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






2. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






3. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






4. Descending muscle weakness






5. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






6. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






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






8. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






9. Upper part of the uterus






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






11. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






12. Place the apparatus first then place the weight (der)






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






14. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






15. Absence of menstruation leads to osteoporosis in the anorexic.






16. Seizure>






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






18. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






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






21. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






22. 1 T(tablespoon)= 3 t = 15 ml






23. Rhematic fever






24. Coarse facial features






25. Wheezing on EXPIRATION






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






27. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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






29. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






30. 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.






31. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






32. B/c of low platelets






33. Recurrent bloody diarrhea






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






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






36. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






37. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






38. 7 - 10ml / kg






39. Brain problems occur






40. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






41. 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






42. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






43. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






44. ** IVP requires bowel prep so they can visualize the bladder better






45. Allergic to eggs (Tristan D. ) !






46. Skin to skin contact on mom with a blanket






47. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






48. TPN(total parenteral nutrition) given in subclavian line.






49. Another c section with any more kids






50. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.







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