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






2. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






3. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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






5. Kussmauls breathing (deep rapid RR)






6. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






8. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






9. Charcot's Triad (IAN)






10. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






11. Vastus lateralis is IM administration site for 6month infants 






12. Risus Sardonicus






13. 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!






14. MRI- claustrophobia - no metal - assess pacemaker






15. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






16. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






17. Glucose






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






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






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






21. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






22. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






23. Painless hematuria... CA=Cancer ! Duhh






24. 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).






25. Sausage shaped mass - Dance sign (empty portion of RLQ)






26. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






27. Knee immobility






28. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.


29. With low back aches - bend knees to relieve






30. Femur or lower leg instability






31. Coarse facial features






32. No nasotracheal suctioning with head injury or skull fracture.






33. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






34. Hypotension and bradypnea / bradycardia are major risks and emergencies.






35. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






36. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






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






38. 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






39. 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.






40. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






41. 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.






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






43. 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)






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






45. Knee - chest position or Trendelenburg






46. Upper part of the uterus






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






48. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






49. 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. ...






50. Pilling rolling tremors