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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. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






2. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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3. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






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






5. After a hydrocele repair provide ice bags and scrotal support.






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






7. 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






8. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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9. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






10. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






11. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






12. Rebound tenderness






13. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






15. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






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






17. Lymes is found mostly in Conneticuts






18. 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!






19. Knee - chest position or Trendelenburg






20. Recurrent bloody diarrhea






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






22. 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. ...






23. Pain is usually the highest priority with RA






24. Broncospasm (anaphylaxis)






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






26. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






27. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






28. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






29. If patients have hallucinations redirect them. In delusions distract them.






30. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






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






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






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






34. (incision at nape of neck)--> position pt flat and lateral on either side.






35. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






36. CVA (cerebrovascular accident) is with dead brain tissue.






37. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






38. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






39. Peptic ulcer






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






41. Risus Sardonicus






42. 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.






43. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






44. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






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






46. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






47. 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






48. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






49. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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50. 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.