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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. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






2. Lie flat with legs elevated






3. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






4. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






6. Chest tubes are placed in the pleural space.






7. 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.






8. B/c of low platelets






9. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






10. Side lying






11. Med administration is rarely a good choice






12. Kopliks spots






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






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






15. Hydration is a big priority!






16. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






17. Low magnesium and high creatinine signal renal failure.






18. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






19. Confirms multiple myeloma






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






21. CSF in meningitis will have high protein - and low glucose.






22. 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






23. 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






24. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






25. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






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






27. Salty skin






28. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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29. Place in prone position






30. Osession is to thought. Compulsion is to action






31. Protruding tongue






32. Pain is usually the highest priority with RA






33. 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






34. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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

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36. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






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






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






39. 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.






40. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






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






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






43. Butterfly rashes






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






45. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






46. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






47. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






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






49. 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






50. Swimming