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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. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






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






3. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






4. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






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






6. 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.






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






8. 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






9. 3 -4 -6






10. MRI- claustrophobia - no metal - assess pacemaker






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






12. 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!






13. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






14. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






15. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






17. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


18. One pound equals 16 0z






19. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






20. Rebound tenderness






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






22. Knee immobility






23. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






24. 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.






25. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






26. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






27. Renal impairment: serum creatinine elevated and urine clearance decreased






28. ICP (intracranial pressure) should be <2. measure head circonference.






29. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






30. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






31. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






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






33. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






34. No meat and milk together






35. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






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






37. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






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






39. It is X- linked. Mother passes the disease to her son






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






41. OAmniotic fluid yellow with particles = meconium stained`






42. Knee - chest position or Trendelenburg






43. Rice watery stool






44. Normal in CHF from the squishin'.. Not normal in an MI patient






45. Petechiae or + Herman's sign






46. Inspiratory stridor.. LTB = croup!!!!






47. Cultures






48. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






49. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






50. Purple bruises around the belly button... Pancreatitis!