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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. CHRONIC pain






2. 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






3. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






4. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






5. 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.






6. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






7. 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.






8. Yogurt has live cultures - dont give to immunosuppressed pt

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9. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






10. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






11. Second voided urine most accurate when testing for ketones and glucose.






12. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






13. Swimming






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

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






16. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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17. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






18. Glaucoma patients lose peripheral vision. Treated with meds






19. Position on the RIGHT side with legs flexed






20. Burning on urination






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






22. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






23. Birth weight doubles by 6 month and triple by 1 year of age.






24. Ambient air (room air) contains 21 % o2






25. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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






27. Most spinal cord injuries are at the cervical or lumbar regions






28. **If kid has cold - can still give immunizations






29. 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






30. OAmniotic fluid yellow with particles = meconium stained`






31. 2.2






32. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






33. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






34. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






35. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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






37. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






38. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






39. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






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






41. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






42. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






43. Chvostek and Trosseaus sign! Also hypomag!






44. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






45. Petechiae or + Herman's sign






46. 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.






47. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






48. Protruding tongue






49. Place in prone position






50. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing