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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. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






2. A






3. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






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






5. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






6. (incision behind hairline) --> elevate HOB 30-45 degrees






7. Its important to be aware of the lab result for prothrombin time






8. Systematic desensitization






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






10. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






11. Rice watery stool






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






13. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






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






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






16. 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






17. Petechiae. Treated with heparin.






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






19. Bull's eye rash

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20. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






21. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






22. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






23. 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.






24. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






25. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






26. Side lying






27. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






28. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






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






30. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






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






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






33. In a five -year old breathe once for every 5 compressions doing cpr.






34. Systemic Lupus Ethramoutus.... (Lupus)






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






36. Hydration is a big priority!






37. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






38. 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)






39. Questions about a halo Remember safety first - have a screwdriver nearby.






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






41. Confirms multiple myeloma






42. Ottorhea






43. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






44. Skeletal or skin






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






46. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






47. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






48. 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






49. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






50. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.