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






2. Patent ductuous arteriousus in infants! Valve doesn't close!






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






4. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






6. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






7. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






8. ICP (intracranial pressure) should be <2. measure head circonference.






9. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






10. Wheezing on EXPIRATION






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






12. Yogurt has live cultures - dont give to immunosuppressed pt


13. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






14. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






15. 1 pint= 2 cups






16. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






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






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






19. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






20. 1 T(tablespoon)= 3 t = 15 ml






21. Small frequent is better than large






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






23. Descending muscle weakness






24. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






25. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






26. 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






27. Always check lead posioning levels






28. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






29. Trachea shifts to the opposite side






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






31. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






32. 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






33. Butterfly rashes






34. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






35. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






36. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






37. Bossing Sign (prominent forehead)






38. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






39. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






40. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






41. (incision behind hairline) --> elevate HOB 30-45 degrees






42. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






43. Handle any blood






44. Med administration is rarely a good choice






45. Painless hematuria... CA=Cancer ! Duhh






46. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






47. Skin to skin contact on mom with a blanket






48. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






49. CSF in meningitis will have high protein - and low glucose.






50. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.