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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. OAmniotic fluid yellow with particles = meconium stained`






2. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






3. 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).






4. Skeletal or skin






5. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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






7. Glaucoma patients lose peripheral vision. Treated with meds






8. Nurses First action is to listen to fetal rate/tone






9. Beta cells of pancreas produce insulin






10. 1 pint= 2 cups






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






12. Weight






13. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






14. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






15. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






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






17. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






18. 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






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






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






21. Side lying






22. Orange tag in triage is non emergent Psych






23. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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24. Lie flat with legs elevated






25. 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






26. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






27. After a hydrocele repair provide ice bags and scrotal support.






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






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






30. Seizure>






31. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






32. Osession is to thought. Compulsion is to action






33. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






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






35. After endoscopy check gag reflex.






36. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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37. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






38. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






39. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






40. EleVate Veins; dAngle Arteries for better perfusion






41. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






42. Allergic to eggs (Tristan D. ) !






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






44. **If kid has cold - can still give immunizations






45. B/c of low platelets






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






47. Coarse facial features






48. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






49. Position on the RIGHT side with legs flexed






50. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension







Sorry!:) No result found.

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