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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. 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.






2. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






3. 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






4. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






5. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






6. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






8. After a hydrocele repair provide ice bags and scrotal support.






9. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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






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






12. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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13. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






14. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






15. Peptic ulcer






16. Kussmauls breathing (deep rapid RR)






17. 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






18. Bronze like skin pigmentation






19. 1 pint= 2 cups






20. Pumonary tuberculosis






21. Vastus lateralis is IM administration site for 6month infants 






22. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






23. Vesicular rash (central to distal) dew drop on rose petal






24. Risus Sardonicus






25. No nasotracheal suctioning with head injury or skull fracture.






26. 1 gram = 1000 mg






27. 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!






28. Irritable - and poor sucking






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






30. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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






32. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






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






34. After endoscopy check gag reflex.






35. (incision behind hairline) --> elevate HOB 30-45 degrees






36. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






37. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






38. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






39. 3 -4 -6






40. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






41. Increased temp - pulse and HTN






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






43. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






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






45. Chest tubes are placed in the pleural space.






46. 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.






47. 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).






48. Strawberry tongue






49. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






50. Coarse facial features







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