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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. Confirms multiple myeloma






2. 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.






3. 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.






4. Skeletal or skin






5. 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






6. Vertigo - Tinnitus

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7. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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






9. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






10. Ascending muscle paralysis.. dont confuse with MG






11. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






12. Petechiae. Treated with heparin.






13. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






14. A






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






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






17. Place in prone position






18. Elevate HOB 30 degrees to decrease intracranial pressure






19. 3 -4 -6






20. Cultures






21. Respiratory problems!






22. (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)






23. 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.






24. 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.






25. Vastus lateralis is IM administration site for 6month infants 






26. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






27. Rice watery stool






28. Vesicular rash (central to distal) dew drop on rose petal






29. 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.






30. 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!






31. Area of detachment should be in the dependent position -- dependent meaning supported by something






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

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33. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






34. A LATE sign! Always~!






35. Pain is usually the highest priority with RA






36. Brain problems occur






37. Femur or lower leg instability






38. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






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






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






41. Position on the RIGHT side with legs flexed






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






43. 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!






44. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






45. Burning on urination






46. Increased temp - pulse and HTN






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






48. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






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






50. Psuedo membrane formation