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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. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






2. Low or semi - Fowler's - support head - neck and shoulders.






3. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






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






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






6. 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.






7. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






8. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






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






10. One pound equals 16 0z






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






12. Skeletal or skin






13. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






14. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






15. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






16. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






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






18. If HR is <100 do not give dig to children.






19. Place in prone position






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






21. 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






22. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






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






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






25. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






26. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






27. Low residue diet means low fiver






28. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






29. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






31. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






32. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






33. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






34. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






35. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






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






37. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






39. Chest tubes are placed in the pleural space.






40. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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41. Bananas - potatoes - citrus fruits






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






43. 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






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






45. 1 gram = 1000 mg






46. 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.






47. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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






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

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50. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.