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






2. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






4. CHRONIC pain






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






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






7. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






9. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






10. 1 pint= 2 cups






11. Chemo - radiation - surgery - allow to die with dignity.






12. EleVate Veins; dAngle Arteries for better perfusion






13. Coarse facial features






14. 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.






15. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






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






17. Bananas - potatoes - citrus fruits






18. Petechiae or + Herman's sign






19. Kopliks spots






20. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






21. Flapping tremors






22. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






23. Bossing Sign (prominent forehead)






24. Painless hematuria... CA=Cancer ! Duhh






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






26. ICP (intracranial pressure) should be <2. measure head circonference.






27. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






28. Inspiratory stridor.. LTB = croup!!!!






29. Glomerulonephritis: take vs q 4 hrs + daily weights






30. 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






31. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






32. 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






33. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






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






35. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






36. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






37. Mothers receive rhogam to protect next baby.






38. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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






40. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






41. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






42. After endoscopy check gag reflex.






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






44. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






45. Weight






46. Machine like murmur






47. Children <3yoa - <35 lbs with femur fx

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48. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






49. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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