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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. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






2. 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






3. 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






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






5. Kussmauls breathing (deep rapid RR)






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






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






8. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






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






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






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






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






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






15. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






16. 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.






17. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






18. Flapping tremors






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






20. Glucose






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






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






23. Rice watery stool






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






25. Liver - brain - lung - bone - and lymph






26. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






28. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






29. Femur or lower leg instability






30. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






31. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






32. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






33. 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.






34. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






35. Bull's eye rash

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36. Bananas - potatoes - citrus fruits






37. For Meningitis check for Kernig's/ Brudzinski's signs.






38. 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






39. Portal hypotension + albuminemia= Ascites.






40. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






41. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






42. Small frequent is better than large






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






44. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






45. Bossing Sign (prominent forehead)






46. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






47. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






48. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






49. Swimming






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