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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. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






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






3. Pulse area cpr on infant






4. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






5. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






6. Level of consciousness is the most important assessment parameter with status epilepticus.






7. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






8. (severe acute resp syndrome) airborne + contact (just like varicella)






9. Descending muscle weakness






10. Increased temp - pulse and HTN






11. 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.






12. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






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






14. 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.






15. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






17. Osession is to thought. Compulsion is to action






18. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






19. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






20. Gonorrhea is a reportable disease






21. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






22. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






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. Systematic desensitization






25. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






26. Rhematic fever






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






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






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

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30. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






31. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






32. 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.






33. 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!






34. LLQ - diverticulitis - low residue - no seeds - nuts - peas






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






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






37. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






38. Protruding tongue






39. Irritable - and poor sucking






40. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






41. 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






42. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






43. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






44. Coarse facial features






45. TIA (transient ischemic attack) mini stroke with no dead brain tissue






46. Med administration is rarely a good choice






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






48. Skin to skin contact on mom with a blanket






49. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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