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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. 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






2. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






3. Lioning face






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






5. (severe acute resp syndrome) airborne + contact (just like varicella)






6. Respiratory problems!






7. If HR is <100 do not give dig to children.






8. It is X- linked. Mother passes the disease to her son






9. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






10. PainLESS vision loss - opacity of lens - blurring of the vision






11. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






12. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






13. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






14. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






15. Level of consciousness is the most important assessment parameter with status epilepticus.






16. An occulsive dressing is used






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






18. 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!






19. Opposites! Nursing connection! Think about it!






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






21. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






22. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






23. Trachea shifts to the opposite side






24. Dystocia= baby cannot make it down to canal






25. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






26. 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






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






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






29. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






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






31. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






32. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






33. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






34. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






35. B/c of low platelets






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






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






38. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






39. Chvostek and Trosseaus sign! Also hypomag!






40. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






41. 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.






42. 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.






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






44. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






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






46. Red beefy tongue






47. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






48. Just know the MMR and Varicella immunizations come later (15 months).






49. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






50. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.