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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. Stepladder like fever with chills






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






3. 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






4. It is X- linked. Mother passes the disease to her son






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






6. Position on the RIGHT side with legs flexed






7. (incision behind hairline) --> elevate HOB 30-45 degrees






8. A LATE sign! Always~!






9. Mothers receive rhogam to protect next baby.






10. Trousseau and Tchovoski signs observed in hypocalcemia






11. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






12. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






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






14. Swimming






15. Gonorrhea is a reportable disease






16. 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.






17. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






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






19. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






20. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






21. Salty skin






22. 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






23. Hydration is a big priority!






24. Place the apparatus first then place the weight (der)






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






26. No meat and milk together






27. 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.






28. Lymes is found mostly in Conneticuts






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






30. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






31. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






32. Psuedo membrane formation






33. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






34. Low magnesium and high creatinine signal renal failure.






35. TPN(total parenteral nutrition) given in subclavian line.






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






37. 1 gram = 1000 mg






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






39. Ottorhea






40. Renal impairment: serum creatinine elevated and urine clearance decreased






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






42. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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






44. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






45. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






46. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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47. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






48. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






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






50. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc