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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. 3 D'S -- Drooling - Dysphonia - Dysphagia






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






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






4. Broncospasm (anaphylaxis)






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






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






7. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






8. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






9. Absence of menstruation leads to osteoporosis in the anorexic.






10. It is X- linked. Mother passes the disease to her son






11. Coarse facial features






12. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






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






14. Trachea shifts to the opposite side






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






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






17. Protruding tongue






18. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






19. Glaucoma patients lose peripheral vision. Treated with meds






20. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






21. Handle any blood






22. 1 T(tablespoon)= 3 t = 15 ml






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






24. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






25. Cat's eye reflex (grayish discoloration of the pupil)






26. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






27. 30 ml = 1 oz






28. Tet spells treated with morphine.






29. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






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






31. Never release traction unless you have an order from an MD to do so






32. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






33. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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






35. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






36. Bull's eye rash

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37. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






38. Mothers receive rhogam to protect next baby.






39. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






40. Low residue diet means low fiver






41. Osession is to thought. Compulsion is to action






42. B/c of low platelets






43. Skin to skin contact on mom with a blanket






44. Position prone (on abdomen) so that sac does not rupture






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






46. 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






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






48. (incision behind hairline) --> elevate HOB 30-45 degrees






49. Position on the RIGHT side with legs flexed






50. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.