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






2. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






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






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






5. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






6. Another c section with any more kids






7. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






9. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






10. 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.






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






12. 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






13. 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.






14. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






15. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






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






17. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






18. 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.






19. Elevate HOB 30 degrees to decrease intracranial pressure






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






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






22. *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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23. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






24. Position prone (on abdomen) so that sac does not rupture






25. 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






26. Glomerulonephritis: take vs q 4 hrs + daily weights






27. Kopliks spots






28. For Meningitis check for Kernig's/ Brudzinski's signs.






29. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






30. 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






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






32. Swimming






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






34. Position on the RIGHT side with legs flexed






35. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






36. 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






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






38. Rebound tenderness






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






40. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






41. With low back aches - bend knees to relieve






42. Low or semi - Fowler's - support head - neck and shoulders.






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

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44. Barrel chest






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






46. For knee replacement use continuous passive motion machine.






47. ** IVP requires bowel prep so they can visualize the bladder better






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






49. Lymes is found mostly in Conneticuts






50. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.