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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. Small frequent is better than large






2. 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






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






4. Place a wheelchair parallel to the bed on the side of weakness






5. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






6. Visual floaters - flashes of light - curtain vision






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






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






9. Skeletal or skin






10. 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.






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

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12. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






13. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






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






15. 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






16. Risus Sardonicus






17. OAmniotic fluid yellow with particles = meconium stained`






18. Barrel chest






19. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






20. Lioning face






21. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






22. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






23. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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24. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






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






27. Strawberry tongue






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






29. Beta cells of pancreas produce insulin






30. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






31. Wheezing on EXPIRATION






32. Opposites! Nursing connection! Think about it!






33. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






34. Chemo - radiation - surgery - allow to die with dignity.






35. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






36. Toes curl= GREAT Toes fan = BAD






37. Side lying






38. One pound equals 16 0z






39. PainLESS vision loss - opacity of lens - blurring of the vision






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






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






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






43. 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






44. 1 T(tablespoon)= 3 t = 15 ml






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






46. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






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






48. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






49. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






50. Patent ductuous arteriousus in infants! Valve doesn't close!