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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. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis


2. No meat and milk together






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






4. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






5. ** IVP requires bowel prep so they can visualize the bladder better






6. Rusty sputum






7. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






8. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






9. An occulsive dressing is used






10. Vesicular rash (central to distal) dew drop on rose petal






11. Another c section with any more kids






12. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






13. Allergic to eggs (Tristan D. ) !






14. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






15. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






16. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






17. Age 4 to 5 yrs child needs DPT/MMR/OPV






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






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


20. HYPERtension TACHYpnea and TACHYcardia






21. 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.






22. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






23. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






24. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






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






26. Butterfly rashes






27. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






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






29. 1 gram = 1000 mg






30. Portal hypotension + albuminemia= Ascites.






31. Handle any blood






32. Lioning face






33. Cat's eye reflex (grayish discoloration of the pupil)






34. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






35. 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






36. Ascending muscle paralysis.. dont confuse with MG






37. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






38. With low back aches - bend knees to relieve






39. Small frequent is better than large






40. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






41. 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






42. Swimming






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






44. Rose spots on abdomen






45. 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






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






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






48. 1 pint= 2 cups






49. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






50. Bronze like skin pigmentation