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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. (incision behind hairline) --> elevate HOB 30-45 degrees






2. 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.






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






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






5. One pound equals 16 0z






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






7. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






8. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






9. Pumonary tuberculosis






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






11. 7 - 10ml / kg






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






13. Toes curl= GREAT Toes fan = BAD






14. A






15. Increased temp - pulse and HTN






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






17. **If kid has cold - can still give immunizations






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






19. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






20. Slowed physical and mental function - sensitivity to cold - dry skin and hair






21. MRI- claustrophobia - no metal - assess pacemaker






22. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


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






24. 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.






25. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






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






27. Respiratory problems!






28. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






29. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






30. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






31. CATS - convulsions - arrhythmias - tetany - spasms and stridor






32. (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)






33. 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.






34. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






35. Visual floaters - flashes of light - curtain vision






36. Yogurt has live cultures - dont give to immunosuppressed pt


37. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






38. Its important to be aware of the lab result for prothrombin time






39. Strawberry tongue






40. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






41. Always check lead posioning levels






42. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






43. CHRONIC pain






44. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






46. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






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






48. Risus Sardonicus






49. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






50. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.