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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. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






2. Bossing Sign (prominent forehead)






3. Normal in CHF from the squishin'.. Not normal in an MI patient






4. One pound equals 16 0z






5. MRI- claustrophobia - no metal - assess pacemaker






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

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






8. With low back aches - bend knees to relieve






9. 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






10. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






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






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






13. 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






14. CHRONIC pain






15. Tet spells treated with morphine.






16. Hypotension and bradypnea / bradycardia are major risks and emergencies.






17. Systemic Lupus Ethramoutus.... (Lupus)






18. 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.






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






20. (severe acute resp syndrome) airborne + contact (just like varicella)






21. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






22. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






23. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






24. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






25. *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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26. On bedrest while implant in place






27. 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.






28. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






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






30. TIA (transient ischemic attack) mini stroke with no dead brain tissue






31. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






32. Strawberry tongue






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






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






35. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






36. Opposites! Nursing connection! Think about it!






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

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38. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






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






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






41. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






42. Rhematic fever






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. Brain problems occur






45. Risus Sardonicus






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






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






48. Rusty sputum






49. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






50. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)







Sorry!:) No result found.

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