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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. 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).






2. Moon face appearance and buffalo hump






3. Rose spots on abdomen






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






5. No nasotracheal suctioning with head injury or skull fracture.






6. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






7. Handle any blood






8. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






9. Irritable - and poor sucking






10. Osession is to thought. Compulsion is to action






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






12. Descending muscle weakness






13. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






14. Confirms multiple myeloma






15. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






16. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






17. Protruding tongue






18. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






19. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






20. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






21. 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 -






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






23. 1 gr (grain)= 60 mg






24. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






25. 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.






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






27. TPN(total parenteral nutrition) given in subclavian line.






28. 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






29. Opposites! Nursing connection! Think about it!






30. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






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






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






34. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






35. Ambient air (room air) contains 21 % o2






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






37. Glaucoma patients lose peripheral vision. Treated with meds






38. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






39. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






40. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






41. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






42. After endoscopy check gag reflex.






43. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






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






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






46. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






47. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






48. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






49. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






50. (incision behind hairline) --> elevate HOB 30-45 degrees







Sorry!:) No result found.

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