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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. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






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






3. 1 T(tablespoon)= 3 t = 15 ml






4. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






5. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






6. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






7. Pilling rolling tremors






8. 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






9. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






10. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






11. After a hydrocele repair provide ice bags and scrotal support.






12. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






13. 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






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






15. Cultures






16. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






17. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






18. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






19. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






21. For knee replacement use continuous passive motion machine.






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






23. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






24. 1 pint= 2 cups






25. 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






26. 1 gr (grain)= 60 mg






27. Renal impairment: serum creatinine elevated and urine clearance decreased






28. 30 ml = 1 oz






29. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






30. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






31. Expiratory grunt -- Causes Infant respiratory distress!






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






33. Reduced size and force of urine






34. Rhematic fever






35. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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36. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






37. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






39. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






40. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






41. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






42. Vastus lateralis is IM administration site for 6month infants 






43. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






44. Liver - brain - lung - bone - and lymph






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






46. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






47. After endoscopy check gag reflex.






48. 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






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






50. Opposites! Nursing connection! Think about it!