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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. Bull's eye rash

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2. Swimming






3. 1 gr (grain)= 60 mg






4. 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.






5. Pulse area cpr on infant






6. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






7. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






8. CATS - convulsions - arrhythmias - tetany - spasms and stridor






9. 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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10. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






11. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






12. Seizure>






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






14. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






15. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






16. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






17. 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






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






19. Kopliks spots






20. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






21. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






22. 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






23. Trousseau and Tchovoski signs observed in hypocalcemia






24. (incision at nape of neck)--> position pt flat and lateral on either side.






25. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






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






27. Vesicular rash (central to distal) dew drop on rose petal






28. Ascending muscle paralysis.. dont confuse with MG






29. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






30. Just know the MMR and Varicella immunizations come later (15 months).






31. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






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






33. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






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






35. Descending muscle weakness






36. Increased temp - pulse and HTN






37. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






38. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






39. Rose spots on abdomen






40. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






42. Broncospasm (anaphylaxis)






43. Opposites! Nursing connection! Think about it!






44. Inspiratory stridor.. LTB = croup!!!!






45. 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!






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






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






48. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






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






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