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






2. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






3. Place a wheelchair parallel to the bed on the side of weakness






4. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






5. For knee replacement use continuous passive motion machine.






6. CATS - convulsions - arrhythmias - tetany - spasms and stridor






7. 7 - 10ml / kg






8. Chvostek and Trosseaus sign! Also hypomag!






9. 2.2






10. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






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






12. Strawberry tongue






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






14. Toes curl= GREAT Toes fan = BAD






15. 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






16. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






17. 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






18. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






19. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






20. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






21. Upper part of the uterus






22. Skeletal or skin






23. Systemic Lupus Ethramoutus.... (Lupus)






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






25. Red beefy tongue






26. 1 quart = 2 pints






27. Rose spots on abdomen






28. Visual floaters - flashes of light - curtain vision






29. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






30. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






31. 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. ...






32. 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.






33. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






34. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






35. Battles Sign and Racoon's eyes






36. Ascending muscle paralysis.. dont confuse with MG






37. 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






38. Knee immobility






39. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






41. 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.






42. Moon face appearance and buffalo hump






43. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






44. 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.






45. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






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






47. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






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






49. 1 cup= 8 oz






50. Irritable - and poor sucking