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






2. CVA (cerebrovascular accident) is with dead brain tissue.






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






4. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






5. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






6. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






7. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






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






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






10. 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.






11. Uremic fetor --> smell urine on the breath






12. Respiratory problems!






13. 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.






14. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






15. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






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






17. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






19. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






20. Just know the MMR and Varicella immunizations come later (15 months).






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






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






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






24. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






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

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26. 1 T(tablespoon)= 3 t = 15 ml






27. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






28. Med administration is rarely a good choice






29. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






30. Low residue diet means low fiver






31. 1 cup= 8 oz






32. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






33. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






34. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






35. Pain is usually the highest priority with RA






36. Recurrent bloody diarrhea






37. CHRONIC pain






38. The MMR vaccine is given SQ not IM.






39. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






40. 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.






41. Toes curl= GREAT Toes fan = BAD






42. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






43. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






44. Broncospasm (anaphylaxis)






45. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






46. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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47. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






48. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






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






50. Hallmark= Sore throat - cervical lymph adenopathy - fever