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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. Trousseau and Tchovoski signs observed in hypocalcemia






2. Butterfly rashes






3. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






4. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






5. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






6. 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






7. 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






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






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






10. Peptic ulcer






11. A LATE sign! Always~!






12. 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.






13. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






14. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






15. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






16. Opposites! Nursing connection! Think about it!






17. Age 4 to 5 yrs child needs DPT/MMR/OPV






18. Ambient air (room air) contains 21 % o2






19. Irritable - and poor sucking






20. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






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






22. Salty skin






23. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






24. Hodgkin's disease= cancer of lymph is very curable in early stage.






25. 1 cup= 8 oz






26. Inspiratory stridor.. LTB = croup!!!!






27. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






28. 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






29. Systemic Lupus Ethramoutus.... (Lupus)






30. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






31. 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.






32. The MMR vaccine is given SQ not IM.






33. 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.






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






35. Nurses First action is to listen to fetal rate/tone






36. Place a wheelchair parallel to the bed on the side of weakness






37. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






38. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






39. Place the apparatus first then place the weight (der)






40. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






41. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






42. Pumonary tuberculosis






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

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44. HYPERtension TACHYpnea and TACHYcardia






45. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






46. Petechiae. Treated with heparin.






47. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






48. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






49. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






50. Rice watery stool