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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. Handle any blood






2. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






4. Rice watery stool






5. 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.






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






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






8. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






9. 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






10. 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).






11. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






12. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






13. 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. ...






14. Brain problems occur






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






16. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






17. Bethamethasone (celestone)=surfactant. Med for lung expansion.






18. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






19. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






20. Systematic desensitization






21. Knee - chest position or Trendelenburg






22. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






23. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






24. Glucose






25. Charcot's Triad (IAN)






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






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






28. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






29. Red beefy tongue






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






31. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






32. Side lying






33. A newly diagnosed hypertension patient should have BP assessed in both arms






34. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






35. Skin to skin contact on mom with a blanket






36. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






37. Butterfly rashes






38. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






39. Uremic fetor --> smell urine on the breath






40. 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.






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






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






43. Most spinal cord injuries are at the cervical or lumbar regions






44. 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






45. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






46. Burning on urination






47. 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






48. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






49. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






50. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves







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