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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. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






2. Position on the RIGHT side with legs flexed






3. (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)






4. Low magnesium and high creatinine signal renal failure.






5. Systematic desensitization






6. After a hydrocele repair provide ice bags and scrotal support.






7. 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.






8. Allergic to eggs (Tristan D. ) !






9. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






10. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






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






13. Patent ductuous arteriousus in infants! Valve doesn't close!






14. Handle any blood






15. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






16. Knee immobility






17. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






18. 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.






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






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






21. Kussmauls breathing (deep rapid RR)






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






23. For knee replacement use continuous passive motion machine.






24. Charcot's Triad (IAN)






25. 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!






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






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






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






29. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






30. 1 gram = 1000 mg






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






32. Machine like murmur






33. 7 - 10ml / kg






34. 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






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






36. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






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






38. 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.






39. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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40. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






41. 1 pint= 2 cups






42. Gonorrhea is a reportable disease






43. Chvostek and Trosseaus sign! Also hypomag!






44. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






45. Bronze like skin pigmentation






46. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






47. Place in prone position






48. Hydration is a big priority!






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






50. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.