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






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






3. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






4. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






5. 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.






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






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






8. 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.






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






10. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






11. 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






12. 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.






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






14. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






15. Place in prone position






16. PainLESS vision loss - opacity of lens - blurring of the vision






17. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






18. Age 4 to 5 yrs child needs DPT/MMR/OPV






19. (skin traction) --> elevate foot of bed for counter - traction

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20. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






21. Knee immobility






22. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






23. Broncospasm (anaphylaxis)






24. Pumonary tuberculosis






25. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






26. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






27. Knee - chest position or Trendelenburg






28. 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






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






30. Bronze like skin pigmentation






31. Allergic to eggs (Tristan D. ) !






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






33. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






34. Descending muscle weakness






35. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






36. Hypotension and bradypnea / bradycardia are major risks and emergencies.






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






38. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






39. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






40. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






41. HYPERtension TACHYpnea and TACHYcardia






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






43. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






44. 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.






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






46. ICP (intracranial pressure) should be <2. measure head circonference.






47. 1 pint= 2 cups






48. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






49. Elevate HOB 30 degrees to decrease intracranial pressure






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