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






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






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






4. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






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






6. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






7. 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






8. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






9. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






10. Orange tag in triage is non emergent Psych






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






12. Cultures






13. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






14. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






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






16. Trachea shifts to the opposite side






17. Risus Sardonicus






18. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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19. 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.






20. Ottorhea






21. 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.






22. On bedrest while implant in place






23. 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






24. Glaucoma patients lose peripheral vision. Treated with meds






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






26. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






27. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






28. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






29. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






30. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






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






32. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






33. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






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






35. 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






36. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






37. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






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

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39. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






40. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






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






42. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






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






44. (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)






45. CHRONIC pain






46. Recurrent bloody diarrhea






47. * 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.






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






49. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






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