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






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. 7 - 10ml / kg






4. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






5. Trachea shifts to the opposite side






6. 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. ...






7. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






8. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






9. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






10. Expiratory grunt -- Causes Infant respiratory distress!






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






12. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






13. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






14. Strawberry tongue






15. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






16. A laxative is given the night before an IVP in order to better visualize the organs.






17. HYPERtension TACHYpnea and TACHYcardia






18. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






19. Rhematic fever






20. Coarse facial features






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






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






23. Machine like murmur






24. 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.






25. Petechiae or + Herman's sign






26. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






27. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






28. (skin traction) --> elevate foot of bed for counter - traction

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






30. Its important to be aware of the lab result for prothrombin time






31. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






32. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






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

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34. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






35. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






36. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






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






38. Knee - chest position or Trendelenburg






39. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






40. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






41. Descending muscle weakness






42. Small frequent is better than large






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






44. 1 pint= 2 cups






45. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






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






47. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






48. Mothers receive rhogam to protect next baby.






49. 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






50. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc