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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. Cultures






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






3. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






4. 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






5. 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.






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






7. An occulsive dressing is used






8. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






9. CHRONIC pain






10. 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






11. Position on the RIGHT side with legs flexed






12. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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13. Stepladder like fever with chills






14. Alk Ash diet - milk - veggies - rhubarb - salmon






15. Pilling rolling tremors






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






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






18. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






19. 1 pint= 2 cups






20. If patients have hallucinations redirect them. In delusions distract them.






21. With low back aches - bend knees to relieve






22. Absence of menstruation leads to osteoporosis in the anorexic.






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






24. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






25. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






26. 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






27. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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28. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






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






30. 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.






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

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32. Gonorrhea is a reportable disease






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






34. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






36. Strawberry tongue






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






38. A LATE sign! Always~!






39. 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






40. 3 -4 -6






41. Area of detachment should be in the dependent position -- dependent meaning supported by something






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






43. Most spinal cord injuries are at the cervical or lumbar regions






44. CSF in meningitis will have high protein - and low glucose.






45. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






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






47. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






48. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






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






50. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.