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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. After endoscopy check gag reflex.






2. 3 -4 -6






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






4. 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.






5. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






6. An occulsive dressing is used






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






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






9. Small frequent is better than large






10. Place in prone position






11. Toes curl= GREAT Toes fan = BAD






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

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13. Purple bruises around the belly button... Pancreatitis!






14. 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.






15. Position on the RIGHT side with legs flexed






16. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






17. Glomerulonephritis: take vs q 4 hrs + daily weights






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






19. Burning on urination






20. Bananas - potatoes - citrus fruits






21. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






22. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






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. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






25. For knee replacement use continuous passive motion machine.






26. Beta cells of pancreas produce insulin






27. 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






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






29. Handle any blood






30. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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31. B/c of low platelets






32. Stepladder like fever with chills






33. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






35. 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).






36. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






37. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






38. Cat's eye reflex (grayish discoloration of the pupil)






39. Place a wheelchair parallel to the bed on the side of weakness






40. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






41. 1 cup= 8 oz






42. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






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






44. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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






46. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






47. Absence of menstruation leads to osteoporosis in the anorexic.






48. Allergic to eggs (Tristan D. ) !






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






50. Orange tag in triage is non emergent Psych