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






2. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






3. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






4. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






5. 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






6. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






7. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






8. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






9. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






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






11. Charcot's Triad (IAN)






12. Birth weight doubles by 6 month and triple by 1 year of age.






13. Bethamethasone (celestone)=surfactant. Med for lung expansion.






14. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






15. Skeletal or skin






16. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






17. For knee replacement use continuous passive motion machine.






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






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

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20. Always check lead posioning levels






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






22. Broncospasm (anaphylaxis)






23. 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).






24. Coarse facial features






25. Kopliks spots






26. 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. ...






27. 2.2






28. Strawberry tongue






29. CVA (cerebrovascular accident) is with dead brain tissue.






30. Co2 causes vasoconstriction.






31. Hypotension and vasoconstricting meds






32. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






33. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






34. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






35. Chvostek and Trosseaus sign! Also hypomag!






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






37. ** IVP requires bowel prep so they can visualize the bladder better






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

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39. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






40. 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






41. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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42. 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.






43. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






44. 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.






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






46. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






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






48. 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






49. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






50. 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!







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