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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. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






3. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






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






5. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






6. Area of detachment should be in the dependent position -- dependent meaning supported by something






7. Moon face appearance and buffalo hump






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






9. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






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






11. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






12. After endoscopy check gag reflex.






13. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






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






15. Allergic to eggs (Tristan D. ) !






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






17. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






18. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






19. Bananas - potatoes - citrus fruits






20. Purple bruises around the belly button... Pancreatitis!






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






22. Position pt in left side - lying (Sim's) with knee flexed






23. Battles Sign and Racoon's eyes






24. Swimming






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






26. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






27. 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






28. Increased temp - pulse and HTN






29. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






30. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






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






32. If HR is <100 do not give dig to children.






33. 1 quart = 2 pints






34. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






35. Protruding tongue






36. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






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






38. The MMR vaccine is given SQ not IM.






39. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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






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






42. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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43. Bethamethasone (celestone)=surfactant. Med for lung expansion.






44. Knee immobility






45. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






46. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






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






48. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






49. Mothers receive rhogam to protect next baby.






50. Broncospasm (anaphylaxis)