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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. 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






2. 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






3. Another c section with any more kids






4. * 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.






5. Cultures






6. Mothers receive rhogam to protect next baby.






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






8. Private Room or cohort mask






9. LLQ - diverticulitis - low residue - no seeds - nuts - peas






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






11. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






12. Questions about a halo Remember safety first - have a screwdriver nearby.






13. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






14. Reduced size and force of urine






15. 1 pint= 2 cups






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






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






18. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






19. Lymes is found mostly in Conneticuts






20. Just know the MMR and Varicella immunizations come later (15 months).






21. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






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






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






24. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






25. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






26. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






27. Yogurt has live cultures - dont give to immunosuppressed pt

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28. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






29. Confirms multiple myeloma






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

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31. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






32. 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.






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






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






35. Risus Sardonicus






36. Recurrent bloody diarrhea






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






38. EleVate Veins; dAngle Arteries for better perfusion






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






40. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






41. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






42. Trousseau and Tchovoski signs observed in hypocalcemia






43. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






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






45. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






46. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






47. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






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






49. 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






50. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.