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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. 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






2. Lioning face






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






4. Pulse area cpr on infant






5. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






6. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






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






8. Visual floaters - flashes of light - curtain vision






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






10. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






11. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






12. 1 gr (grain)= 60 mg






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






14. Age 4 to 5 yrs child needs DPT/MMR/OPV






15. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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






17. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






19. ** IVP requires bowel prep so they can visualize the bladder better






20. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






21. Expiratory grunt -- Causes Infant respiratory distress!






22. Trousseau and Tchovoski signs observed in hypocalcemia






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

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24. Beta cells of pancreas produce insulin






25. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






26. Pumonary tuberculosis






27. Chvostek and Trosseaus sign! Also hypomag!






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






29. Portal hypotension + albuminemia= Ascites.






30. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






31. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






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






33. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






34. Respiratory problems!






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






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






37. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






38. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






39. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






40. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






41. Lymes is found mostly in Conneticuts






42. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






43. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






44. 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 (






45. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






46. Pain is usually the highest priority with RA






47. Rose spots on abdomen






48. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






49. Glucose






50. Systematic desensitization







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