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






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






3. Hallmark= Sore throat - cervical lymph adenopathy - fever






4. - 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






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






6. An occulsive dressing is used






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






8. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






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






10. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






12. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






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






14. Ottorhea






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


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






17. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






18. Hodgkin's disease= cancer of lymph is very curable in early stage.






19. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






20. 1 gr (grain)= 60 mg






21. Chvostek and Trosseaus sign! Also hypomag!






22. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






23. For knee replacement use continuous passive motion machine.






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






25. CHRONIC pain






26. Lymes is found mostly in Conneticuts






27. Always check lead posioning levels






28. 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






29. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






30. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






31. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






32. 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






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






34. Strawberry tongue






35. Trachea shifts to the opposite side






36. (severe acute resp syndrome) airborne + contact (just like varicella)






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


38. Osession is to thought. Compulsion is to action






39. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






40. Portal hypotension + albuminemia= Ascites.






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






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






44. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






45. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






46. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






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






48. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






49. Wheezing on EXPIRATION






50. For Meningitis check for Kernig's/ Brudzinski's signs.