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






2. 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






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






4. With low back aches - bend knees to relieve






5. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






6. 30 ml = 1 oz






7. Cultures






8. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






9. It is X- linked. Mother passes the disease to her son






10. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






11. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






12. Hypotension and vasoconstricting meds






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






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






15. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






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






17. Ascending muscle paralysis.. dont confuse with MG






18. 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






19. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






20. In a five -year old breathe once for every 5 compressions doing cpr.






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






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






23. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






24. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






25. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






26. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






27. Position on the RIGHT side with legs flexed






28. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






29. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V


30. (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)






31. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






32. * 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.






33. 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).






34. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






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






36. Moon face appearance and buffalo hump






37. Machine like murmur






38. Recurrent bloody diarrhea






39. Never release traction unless you have an order from an MD to do so






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






41. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






42. Painless hematuria... CA=Cancer ! Duhh






43. Hypotension and bradypnea / bradycardia are major risks and emergencies.






44. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






45. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






46. Rebound tenderness






47. 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.






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






49. Portal hypotension + albuminemia= Ascites.






50. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3