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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. Risus Sardonicus






2. Nurses First action is to listen to fetal rate/tone






3. 30 ml = 1 oz






4. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






5. (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)






6. 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.






7. 7 - 10ml / kg






8. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






9. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






10. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






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






12. Petechiae or + Herman's sign






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






14. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






15. An occulsive dressing is used






16. 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






17. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






18. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






19. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






20. Dystocia= baby cannot make it down to canal






21. OAmniotic fluid yellow with particles = meconium stained`






22. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






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






24. If HR is <100 do not give dig to children.






25. Co2 causes vasoconstriction.






26. Vertigo - Tinnitus


27. 3 -4 -6






28. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






29. 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






30. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






31. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






32. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






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






34. Low residue diet means low fiver






35. Salty skin






36. Pain is usually the highest priority with RA






37. Skin to skin contact on mom with a blanket






38. 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






39. Peptic ulcer






40. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






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






42. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






43. Barrel chest






44. Glaucoma patients lose peripheral vision. Treated with meds






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






46. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






47. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






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






49. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






50. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.