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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. Ascending muscle paralysis.. dont confuse with MG






2. Systematic desensitization






3. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






4. Glaucoma patients lose peripheral vision. Treated with meds






5. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






6. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






7. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






8. 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






9. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






10. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






11. *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


12. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






13. CHRONIC pain






14. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






15. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






16. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






17. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






18. 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.






19. Side lying






20. A






21. Chemo - radiation - surgery - allow to die with dignity.






22. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






23. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






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






25. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






26. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






27. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






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






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






30. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






31. Private Room or cohort mask






32. Gonorrhea is a reportable disease






33. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






35. 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






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






37. Rebound tenderness






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






39. Pumonary tuberculosis






40. 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.






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






42. Position prone (on abdomen) so that sac does not rupture






43. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






45. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






46. Opposites! Nursing connection! Think about it!






47. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






48. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






49. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






50. HYPERtension TACHYpnea and TACHYcardia