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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. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






2. Skeletal or skin






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






4. Expiratory grunt -- Causes Infant respiratory distress!






5. Ottorhea






6. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






7. 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.






8. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






9. Ambient air (room air) contains 21 % o2






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






11. Salty skin






12. Bananas - potatoes - citrus fruits






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






14. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






15. 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






16. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






17. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






18. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






19. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






20. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






21. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






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






23. Cultures






24. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






26. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






27. 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






28. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






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






30. Another c section with any more kids






31. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






32. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






33. Its important to be aware of the lab result for prothrombin time






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






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






36. Private Room or cohort mask






37. Med administration is rarely a good choice






38. Patent ductuous arteriousus in infants! Valve doesn't close!






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

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40. After endoscopy check gag reflex.






41. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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42. 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






43. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






44. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






45. Moon face appearance and buffalo hump






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






47. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






48. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






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






50. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)