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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. Inspiratory stridor.. LTB = croup!!!!






2. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






3. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






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






5. 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.






6. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






7. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






8. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






9. Flapping tremors






10. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






11. Ottorhea






12. B/c of low platelets






13. 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.






14. EleVate Veins; dAngle Arteries for better perfusion






15. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






16. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






17. Seizure>






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






19. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






20. Reduced size and force of urine






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






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






23. 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






24. 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






25. Mothers receive rhogam to protect next baby.






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






27. 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.






28. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






29. Coarse facial features






30. Pilling rolling tremors






31. Hodgkin's disease= cancer of lymph is very curable in early stage.






32. Always check lead posioning levels






33. 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.






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






35. One pound equals 16 0z






36. 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.






37. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






38. 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






39. 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.






40. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






42. CSF in meningitis will have high protein - and low glucose.






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






44. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






45. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






46. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






47. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






48. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






49. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






50. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds