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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. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






2. 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.






3. Toes curl= GREAT Toes fan = BAD






4. Swimming






5. MRI- claustrophobia - no metal - assess pacemaker






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






7. Reduced size and force of urine






8. Strawberry tongue






9. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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10. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






11. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






12. (incision at nape of neck)--> position pt flat and lateral on either side.






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






14. Vesicular rash (central to distal) dew drop on rose petal






15. Always check lead posioning levels






16. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






17. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






18. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






19. (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.






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






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






22. Barrel chest






23. The MMR vaccine is given SQ not IM.






24. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






25. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






26. Seizure>






27. 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.






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






29. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






30. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






31. 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






32. Lioning face






33. The biggest concern with cold stress and the newborn is respiratory distress.






34. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






35. Position on the RIGHT side with legs flexed






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






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






38. Knee - chest position or Trendelenburg






39. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






40. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






41. Osession is to thought. Compulsion is to action






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






43. Brain problems occur






44. 1 t (teaspoon)= 5 ml






45. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






46. Chemo - radiation - surgery - allow to die with dignity.






47. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






48. 1 T(tablespoon)= 3 t = 15 ml






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






50. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.







Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?


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