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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. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






2. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






3. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






4. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






5. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






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






7. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






8. Vertigo - Tinnitus

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9. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






10. Lymes is found mostly in Conneticuts






11. Peptic ulcer






12. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






13. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






14. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






15. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






16. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






17. Red beefy tongue






18. Slowed physical and mental function - sensitivity to cold - dry skin and hair






19. Olive like mass






20. 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






21. Vastus lateralis is IM administration site for 6month infants 






22. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






23. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






24. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






25. One pound equals 16 0z






26. Brain problems occur






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






28. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






29. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






30. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






31. 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!






32. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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






34. 7 - 10ml / kg






35. Rice watery stool






36. (incision behind hairline) --> elevate HOB 30-45 degrees






37. Hypotension and vasoconstricting meds






38. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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






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






41. Battles Sign and Racoon's eyes






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






43. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






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






45. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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46. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






47. Patent ductuous arteriousus in infants! Valve doesn't close!






48. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






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






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