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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. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






2. Petechiae. Treated with heparin.






3. 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






4. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






5. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






6. 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






7. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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8. Increased temp - pulse and HTN






9. 1 t (teaspoon)= 5 ml






10. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






11. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






12. 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






13. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






14. Low residue diet means low fiver






15. ** IVP requires bowel prep so they can visualize the bladder better






16. 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. ...






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






18. Pilling rolling tremors






19. 30 ml = 1 oz






20. Descending muscle weakness






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






24. Private Room or cohort mask






25. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






26. Position on the RIGHT side with legs flexed






27. Dystocia= baby cannot make it down to canal






28. Protruding tongue






29. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






30. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






31. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






32. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






33. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






34. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






35. TPN(total parenteral nutrition) given in subclavian line.






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






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






38. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






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






40. CHRONIC pain






41. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






42. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






43. Coarse facial features






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






45. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






46. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






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






49. Knee immobility






50. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.