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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. One pound equals 16 0z






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






3. 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






4. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






5. Children <3yoa - <35 lbs with femur fx

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6. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






7. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






8. Birth weight doubles by 6 month and triple by 1 year of age.






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






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






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






12. B/c of low platelets






13. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






14. Osession is to thought. Compulsion is to action






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






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






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






18. 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!






19. Expiratory grunt -- Causes Infant respiratory distress!






20. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






21. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






22. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






23. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






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






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






27. Pulse area cpr on infant






28. Painless hematuria... CA=Cancer ! Duhh






29. Barrel chest






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






31. Pumonary tuberculosis






32. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






33. Stepladder like fever with chills






34. 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.






35. Risus Sardonicus






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






37. Side lying






38. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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

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40. Bananas - potatoes - citrus fruits






41. Its important to be aware of the lab result for prothrombin time






42. Visual floaters - flashes of light - curtain vision






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






44. Position on the RIGHT side with legs flexed






45. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






46. Coarse facial features






47. Bronze like skin pigmentation






48. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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






50. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches







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Can you answer 50 questions in 15 minutes?


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