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






2. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






3. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






4. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






5. Elevate HOB 30 degrees to decrease intracranial pressure






6. Moon face appearance and buffalo hump






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






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






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






10. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






11. An occulsive dressing is used






12. 1 gram = 1000 mg






13. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






14. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






15. Increased temp - pulse and HTN






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






17. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






18. Chvostek and Trosseaus sign! Also hypomag!






19. Med administration is rarely a good choice






20. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






21. Ascending muscle paralysis.. dont confuse with MG






22. Respiratory problems!






23. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






24. Normal in CHF from the squishin'.. Not normal in an MI patient






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






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






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






28. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






29. Mothers receive rhogam to protect next baby.






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






31. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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32. Place a wheelchair parallel to the bed on the side of weakness






33. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






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






35. Recurrent bloody diarrhea






36. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






37. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






38. Ambient air (room air) contains 21 % o2






39. Lie flat with legs elevated






40. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






41. Glucose






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






43. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






44. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






45. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






46. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






47. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






48. Kopliks spots






49. 3 -4 -6






50. Rose spots on abdomen