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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. Red beefy tongue






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






3. Toes curl= GREAT Toes fan = BAD






4. (severe acute resp syndrome) airborne + contact (just like varicella)






5. 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






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






7. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






8. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






9. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






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






11. 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).






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






13. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






15. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






16. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






17. Normal in CHF from the squishin'.. Not normal in an MI patient






18. CSF in meningitis will have high protein - and low glucose.






19. If HR is <100 do not give dig to children.






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






21. 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






22. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






23. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






25. Mothers receive rhogam to protect next baby.






26. Hydration is a big priority!






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






28. Sausage shaped mass - Dance sign (empty portion of RLQ)






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

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






31. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






32. Low residue diet means low fiver






33. Salty skin






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






35. Petechiae or + Herman's sign






36. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






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

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38. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






39. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






40. Allergic to eggs (Tristan D. ) !






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






42. 2.2






43. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






44. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






45. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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46. Stepladder like fever with chills






47. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






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






49. Chvostek and Trosseaus sign! Also hypomag!






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