis

44. Systematic desensitization
Pt with edema and walking
Common S/S of TEF
How to treat phobic disorders
How do you treat a small bowel obstruction

45. 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
Likely cause of cardiac arrest in child
Contact transmission precautions
CABG
Other S/S of MS

46. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Where are most spinal cord injuries
Thrombocyopenia - bleeding precautions
What can also cause an s3 heart sound
1 tsp= How many ml

47. Vastus lateralis is IM administration site for 6month infants 
Coomb's test
Asthmas and wheezers
Cystic fibrosis
Immunizations rules

48. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Osteomyeltitis
No Cantalope
Common S/S of Infectious Mononucleosis
Other S/S of MS

49. Irritable - and poor sucking
When is Rhogam given and how
Buck's Traction
Heroin withdrawl in a neonate
4 year olds

50. B/c of low platelets
A preggo in a minus station
Why would a pt with leukemia have epistaxis
4 year olds
Trendelenberg's test