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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. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






2. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






3. Inspiratory stridor.. LTB = croup!!!!






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






5. Hypotension and vasoconstricting meds






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






7. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






8. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






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

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10. Rebound tenderness






11. Patent ductuous arteriousus in infants! Valve doesn't close!






12. Rose spots on abdomen






13. An occulsive dressing is used






14. Weight






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






16. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






17. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






18. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






19. Side lying






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






21. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






22. Rusty sputum






23. ** IVP requires bowel prep so they can visualize the bladder better






24. Hallmark= Sore throat - cervical lymph adenopathy - fever






25. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






26. 2.2






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






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






29. A LATE sign! Always~!






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






31. Birth weight doubles by 6 month and triple by 1 year of age.






32. 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






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

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






35. 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






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






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






38. Skeletal or skin






39. For knee replacement use continuous passive motion machine.






40. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






41. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






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






43. 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






44. Ottorhea






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






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






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






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






49. (incision at nape of neck)--> position pt flat and lateral on either side.






50. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids