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






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






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






4. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






5. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






6. 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






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






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






9. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






10. 1 T(tablespoon)= 3 t = 15 ml






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






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






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






14. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






15. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






16. OAmniotic fluid yellow with particles = meconium stained`






17. Confirms multiple myeloma






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






19. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






20. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






21. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






22. On bedrest while implant in place






23. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






24. Knee immobility






25. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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26. Butterfly rashes






27. CHRONIC pain






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






29. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






30. 7 - 10ml / kg






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






32. Reduced size and force of urine






33. Birth weight doubles by 6 month and triple by 1 year of age.






34. Chemo - radiation - surgery - allow to die with dignity.






35. If patients have hallucinations redirect them. In delusions distract them.






36. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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37. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






38. Lymes is found mostly in Conneticuts






39. 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






40. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






41. 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!






42. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






43. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






44. Flapping tremors






45. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






46. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






47. Glomerulonephritis: take vs q 4 hrs + daily weights






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






49. Bananas - potatoes - citrus fruits






50. Always check lead posioning levels