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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. Peptic ulcer






2. 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






3. Rusty sputum






4. Glucose






5. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






6. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






7. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






8. Battles Sign and Racoon's eyes






9. Expiratory grunt -- Causes Infant respiratory distress!






10. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






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






12. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






13. Flapping tremors






14. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






15. The MMR vaccine is given SQ not IM.






16. Bossing Sign (prominent forehead)






17. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






18. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






19. 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.






20. 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






21. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






22. Handle any blood






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






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






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






26. 2.2






27. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






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






30. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






31. Ottorhea






32. Glomerulonephritis: take vs q 4 hrs + daily weights






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






34. Portal hypotension + albuminemia= Ascites.






35. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






36. After a hydrocele repair provide ice bags and scrotal support.






37. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






38. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






39. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






40. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






41. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






42. Bull's eye rash

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43. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






44. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






45. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






46. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






48. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






49. Side lying






50. Do Not delegate what you can EAT! E - evaluate A - assess T - teach