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






2. Beta cells of pancreas produce insulin






3. With low back aches - bend knees to relieve






4. Second voided urine most accurate when testing for ketones and glucose.






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






6. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






7. Hallmark= Sore throat - cervical lymph adenopathy - fever






8. 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






9. One pound equals 16 0z






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






11. 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






12. Recurrent bloody diarrhea






13. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






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






15. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






16. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






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






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






19. Yogurt has live cultures - dont give to immunosuppressed pt

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






21. 1 quart = 2 pints






22. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






23. 1 cup= 8 oz






24. 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.






25. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






26. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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27. Place the apparatus first then place the weight (der)






28. 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. ...






29. Knee immobility






30. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






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






32. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






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






34. 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).






35. 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.






36. 30 ml = 1 oz






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






38. Weight






39. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






40. 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).






41. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






42. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






43. 1 pint= 2 cups






44. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






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






46. 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






47. 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.






48. 1 T(tablespoon)= 3 t = 15 ml






49. 1 gram = 1000 mg






50. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.