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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. 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






2. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






3. A laxative is given the night before an IVP in order to better visualize the organs.






4. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






5. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






6. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






8. Knee - chest position or Trendelenburg






9. 1 T(tablespoon)= 3 t = 15 ml






10. Inspiratory stridor.. LTB = croup!!!!






11. Machine like murmur






12. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






13. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






14. Kopliks spots






15. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






16. On bedrest while implant in place






17. Renal impairment: serum creatinine elevated and urine clearance decreased






18. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






19. Med administration is rarely a good choice






20. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






21. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






22. 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






23. Portal hypotension + albuminemia= Ascites.






24. Olive like mass






25. Reduced size and force of urine






26. Position pt in left side - lying (Sim's) with knee flexed






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






28. Burning on urination






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






30. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






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. Descending muscle weakness






33. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






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






35. MRI- claustrophobia - no metal - assess pacemaker






36. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






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






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






39. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






40. Opposites! Nursing connection! Think about it!






41. Chest tubes are placed in the pleural space.






42. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






43. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






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

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45. 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.






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






47. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






48. *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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49. Beta cells of pancreas produce insulin






50. 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