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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. 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






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






3. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






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






5. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






6. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






7. Visual floaters - flashes of light - curtain vision






8. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






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






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






11. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






12. 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






13. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






14. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






15. Red beefy tongue






16. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






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






18. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






19. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






20. 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.






21. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






22. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






23. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






24. Position pt in left side - lying (Sim's) with knee flexed






25. Battles Sign and Racoon's eyes






26. 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.






27. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






28. 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.






29. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






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






31. Renal impairment: serum creatinine elevated and urine clearance decreased






32. Kussmauls breathing (deep rapid RR)






33. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






34. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






36. Second voided urine most accurate when testing for ketones and glucose.






37. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






38. Ascending muscle paralysis.. dont confuse with MG






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






40. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






42. 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)






43. Hodgkin's disease= cancer of lymph is very curable in early stage.






44. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






45. Glaucoma patients lose peripheral vision. Treated with meds






46. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






47. Butterfly rashes






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






49. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






50. Stepladder like fever with chills