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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 liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






3. Brain problems occur






4. Rebound tenderness






5. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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6. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






7. Protruding tongue






8. Moon face appearance and buffalo hump






9. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






10. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






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

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12. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






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






14. 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!






15. Ascending muscle paralysis.. dont confuse with MG






16. Cultures






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






18. Chipmunk face






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






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






21. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






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






24. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






25. If patients have hallucinations redirect them. In delusions distract them.






26. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






27. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






28. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






29. Kussmauls breathing (deep rapid RR)






30. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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






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






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






34. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






35. 1 gr (grain)= 60 mg






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






37. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






38. Questions about a halo Remember safety first - have a screwdriver nearby.






39. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






40. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






41. 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






42. Rice watery stool






43. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






44. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






45. * 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.






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






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






48. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






49. Renal impairment: serum creatinine elevated and urine clearance decreased






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