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






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






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






4. In a five -year old breathe once for every 5 compressions doing cpr.






5. Recurrent bloody diarrhea






6. Questions about a halo Remember safety first - have a screwdriver nearby.






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






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






9. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






10. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






11. Opposites! Nursing connection! Think about it!






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






13. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






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






15. Bananas - potatoes - citrus fruits






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






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






18. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






19. 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.






20. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






21. Rebound tenderness






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






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






24. HYPERtension TACHYpnea and TACHYcardia






25. Strawberry tongue






26. Knee immobility






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






28. Olive like mass






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






30. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






31. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






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






33. Children <3yoa - <35 lbs with femur fx

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34. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






35. Increased temp - pulse and HTN






36. Glucose






37. 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






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






39. 1 t (teaspoon)= 5 ml






40. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






41. 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.






42. Respiratory problems!






43. Barrel chest






44. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






45. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






46. 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






47. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






49. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






50. Orange tag in triage is non emergent Psych






Can you answer 50 questions in 15 minutes?



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