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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. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






2. Bananas - potatoes - citrus fruits






3. Charcot's Triad (IAN)






4. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






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






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






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






8. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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9. Wheezing on EXPIRATION






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






11. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






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






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






14. Petechiae or + Herman's sign






15. Confirms multiple myeloma






16. Reduced size and force of urine






17. No meat and milk together






18. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






19. (severe acute resp syndrome) airborne + contact (just like varicella)






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






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






22. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






23. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






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






25. 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 -






26. Pumonary tuberculosis






27. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






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






29. Low residue diet means low fiver






30. Knee immobility






31. Place the apparatus first then place the weight (der)






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






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






34. 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






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






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






37. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






38. Lymes is found mostly in Conneticuts






39. 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






40. Protruding tongue






41. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






42. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






43. Rebound tenderness






44. Trousseau and Tchovoski signs observed in hypocalcemia






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






46. Machine like murmur






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






48. 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).






49. 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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50. 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