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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. Low residue diet means low fiver






2. Femur or lower leg instability






3. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






4. 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 -






5. Rice watery stool






6. 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!






7. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






8. 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.






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






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






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






12. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






13. For Meningitis check for Kernig's/ Brudzinski's signs.






14. 1 pint= 2 cups






15. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






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






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






18. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






19. B/c of low platelets






20. Vertigo - Tinnitus


21. Descending muscle weakness






22. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






23. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






24. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






25. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






26. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






27. Position on the RIGHT side with legs flexed






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






29. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






30. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






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






32. Wheezing on EXPIRATION






33. Salty skin






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






35. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






36. 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






37. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






38. Protruding tongue






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


40. 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






41. Machine like murmur






42. For knee replacement use continuous passive motion machine.






43. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






44. Hydration is a big priority!






45. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






46. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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






48. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






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






50. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)