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






2. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






3. Gonorrhea is a reportable disease






4. Ottorhea






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






6. Children <3yoa - <35 lbs with femur fx

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7. Trachea shifts to the opposite side






8. Low or semi - Fowler's - support head - neck and shoulders.






9. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






11. 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.






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






13. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






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






15. Orange tag in triage is non emergent Psych






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






17. Pain is usually the highest priority with RA






18. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






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






21. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






22. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






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






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






25. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






26. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






27. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






28. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






29. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






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






31. 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.






32. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






33. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






34. Rose spots on abdomen






35. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






36. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






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






38. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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39. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






40. Position on the RIGHT side with legs flexed






41. 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






42. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






43. Knee - chest position or Trendelenburg






44. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






45. Hodgkin's disease= cancer of lymph is very curable in early stage.






46. PainLESS vision loss - opacity of lens - blurring of the vision






47. 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






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






49. Bananas - potatoes - citrus fruits






50. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.