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






3. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






5. 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






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






7. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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8. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






9. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






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






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






12. Never release traction unless you have an order from an MD to do so






13. Trachea shifts to the opposite side






14. Coarse facial features






15. 30 ml = 1 oz






16. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






17. Respiratory problems!






18. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






19. Absence of menstruation leads to osteoporosis in the anorexic.






20. 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






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






22. Risus Sardonicus






23. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






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






26. The biggest concern with cold stress and the newborn is respiratory distress.






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






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






29. Systematic desensitization






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






31. Hypotension and bradypnea / bradycardia are major risks and emergencies.






32. Visual floaters - flashes of light - curtain vision






33. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






34. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






35. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






36. Portal hypotension + albuminemia= Ascites.






37. 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.






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






39. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






40. 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!






41. For Meningitis check for Kernig's/ Brudzinski's signs.






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






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






44. Femur or lower leg instability






45. 1 T(tablespoon)= 3 t = 15 ml






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






47. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






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






49. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






50. (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.