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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. (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.






2. Cultures






3. Position prone (on abdomen) so that sac does not rupture






4. Charcot's Triad (IAN)






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






6. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






7. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






8. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






9. Upper part of the uterus






10. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






11. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






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






13. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






14. Skeletal or skin






15. Elevate HOB 30 degrees to decrease intracranial pressure






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






17. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






18. TIA (transient ischemic attack) mini stroke with no dead brain tissue






19. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






20. Low magnesium and high creatinine signal renal failure.






21. Ambient air (room air) contains 21 % o2






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






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






24. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






25. Second voided urine most accurate when testing for ketones and glucose.






26. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






27. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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






29. Vertigo - Tinnitus

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30. Hydration is a big priority!






31. Chest tubes are placed in the pleural space.






32. Absence of menstruation leads to osteoporosis in the anorexic.






33. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






34. Stepladder like fever with chills






35. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






36. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






37. No meat and milk together






38. Olive like mass






39. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






40. 1 T(tablespoon)= 3 t = 15 ml






41. Strawberry tongue






42. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






43. The MMR vaccine is given SQ not IM.






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






45. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






46. Peptic ulcer






47. B/c of low platelets






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






49. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






50. 1 t (teaspoon)= 5 ml