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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. 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






2. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






3. Chemo - radiation - surgery - allow to die with dignity.






4. 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.






5. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






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






7. Confirms multiple myeloma






8. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






9. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






10. Machine like murmur






11. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






12. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






13. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






15. Skeletal or skin






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






17. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






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






19. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






20. 7 - 10ml / kg






21. Bull's eye rash

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22. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






23. Charcot's Triad (IAN)






24. 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






25. For knee replacement use continuous passive motion machine.






26. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






27. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






28. Bethamethasone (celestone)=surfactant. Med for lung expansion.






29. (incision at nape of neck)--> position pt flat and lateral on either side.






30. The MMR vaccine is given SQ not IM.






31. OAmniotic fluid yellow with particles = meconium stained`






32. Position prone (on abdomen) so that sac does not rupture






33. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






35. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






36. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






37. Small frequent is better than large






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






39. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






40. B/c of low platelets






41. Gonorrhea is a reportable disease






42. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






43. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






44. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






45. Burning on urination






46. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






47. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






48. Opposites! Nursing connection! Think about it!






49. Never release traction unless you have an order from an MD to do so






50. With low back aches - bend knees to relieve






Can you answer 50 questions in 15 minutes?



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