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






2. 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.






3. 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






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






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






6. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






7. Portal hypotension + albuminemia= Ascites.






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. Glucose






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






11. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






12. Salty skin






13. Place in prone position






14. Gonorrhea is a reportable disease






15. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






16. Visual floaters - flashes of light - curtain vision






17. Questions about a halo Remember safety first - have a screwdriver nearby.






18. 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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19. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






20. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






21. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






22. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






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






24. Normal in CHF from the squishin'.. Not normal in an MI patient






25. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






26. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






27. Upper part of the uterus






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






29. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






30. Place a wheelchair parallel to the bed on the side of weakness






31. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






32. 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.






33. Descending muscle weakness






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






35. Hydration is a big priority!






36. Charcot's Triad (IAN)






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






38. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






39. Reduced size and force of urine






40. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






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






42. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






43. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






44. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






46. 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.






47. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






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






49. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






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