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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. Broncospasm (anaphylaxis)






2. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






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






4. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






5. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






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






7. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






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






9. Chest tubes are placed in the pleural space.






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






11. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






12. 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






13. Position prone (on abdomen) so that sac does not rupture






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






15. Opposites! Nursing connection! Think about it!






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






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






18. Toes curl= GREAT Toes fan = BAD






19. Coarse facial features






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






21. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






22. 1 pint= 2 cups






23. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






24. A






25. * 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.






26. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






28. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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29. Slowed physical and mental function - sensitivity to cold - dry skin and hair






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






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






32. 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.






33. LLQ - diverticulitis - low residue - no seeds - nuts - peas






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






35. 1 t (teaspoon)= 5 ml






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






37. Systemic Lupus Ethramoutus.... (Lupus)






38. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






39. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






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






41. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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

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43. 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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44. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






45. Second voided urine most accurate when testing for ketones and glucose.






46. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






47. 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).






48. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






49. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






50. 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 (







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