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






2. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






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






4. No nasotracheal suctioning with head injury or skull fracture.






5. Always check lead posioning levels






6. Trachea shifts to the opposite side






7. Rhematic fever






8. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






9. Lymes is found mostly in Conneticuts






10. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






12. 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






13. Petechiae or + Herman's sign






14. A newly diagnosed hypertension patient should have BP assessed in both arms






15. Bananas - potatoes - citrus fruits






16. Expiratory grunt -- Causes Infant respiratory distress!






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






18. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






19. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






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






21. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






22. Increased temp - pulse and HTN






23. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






24. Position on the RIGHT side with legs flexed






25. Red beefy tongue






26. 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






27. Chest tubes are placed in the pleural space.






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






29. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






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






31. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






32. Skeletal or skin






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






34. 3 D'S -- Drooling - Dysphonia - Dysphagia






35. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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






37. 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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38. Dystocia= baby cannot make it down to canal






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






40. Machine like murmur






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






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






43. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






44. CATS - convulsions - arrhythmias - tetany - spasms and stridor






45. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






46. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






47. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






48. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






49. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






50. Hypotension and bradypnea / bradycardia are major risks and emergencies.







Sorry!:) No result found.

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