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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. 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






2. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






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






4. Burning on urination






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






6. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






7. Risus Sardonicus






8. Charcot's Triad (IAN)






9. Uremic fetor --> smell urine on the breath






10. Private Room or cohort mask






11. Chest tubes are placed in the pleural space.






12. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






13. CHRONIC pain






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






15. 1 T(tablespoon)= 3 t = 15 ml






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






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






18. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






19. ICP (intracranial pressure) should be <2. measure head circonference.






20. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






21. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






23. 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






24. 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.






25. 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.






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






27. Orange tag in triage is non emergent Psych






28. Dystocia= baby cannot make it down to canal






29. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






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






31. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






32. Broncospasm (anaphylaxis)






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






34. 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 (






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






36. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






37. 3 -4 -6






38. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






39. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






40. 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






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






42. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






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






44. TIA (transient ischemic attack) mini stroke with no dead brain tissue






45. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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


47. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






48. 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






49. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






50. Lioning face