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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. Ambient air (room air) contains 21 % o2






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






3. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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4. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






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






6. Confirms multiple myeloma






7. 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.






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






9. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






10. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






11. Glaucoma patients lose peripheral vision. Treated with meds






12. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






13. Broncospasm (anaphylaxis)






14. Descending muscle weakness






15. Side lying






16. 30 ml = 1 oz






17. No nasotracheal suctioning with head injury or skull fracture.






18. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






19. 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.






20. Brain problems occur






21. 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.






22. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






23. Hypotension and bradypnea / bradycardia are major risks and emergencies.






24. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






25. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






26. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






27. HYPERtension TACHYpnea and TACHYcardia






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






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






30. (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)






31. (incision at nape of neck)--> position pt flat and lateral on either side.






32. Barrel chest






33. Another c section with any more kids






34. Knee - chest position or Trendelenburg






35. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






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






37. 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.






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






39. An occulsive dressing is used






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






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






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






43. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






44. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






45. Bull's eye rash

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






47. Increased temp - pulse and HTN






48. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






49. 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






50. 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. ...