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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. No meat and milk together






2. 2.2






3. 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.






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






5. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






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






7. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






8. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






9. 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.






10. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






11. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






12. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






13. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






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






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






16. Knee - chest position or Trendelenburg






17. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






18. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






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






20. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






21. Allergic to eggs (Tristan D. ) !






22. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






23. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






24. Never release traction unless you have an order from an MD to do so






25. EleVate Veins; dAngle Arteries for better perfusion






26. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






27. Machine like murmur






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






29. Always check lead posioning levels






30. For Meningitis check for Kernig's/ Brudzinski's signs.






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






32. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






33. 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






34. Ottorhea






35. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






36. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






37. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






38. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






39. Tet spells treated with morphine.






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






41. 3 D'S -- Drooling - Dysphonia - Dysphagia






42. CVA (cerebrovascular accident) is with dead brain tissue.






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






44. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






45. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






46. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






47. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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48. Intercostal retractions=bad!






49. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






50. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.







Sorry!:) No result found.

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