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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. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






2. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






3. Portal hypotension + albuminemia= Ascites.






4. Rhematic fever






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






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

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






8. 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






9. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






10. Brain problems occur






11. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






12. Stepladder like fever with chills






13. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






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






15. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






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






17. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






18. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






19. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






20. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






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






22. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






23. A newly diagnosed hypertension patient should have BP assessed in both arms






24. Second voided urine most accurate when testing for ketones and glucose.






25. Confirms multiple myeloma






26. Opposites! Nursing connection! Think about it!






27. Weight






28. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






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






30. Olive like mass






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






32. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






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






34. Uremic fetor --> smell urine on the breath






35. 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).






36. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






37. Low residue diet means low fiver






38. Charcot's Triad (IAN)






39. CATS - convulsions - arrhythmias - tetany - spasms and stridor






40. No meat and milk together






41. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






42. 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.






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






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






45. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






46. Battles Sign and Racoon's eyes






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






48. Renal impairment: serum creatinine elevated and urine clearance decreased






49. Recurrent bloody diarrhea






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