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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. Low or semi - Fowler's - support head - neck and shoulders.






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






3. Peptic ulcer






4. Hodgkin's disease= cancer of lymph is very curable in early stage.






5. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






6. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






7. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






8. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






9. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






10. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






11. Pulse area cpr on infant






12. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






13. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






14. Reduced size and force of urine






15. 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.






16. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






17. ICP (intracranial pressure) should be <2. measure head circonference.






18. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






19. MRI- claustrophobia - no metal - assess pacemaker






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

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






22. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






23. 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).






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






25. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






26. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






27. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






28. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






29. Burning on urination






30. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






31. CATS - convulsions - arrhythmias - tetany - spasms and stridor






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






33. 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.






34. Position pt in left side - lying (Sim's) with knee flexed






35. 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






36. A laxative is given the night before an IVP in order to better visualize the organs.






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






38. Bethamethasone (celestone)=surfactant. Med for lung expansion.






39. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






40. Toes curl= GREAT Toes fan = BAD






41. No meat and milk together






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






43. 1 gr (grain)= 60 mg






44. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






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






46. 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






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






48. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






50. 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.