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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. Cultures






2. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






3. Ascending muscle paralysis.. dont confuse with MG






4. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






5. After endoscopy check gag reflex.






6. Wheezing on EXPIRATION






7. MRI- claustrophobia - no metal - assess pacemaker






8. Opposites! Nursing connection! Think about it!






9. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






10. Bananas - potatoes - citrus fruits






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. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






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






14. 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






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






16. Descending muscle weakness






17. Alk Ash diet - milk - veggies - rhubarb - salmon






18. Ottorhea






19. Increased temp - pulse and HTN






20. Salty skin






21. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






23. Charcot's Triad (IAN)






24. 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)






25. Hypotension and bradypnea / bradycardia are major risks and emergencies.






26. Battles Sign and Racoon's eyes






27. Skeletal or skin






28. Orange tag in triage is non emergent Psych






29. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






30. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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31. Irritable - and poor sucking






32. 1 cup= 8 oz






33. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






34. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






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






37. Pumonary tuberculosis






38. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






40. CATS - convulsions - arrhythmias - tetany - spasms and stridor






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






42. Knee immobility






43. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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44. 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






45. 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






46. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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47. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






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






49. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






50. Portal hypotension + albuminemia= Ascites.