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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. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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2. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






3. 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






4. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






5. Rose spots on abdomen






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






7. 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.






8. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






9. 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






10. Psuedo membrane formation






11. 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.






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






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

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14. Risus Sardonicus






15. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






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






17. Side lying






18. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






19. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






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






21. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






22. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






23. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






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






25. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






26. Intercostal retractions=bad!






27. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






28. 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.






29. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






30. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






31. Weight






32. Systemic Lupus Ethramoutus.... (Lupus)






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






34. Mothers receive rhogam to protect next baby.






35. Protruding tongue






36. 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






37. Respiratory problems!






38. 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.






39. Small frequent is better than large






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






41. Kopliks spots






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






43. Chipmunk face






44. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






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






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






47. No nasotracheal suctioning with head injury or skull fracture.






48. Upper part of the uterus






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






50. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia