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






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






3. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






4. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






5. Toes curl= GREAT Toes fan = BAD






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






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






8. Low magnesium and high creatinine signal renal failure.






9. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






10. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






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






12. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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13. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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






15. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






16. No meat and milk together






17. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






18. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






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






20. Place the apparatus first then place the weight (der)






21. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






22. 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.






23. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






25. After endoscopy check gag reflex.






26. Machine like murmur






27. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






28. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






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






30. Protruding tongue






31. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






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






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






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. 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!






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






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






38. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






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






40. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






41. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






42. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






43. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






44. Bull's eye rash

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45. TPN(total parenteral nutrition) given in subclavian line.






46. A laxative is given the night before an IVP in order to better visualize the organs.






47. Respiratory problems!






48. Low or semi - Fowler's - support head - neck and shoulders.






49. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






50. Visual floaters - flashes of light - curtain vision







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