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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. Chemo - radiation - surgery - allow to die with dignity.






2. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






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






4. Peptic ulcer






5. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






6. 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






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






8. Glucose






9. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






10. Low or semi - Fowler's - support head - neck and shoulders.






11. Mothers receive rhogam to protect next baby.






12. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






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






14. 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






15. 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






16. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






17. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






18. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






19. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






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






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






23. Always check lead posioning levels






24. Rose spots on abdomen






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






26. 1 pint= 2 cups






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






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






29. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






30. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






31. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






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






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






34. Irritable - and poor sucking






35. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






36. 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.






37. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






38. Pulse area cpr on infant






39. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






40. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






41. Low residue diet means low fiver






42. 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.






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






44. Bethamethasone (celestone)=surfactant. Med for lung expansion.






45. 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






46. Wheezing on EXPIRATION






47. Red beefy tongue






48. Glomerulonephritis: take vs q 4 hrs + daily weights






49. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






50. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg







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Can you answer 50 questions in 15 minutes?


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