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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. Kussmauls breathing (deep rapid RR)






2. An occulsive dressing is used






3. 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






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






5. B/c of low platelets






6. Opposites! Nursing connection! Think about it!






7. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






8. CSF in meningitis will have high protein - and low glucose.






9. 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






10. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






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






12. 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






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






14. CHRONIC pain






15. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






16. Area of detachment should be in the dependent position -- dependent meaning supported by something






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






18. Position prone (on abdomen) so that sac does not rupture






19. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






20. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






21. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






22. Bossing Sign (prominent forehead)






23. Battles Sign and Racoon's eyes






24. Butterfly rashes






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






26. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






27. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






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






29. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






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

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32. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






33. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






34. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






35. Lioning face






36. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






37. Painless hematuria... CA=Cancer ! Duhh






38. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






39. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






40. Hydration is a big priority!






41. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






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






43. 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!






44. Rose spots on abdomen






45. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






46. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






47. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






48. 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






49. Rusty sputum






50. Barrel chest