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






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






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






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






5. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






7. Glaucoma patients lose peripheral vision. Treated with meds






8. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






9. Expiratory grunt -- Causes Infant respiratory distress!






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






11. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






12. ** IVP requires bowel prep so they can visualize the bladder better






13. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






14. Portal hypotension + albuminemia= Ascites.






15. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






16. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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






18. 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






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






20. 1 gr (grain)= 60 mg






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






22. The biggest concern with cold stress and the newborn is respiratory distress.






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






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






25. Another c section with any more kids






26. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






27. Broncospasm (anaphylaxis)






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






29. 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.






30. 1 t (teaspoon)= 5 ml






31. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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32. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






33. 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.






34. Visual floaters - flashes of light - curtain vision






35. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






36. On bedrest while implant in place






37. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






39. Strawberry tongue






40. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






41. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






43. One pound equals 16 0z






44. Bronze like skin pigmentation






45. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






46. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






47. ICP (intracranial pressure) should be <2. measure head circonference.






48. B/c of low platelets






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






Can you answer 50 questions in 15 minutes?



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