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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. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






2. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






3. 2.2






4. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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5. MRI- claustrophobia - no metal - assess pacemaker






6. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






7. Another c section with any more kids






8. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






9. 1 gram = 1000 mg






10. Peptic ulcer






11. Pain is usually the highest priority with RA






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

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13. Glucose






14. 1 gr (grain)= 60 mg






15. Upper part of the uterus






16. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






17. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






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






19. 1 pint= 2 cups






20. Weight






21. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






22. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






23. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






24. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






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






26. Mothers receive rhogam to protect next baby.






27. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






28. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






29. 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






30. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






31. 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!






32. 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.






33. Uremic fetor --> smell urine on the breath






34. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






36. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






37. Battles Sign and Racoon's eyes






38. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






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

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40. Skin to skin contact on mom with a blanket






41. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






42. Systemic Lupus Ethramoutus.... (Lupus)






43. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






44. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






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






46. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






48. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






49. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






50. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a