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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. EleVate Veins; dAngle Arteries for better perfusion






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






4. Irritable - and poor sucking






5. Alk Ash diet - milk - veggies - rhubarb - salmon






6. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






7. For knee replacement use continuous passive motion machine.






8. MRI- claustrophobia - no metal - assess pacemaker






9. Bull's eye rash

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10. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






11. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






12. Chest tubes are placed in the pleural space.






13. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






14. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






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






16. 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






17. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






18. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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19. CHRONIC pain






20. Swimming






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






22. Broncospasm (anaphylaxis)






23. Elevate HOB 30 degrees to decrease intracranial pressure






24. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






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






27. If patients have hallucinations redirect them. In delusions distract them.






28. PainLESS vision loss - opacity of lens - blurring of the vision






29. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






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






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






32. Kopliks spots






33. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






34. 2.2






35. 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






36. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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37. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






38. Opposites! Nursing connection! Think about it!






39. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






40. Bossing Sign (prominent forehead)






41. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






42. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






43. Chemo - radiation - surgery - allow to die with dignity.






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






45. B/c of low platelets






46. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






47. Barrel chest






48. In a five -year old breathe once for every 5 compressions doing cpr.






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






50. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.