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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. 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






2. Med administration is rarely a good choice






3. Bronze like skin pigmentation






4. If patients have hallucinations redirect them. In delusions distract them.






5. Side lying






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






7. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






8. Psuedo membrane formation






9. 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






10. 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.






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






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






13. 7 - 10ml / kg






14. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






15. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






16. Position prone (on abdomen) so that sac does not rupture






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






18. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






19. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






20. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






21. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






23. Recurrent bloody diarrhea






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






25. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






26. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






27. Low magnesium and high creatinine signal renal failure.






28. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






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






30. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






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






32. Ascending muscle paralysis.. dont confuse with MG






33. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






34. Chest tubes are placed in the pleural space.






35. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






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






37. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






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






39. 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).






40. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






41. Toes curl= GREAT Toes fan = BAD






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






43. 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.






44. 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






45. Kopliks spots






46. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






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






48. TIA (transient ischemic attack) mini stroke with no dead brain tissue






49. Battles Sign and Racoon's eyes






50. Portal hypotension + albuminemia= Ascites.