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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. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






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






3. Weight






4. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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






6. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






8. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






9. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






10. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






11. After a hydrocele repair provide ice bags and scrotal support.






12. Petechiae. Treated with heparin.






13. Flapping tremors






14. **If kid has cold - can still give immunizations






15. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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16. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






17. Lioning face






18. Level of consciousness is the most important assessment parameter with status epilepticus.






19. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






20. Respiratory problems!






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






22. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






23. Rice watery stool






24. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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25. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






26. 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.






27. Lie flat with legs elevated






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






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






30. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






31. 1 T(tablespoon)= 3 t = 15 ml






32. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






33. Ascending muscle paralysis.. dont confuse with MG






34. Position prone (on abdomen) so that sac does not rupture






35. TIA (transient ischemic attack) mini stroke with no dead brain tissue






36. Gonorrhea is a reportable disease






37. Hypotension and bradypnea / bradycardia are major risks and emergencies.






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






39. 1 gr (grain)= 60 mg






40. 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.






41. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






42. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






43. Purple bruises around the belly button... Pancreatitis!






44. 7 - 10ml / kg






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






46. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






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






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






49. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






50. (incision at nape of neck)--> position pt flat and lateral on either side.