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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. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






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






3. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






4. 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






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






6. 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






7. B/c of low platelets






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






9. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






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






11. Orange tag in triage is non emergent Psych






12. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






13. Femur or lower leg instability






14. Swimming






15. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






16. Toes curl= GREAT Toes fan = BAD






17. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






18. Knee immobility






19. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






20. Skeletal or skin






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






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






23. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






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






25. 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.






26. 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.






27. The MMR vaccine is given SQ not IM.






28. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






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






30. Olive like mass






31. Moon face appearance and buffalo hump






32. Beta cells of pancreas produce insulin






33. Chest tubes are placed in the pleural space.






34. Always check lead posioning levels






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






36. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






37. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






39. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






40. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






41. Patent ductuous arteriousus in infants! Valve doesn't close!






42. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






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






44. Glaucoma patients lose peripheral vision. Treated with meds






45. Side lying






46. Vertigo - Tinnitus


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


48. 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).






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






50. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos