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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. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






2. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






3. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






4. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






5. 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






6. Psuedo membrane formation






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






8. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






9. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






10. The MMR vaccine is given SQ not IM.






11. Pumonary tuberculosis






12. On bedrest while implant in place






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






14. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






15. Knee immobility






16. Skeletal or skin






17. Broncospasm (anaphylaxis)






18. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






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






20. Ottorhea






21. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






22. Tet spells treated with morphine.






23. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






24. 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.






25. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






26. Hypotension and vasoconstricting meds






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






28. HYPERtension TACHYpnea and TACHYcardia






29. Bronze like skin pigmentation






30. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






31. 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






32. Wheezing on EXPIRATION






33. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






34. B/c of low platelets






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






36. Hallmark= Sore throat - cervical lymph adenopathy - fever






37. Cultures






38. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






39. 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






40. A LATE sign! Always~!






41. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






42. 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.






43. Dystocia= baby cannot make it down to canal






44. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






45. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






46. Patent ductuous arteriousus in infants! Valve doesn't close!






47. 3 -4 -6






48. Bananas - potatoes - citrus fruits






49. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






50. Uremic fetor --> smell urine on the breath