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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. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






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






4. 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






5. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






6. Broncospasm (anaphylaxis)






7. It is X- linked. Mother passes the disease to her son






8. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






9. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






10. Reduced size and force of urine






11. Yogurt has live cultures - dont give to immunosuppressed pt

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






13. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






14. 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.






15. With low back aches - bend knees to relieve






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






17. 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






18. Burning on urination






19. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






20. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






21. Wheezing on EXPIRATION






22. Stepladder like fever with chills






23. Low residue diet means low fiver






24. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






25. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






26. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






27. 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






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






29. Hallmark= Sore throat - cervical lymph adenopathy - fever






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






31. 1 gr (grain)= 60 mg






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






33. Toes curl= GREAT Toes fan = BAD






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






35. The MMR vaccine is given SQ not IM.






36. Bossing Sign (prominent forehead)






37. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






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






39. One pound equals 16 0z






40. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






41. Irritable - and poor sucking






42. Place the apparatus first then place the weight (der)






43. Trousseau and Tchovoski signs observed in hypocalcemia






44. Position pt in left side - lying (Sim's) with knee flexed






45. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






46. Mothers receive rhogam to protect next baby.






47. Kussmauls breathing (deep rapid RR)






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






49. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






50. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.