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






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






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






4. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






5. Stepladder like fever with chills






6. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






7. Lie flat with legs elevated






8. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






9. (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)






10. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






11. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






12. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






13. Lymes is found mostly in Conneticuts






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






15. Second voided urine most accurate when testing for ketones and glucose.






16. Recurrent bloody diarrhea






17. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






18. Pulse area cpr on infant






19. After endoscopy check gag reflex.






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






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






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


23. 1 gram = 1000 mg






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






25. Children <3yoa - <35 lbs with femur fx


26. Position prone (on abdomen) so that sac does not rupture






27. Slowed physical and mental function - sensitivity to cold - dry skin and hair






28. Kussmauls breathing (deep rapid RR)






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






30. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






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






32. Upper part of the uterus






33. Small frequent is better than large






34. 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






35. Private Room or cohort mask






36. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






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






39. Intercostal retractions=bad!






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






41. Absence of menstruation leads to osteoporosis in the anorexic.






42. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






43. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






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






45. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.


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






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






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






49. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






50. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go