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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. Orange tag in triage is non emergent Psych






2. 7 - 10ml / kg






3. OAmniotic fluid yellow with particles = meconium stained`






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






5. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






6. Expiratory grunt -- Causes Infant respiratory distress!






7. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






8. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






10. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






11. 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






12. Elevate HOB 30 degrees to decrease intracranial pressure






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






14. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V


15. Allergic to eggs (Tristan D. ) !






16. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






17. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






18. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






19. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






20. 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






21. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






23. Ottorhea






24. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






25. ** IVP requires bowel prep so they can visualize the bladder better






26. Systematic desensitization






27. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






28. Irritable - and poor sucking






29. Flapping tremors






30. 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).






31. 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.






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






33. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






34. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






35. Trachea shifts to the opposite side






36. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






37. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






38. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






39. 3 -4 -6






40. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






41. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






42. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






43. Place a wheelchair parallel to the bed on the side of weakness






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






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






46. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






47. 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






48. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






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






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