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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. 1 t (teaspoon)= 5 ml






2. 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.






3. (severe acute resp syndrome) airborne + contact (just like varicella)






4. 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






5. 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






6. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






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






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






9. 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.






10. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






11. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






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






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






14. 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






15. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






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

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






19. 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.






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






21. (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.






22. Reduced size and force of urine






23. Cultures






24. 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






25. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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26. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






27. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






28. Stepladder like fever with chills






29. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






30. 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.






31. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






32. If HR is <100 do not give dig to children.






33. Level of consciousness is the most important assessment parameter with status epilepticus.






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






35. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






36. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






37. Recurrent bloody diarrhea






38. Sausage shaped mass - Dance sign (empty portion of RLQ)






39. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






40. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






41. 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.






42. Lioning face






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






44. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






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






46. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






47. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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48. 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. ...






49. Visual floaters - flashes of light - curtain vision






50. 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