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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. 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.






2. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






3. 7 - 10ml / kg






4. *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


5. 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.






6. Nurses First action is to listen to fetal rate/tone






7. 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






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


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






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






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






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






13. 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.






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






15. Rice watery stool






16. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






17. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






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






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






20. Battles Sign and Racoon's eyes






21. Hallmark= Sore throat - cervical lymph adenopathy - fever






22. Second voided urine most accurate when testing for ketones and glucose.






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






24. 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 -






25. Skeletal or skin






26. 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!






27. Systemic Lupus Ethramoutus.... (Lupus)






28. After endoscopy check gag reflex.






29. Protruding tongue






30. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






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






32. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






33. Descending muscle weakness






34. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






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






36. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






37. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






38. Psuedo membrane formation






39. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






40. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






41. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






42. Glaucoma patients lose peripheral vision. Treated with meds






43. Liver - brain - lung - bone - and lymph






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






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






46. Toes curl= GREAT Toes fan = BAD






47. Rebound tenderness






48. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






49. 1 quart = 2 pints






50. 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.