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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. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






2. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






3. HYPERtension TACHYpnea and TACHYcardia






4. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






5. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






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






7. Confirms multiple myeloma






8. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






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






10. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






11. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






12. Rebound tenderness






13. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






14. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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15. Sausage shaped mass - Dance sign (empty portion of RLQ)






16. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






17. Glaucoma patients lose peripheral vision. Treated with meds






18. Bossing Sign (prominent forehead)






19. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






20. **If kid has cold - can still give immunizations






21. Beta cells of pancreas produce insulin






22. Never release traction unless you have an order from an MD to do so






23. Battles Sign and Racoon's eyes






24. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






25. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






26. With low back aches - bend knees to relieve






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






28. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






29. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






30. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






31. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






32. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






33. Broncospasm (anaphylaxis)






34. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






35. TPN(total parenteral nutrition) given in subclavian line.






36. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






37. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






38. For knee replacement use continuous passive motion machine.






39. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






40. Rhematic fever






41. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






42. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






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






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






45. 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%-






46. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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47. Handle any blood






48. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






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






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







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