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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. Questions about a halo Remember safety first - have a screwdriver nearby.






2. Med administration is rarely a good choice






3. On bedrest while implant in place






4. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






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






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






7. HYPERtension TACHYpnea and TACHYcardia






8. Glucose






9. PainLESS vision loss - opacity of lens - blurring of the vision






10. 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






11. Moon face appearance and buffalo hump






12. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






14. Upper part of the uterus






15. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






16. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






17. 1 pint= 2 cups






18. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






19. A newly diagnosed hypertension patient should have BP assessed in both arms






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






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






22. Hypotension and vasoconstricting meds






23. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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24. 3 D'S -- Drooling - Dysphonia - Dysphagia






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






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






27. Femur or lower leg instability






28. The MMR vaccine is given SQ not IM.






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






30. Handle any blood






31. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






32. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






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






34. Inspiratory stridor.. LTB = croup!!!!






35. Battles Sign and Racoon's eyes






36. Rusty sputum






37. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






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






39. Nurses First action is to listen to fetal rate/tone






40. Painless hematuria... CA=Cancer ! Duhh






41. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






42. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






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






44. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






45. 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






46. 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






47. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






48. Vertigo - Tinnitus

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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. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.