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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. Yogurt has live cultures - dont give to immunosuppressed pt

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






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






4. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






5. Rusty sputum






6. 1 quart = 2 pints






7. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






9. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






10. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






11. Lie flat with legs elevated






12. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






14. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






15. 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






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






17. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






18. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






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






20. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






21. A






22. Never release traction unless you have an order from an MD to do so






23. Low magnesium and high creatinine signal renal failure.






24. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






25. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






26. 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






27. 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






28. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






29. Painless hematuria... CA=Cancer ! Duhh






30. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






31. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






32. 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.






33. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






34. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






35. 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






36. 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






37. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






38. (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.






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






40. EleVate Veins; dAngle Arteries for better perfusion






41. 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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42. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






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






45. CVA (cerebrovascular accident) is with dead brain tissue.






46. Chest tubes are placed in the pleural space.






47. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






49. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






50. CHRONIC pain