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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. Area of detachment should be in the dependent position -- dependent meaning supported by something






2. 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






3. 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.






4. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






5. Nurses First action is to listen to fetal rate/tone






6. CSF in meningitis will have high protein - and low glucose.






7. Brain problems occur






8. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






9. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






10. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






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


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






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






14. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






15. 30 ml = 1 oz






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






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






18. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






19. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






20. Rebound tenderness






21. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






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






23. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






24. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






25. Position on the RIGHT side with legs flexed






26. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






27. Toes curl= GREAT Toes fan = BAD






28. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






30. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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






32. MRI- claustrophobia - no metal - assess pacemaker






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






34. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






35. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






36. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






37. Descending muscle weakness






38. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






39. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






40. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






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






42. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






43. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






44. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






45. 1 gr (grain)= 60 mg






46. Protruding tongue






47. 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.






48. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






49. B/c of low platelets






50. 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)