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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. 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






2. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






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






4. Machine like murmur






5. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






6. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






7. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






8. Rice watery stool






9. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






10. Bull's eye rash

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11. Mothers receive rhogam to protect next baby.






12. Barrel chest






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






14. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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

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16. (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)






17. Confirms multiple myeloma






18. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






19. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






20. Salty skin






21. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






22. Irritable - and poor sucking






23. Recurrent bloody diarrhea






24. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






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






26. 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.






27. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






28. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






29. Private Room or cohort mask






30. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






31. Gonorrhea is a reportable disease






32. 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.






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






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






35. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






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






37. CVA (cerebrovascular accident) is with dead brain tissue.






38. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






39. Kopliks spots






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






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






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






43. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






44. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






45. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






46. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






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






48. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






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






50. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.







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Can you answer 50 questions in 15 minutes?


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