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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. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






2. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






3. The MMR vaccine is given SQ not IM.






4. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






5. Lymes is found mostly in Conneticuts






6. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






7. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






9. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






10. Vertigo - Tinnitus

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






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






13. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






14. Most spinal cord injuries are at the cervical or lumbar regions






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






16. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






17. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






18. 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.






19. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






20. Handle any blood






21. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






22. 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






23. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






24. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






25. Mothers receive rhogam to protect next baby.






26. Kussmauls breathing (deep rapid RR)






27. Children <3yoa - <35 lbs with femur fx

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






29. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






30. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






31. Upper part of the uterus






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






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






34. Hydration is a big priority!






35. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






36. Trousseau and Tchovoski signs observed in hypocalcemia






37. Strawberry tongue






38. Bronze like skin pigmentation






39. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






40. 1 pint= 2 cups






41. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






42. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






43. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






44. 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






45. Stepladder like fever with chills






46. Increased temp - pulse and HTN






47. - 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






48. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






49. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






50. Skin to skin contact on mom with a blanket







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Can you answer 50 questions in 15 minutes?


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