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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. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






2. Rice watery stool






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






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






5. Swimming






6. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






8. Questions about a halo Remember safety first - have a screwdriver nearby.






9. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






10. Allergic to eggs (Tristan D. ) !






11. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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12. Alk Ash diet - milk - veggies - rhubarb - salmon






13. 1 gram = 1000 mg






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






15. 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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16. 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






17. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






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






19. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






20. Salty skin






21. Pulse area cpr on infant






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






23. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






24. One pound equals 16 0z






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






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






27. Handle any blood






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






29. Level of consciousness is the most important assessment parameter with status epilepticus.






30. (incision at nape of neck)--> position pt flat and lateral on either side.






31. Lioning face






32. 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).






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






34. Wheezing on EXPIRATION






35. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






36. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






37. Inspiratory stridor.. LTB = croup!!!!






38. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






39. 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






40. Liver - brain - lung - bone - and lymph






41. Position on the RIGHT side with legs flexed






42. Psuedo membrane formation






43. Children <3yoa - <35 lbs with femur fx

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






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






46. 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 -






47. Knee - chest position or Trendelenburg






48. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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






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