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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. Lie flat with legs elevated






2. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






3. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






4. OAmniotic fluid yellow with particles = meconium stained`






5. CVA (cerebrovascular accident) is with dead brain tissue.






6. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






7. 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.






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






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






10. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






11. 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






12. Lioning face






13. 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.






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






15. 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. ...






16. 1 gr (grain)= 60 mg






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






18. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






19. (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.






20. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






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






22. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






23. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






24. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






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






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






27. Bethamethasone (celestone)=surfactant. Med for lung expansion.






28. Portal hypotension + albuminemia= Ascites.






29. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






30. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






32. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






33. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






34. In a five -year old breathe once for every 5 compressions doing cpr.






35. Seizure>






36. Coarse facial features






37. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






38. CHRONIC pain






39. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






40. Glucose






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






42. Olive like mass






43. TPN(total parenteral nutrition) given in subclavian line.






44. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






45. An occulsive dressing is used






46. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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47. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






48. Femur or lower leg instability






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






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