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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. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






2. 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).






3. 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.






4. Rice watery stool






5. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






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






7. Hodgkin's disease= cancer of lymph is very curable in early stage.






8. 3 D'S -- Drooling - Dysphonia - Dysphagia






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






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






11. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






12. TPN(total parenteral nutrition) given in subclavian line.






13. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






14. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






15. For knee replacement use continuous passive motion machine.






16. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






17. Red beefy tongue






18. (severe acute resp syndrome) airborne + contact (just like varicella)






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






20. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






21. Opposites! Nursing connection! Think about it!






22. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






23. Respiratory problems!






24. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






25. 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)






26. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






27. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






28. Hypotension and vasoconstricting meds






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






30. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






31. 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






32. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






33. *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

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34. Handle any blood






35. Position pt in left side - lying (Sim's) with knee flexed






36. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






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






38. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






39. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






40. Flapping tremors






41. 1 quart = 2 pints






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






43. 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. ...






44. HYPERtension TACHYpnea and TACHYcardia






45. Rusty sputum






46. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






47. Pulse area cpr on infant






48. Beta cells of pancreas produce insulin






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






50. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA