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






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






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






4. Hypotension and bradypnea / bradycardia are major risks and emergencies.






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






6. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






7. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






8. Petechiae. Treated with heparin.






9. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






10. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






11. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






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






13. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






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






15. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






16. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






17. EleVate Veins; dAngle Arteries for better perfusion






18. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






19. Position pt in left side - lying (Sim's) with knee flexed






20. Chvostek and Trosseaus sign! Also hypomag!






21. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






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






23. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






24. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






26. Hydration is a big priority!






27. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






28. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






29. Level of consciousness is the most important assessment parameter with status epilepticus.






30. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






31. Bronze like skin pigmentation






32. Ottorhea






33. Coarse facial features






34. Tet spells treated with morphine.






35. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






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






38. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






39. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






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






42. For knee replacement use continuous passive motion machine.






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






44. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






45. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






46. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






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






48. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






49. 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






50. (skin traction) --> elevate foot of bed for counter - traction

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