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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. 1 gr (grain)= 60 mg






2. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






3. Charcot's Triad (IAN)






4. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






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






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






7. Skin to skin contact on mom with a blanket






8. After endoscopy check gag reflex.






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






10. Flapping tremors






11. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






12. Sausage shaped mass - Dance sign (empty portion of RLQ)






13. 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.






14. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






15. For knee replacement use continuous passive motion machine.






16. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






17. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






18. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






19. Burning on urination






20. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






21. Opposites! Nursing connection! Think about it!






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






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






24. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






25. Alk Ash diet - milk - veggies - rhubarb - salmon






26. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






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






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






29. Rebound tenderness






30. MRI- claustrophobia - no metal - assess pacemaker






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






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






33. 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).






34. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






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






36. Knee immobility






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






38. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






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






40. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






41. 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.






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






43. If HR is <100 do not give dig to children.






44. 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.






45. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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46. 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






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






48. OAmniotic fluid yellow with particles = meconium stained`






49. Confirms multiple myeloma






50. Private Room or cohort mask