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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. Knee - chest position or Trendelenburg






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






3. 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.






4. After a hydrocele repair provide ice bags and scrotal support.






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






6. Strawberry tongue






7. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






8. Chest tubes are placed in the pleural space.






9. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






10. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






11. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






13. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






14. (skin traction) --> elevate foot of bed for counter - traction


15. Liver - brain - lung - bone - and lymph






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






17. Hodgkin's disease= cancer of lymph is very curable in early stage.






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






19. In a five -year old breathe once for every 5 compressions doing cpr.






20. 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






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






22. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






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






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






25. EleVate Veins; dAngle Arteries for better perfusion






26. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






27. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






28. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






29. Increased temp - pulse and HTN






30. Kussmauls breathing (deep rapid RR)






31. 1 pint= 2 cups






32. * 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.






33. Its important to be aware of the lab result for prothrombin time






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






35. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






36. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






37. For Meningitis check for Kernig's/ Brudzinski's signs.






38. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






39. Sausage shaped mass - Dance sign (empty portion of RLQ)






40. Petechiae. Treated with heparin.






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






42. Psuedo membrane formation






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






44. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






45. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






46. OAmniotic fluid yellow with particles = meconium stained`






47. Slowed physical and mental function - sensitivity to cold - dry skin and hair






48. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






49. Risus Sardonicus






50. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.