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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. Chest tubes are placed in the pleural space.






2. Always check lead posioning levels






3. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






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

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5. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






6. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






7. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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






9. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






10. Charcot's Triad (IAN)






11. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






12. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






13. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






14. 1 T(tablespoon)= 3 t = 15 ml






15. Position pt in left side - lying (Sim's) with knee flexed






16. Systemic Lupus Ethramoutus.... (Lupus)






17. Glaucoma patients lose peripheral vision. Treated with meds






18. Kopliks spots






19. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






20. Age 4 to 5 yrs child needs DPT/MMR/OPV






21. 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!






22. 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






23. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






24. 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.






25. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






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






27. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






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






29. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






30. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






31. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






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






33. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






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






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






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






37. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






38. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






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






40. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






41. Med administration is rarely a good choice






42. Hypotension and vasoconstricting meds






43. 1 pint= 2 cups






44. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






46. 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






47. Low or semi - Fowler's - support head - neck and shoulders.






48. 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






49. 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






50. Low residue diet means low fiver