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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 positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






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






3. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






4. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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






6. Bananas - potatoes - citrus fruits






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






8. Skeletal or skin






9. Trousseau and Tchovoski signs observed in hypocalcemia






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






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






12. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






13. Battles Sign and Racoon's eyes






14. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






15. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






16. Co2 causes vasoconstriction.






17. Olive like mass






18. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






19. 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.






20. 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).






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






22. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






23. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






24. 1 cup= 8 oz






25. 7 - 10ml / kg






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






27. Renal impairment: serum creatinine elevated and urine clearance decreased






28. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






29. Femur or lower leg instability






30. Age 4 to 5 yrs child needs DPT/MMR/OPV






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






32. 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.






33. Level of consciousness is the most important assessment parameter with status epilepticus.






34. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






35. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






36. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






37. A newly diagnosed hypertension patient should have BP assessed in both arms






38. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






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






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






41. Toes curl= GREAT Toes fan = BAD






42. Cultures






43. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






44. Pumonary tuberculosis






45. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






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. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






48. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






49. Lie flat with legs elevated






50. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot