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






2. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






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






4. 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.


5. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






6. A






7. HYPERtension TACHYpnea and TACHYcardia






8. 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)






9. Upper part of the uterus






10. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






11. Ottorhea






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






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






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






15. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






16. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






17. (incision at nape of neck)--> position pt flat and lateral on either side.






18. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






19. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






20. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






21. Recurrent bloody diarrhea






22. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






23. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






24. Liver - brain - lung - bone - and lymph






25. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






26. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






27. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






28. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






29. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






30. Lioning face






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






32. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






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






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






35. 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.






36. Tet spells treated with morphine.






37. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






38. Seizure>






39. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






40. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






41. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V


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






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






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


45. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






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






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






48. It is X- linked. Mother passes the disease to her son






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






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