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






2. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






3. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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






5. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






6. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






7. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






8. Petechiae or + Herman's sign






9. 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






10. Seizure>






11. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






12. (skin traction) --> elevate foot of bed for counter - traction

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13. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






15. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






16. Respiratory problems!






17. Burning on urination






18. 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.






19. CHRONIC pain






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






21. Skeletal or skin






22. 30 ml = 1 oz






23. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






24. Another c section with any more kids






25. PainLESS vision loss - opacity of lens - blurring of the vision






26. 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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27. Portal hypotension + albuminemia= Ascites.






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






29. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






30. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






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






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






33. 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.






34. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






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






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






37. 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.






38. Ascending muscle paralysis.. dont confuse with MG






39. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






40. Glucose






41. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






42. ICP (intracranial pressure) should be <2. measure head circonference.






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






44. Allergic to eggs (Tristan D. ) !






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






46. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






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






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






49. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






50. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.