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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. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






2. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






3. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






4. Ascending muscle paralysis.. dont confuse with MG






5. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






6. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






7. 1 t (teaspoon)= 5 ml






8. Orange tag in triage is non emergent Psych






9. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






10. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






11. 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






12. 1 T(tablespoon)= 3 t = 15 ml






13. 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%-






14. Skin to skin contact on mom with a blanket






15. Lymes is found mostly in Conneticuts






16. 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.






17. Rusty sputum






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






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






20. 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.






21. LLQ - diverticulitis - low residue - no seeds - nuts - peas






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






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






24. 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






25. Broncospasm (anaphylaxis)






26. Barrel chest






27. Another c section with any more kids






28. Gonorrhea is a reportable disease






29. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






30. Just know the MMR and Varicella immunizations come later (15 months).






31. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






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






33. (incision at nape of neck)--> position pt flat and lateral on either side.






34. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






35. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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36. Knee immobility






37. Elevate HOB 30 degrees to decrease intracranial pressure






38. After endoscopy check gag reflex.






39. In a five -year old breathe once for every 5 compressions doing cpr.






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






41. 30 ml = 1 oz






42. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






43. Vastus lateralis is IM administration site for 6month infants 






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






45. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






46. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






47. Small frequent is better than large






48. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






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






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