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






2. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






3. Bananas - potatoes - citrus fruits






4. CHRONIC pain






5. A






6. Rose spots on abdomen






7. 1 gram = 1000 mg






8. Pilling rolling tremors






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. Cat's eye reflex (grayish discoloration of the pupil)






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






12. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






13. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






14. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






15. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






16. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






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






19. Moon face appearance and buffalo hump






20. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






21. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






22. Ambient air (room air) contains 21 % o2






23. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






24. Risus Sardonicus






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

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26. 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.






27. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






28. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






29. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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30. Vesicular rash (central to distal) dew drop on rose petal






31. No nasotracheal suctioning with head injury or skull fracture.






32. Chemo - radiation - surgery - allow to die with dignity.






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






34. A newly diagnosed hypertension patient should have BP assessed in both arms






35. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






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






37. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






38. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






39. HYPERtension TACHYpnea and TACHYcardia






40. Rhematic fever






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






42. Just know the MMR and Varicella immunizations come later (15 months).






43. 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






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






45. With low back aches - bend knees to relieve






46. Chvostek and Trosseaus sign! Also hypomag!






47. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






48. Ascending muscle paralysis.. dont confuse with MG






49. Recurrent bloody diarrhea






50. 7 - 10ml / kg