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






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






3. Another c section with any more kids






4. Handle any blood






5. Hallmark= Sore throat - cervical lymph adenopathy - fever






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






7. 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






8. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






9. Pain is usually the highest priority with RA






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

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11. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






12. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






13. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






14. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






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






16. One pound equals 16 0z






17. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






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






19. B/c of low platelets






20. Machine like murmur






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






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






23. Mothers receive rhogam to protect next baby.






24. On bedrest while implant in place






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






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






27. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






28. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






29. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






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






31. 1 quart = 2 pints






32. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






33. Lie flat with legs elevated






34. Red beefy tongue






35. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






36. Chipmunk face






37. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






38. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






39. Charcot's Triad (IAN)






40. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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41. 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






42. CVA (cerebrovascular accident) is with dead brain tissue.






43. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






44. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






45. Systematic desensitization






46. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






47. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






48. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






49. Bananas - potatoes - citrus fruits






50. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.