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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. Liver - brain - lung - bone - and lymph






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






4. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






5. Lie flat with legs elevated






6. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






7. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






8. 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






9. Pumonary tuberculosis






10. Med administration is rarely a good choice






11. 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 (






12. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






13. Cultures






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






15. Increased temp - pulse and HTN






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






17. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






18. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






19. CHRONIC pain






20. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






21. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






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






23. * 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.






24. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






25. One pound equals 16 0z






26. Bananas - potatoes - citrus fruits






27. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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28. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






29. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






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






32. After endoscopy check gag reflex.






33. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






34. Rusty sputum






35. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






36. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






37. If patients have hallucinations redirect them. In delusions distract them.






38. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






39. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






40. Toes curl= GREAT Toes fan = BAD






41. Expiratory grunt -- Causes Infant respiratory distress!






42. Always check lead posioning levels






43. Gonorrhea is a reportable disease






44. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






45. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






46. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






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






48. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






49. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






50. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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