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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. Strawberry tongue






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






3. Systematic desensitization






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






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






6. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






7. Position pt in left side - lying (Sim's) with knee flexed






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






9. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






10. 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.






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






12. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






13. Place in prone position






14. Kussmauls breathing (deep rapid RR)






15. Glaucoma patients lose peripheral vision. Treated with meds






16. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






17. Intercostal retractions=bad!






18. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






19. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






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






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






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






24. Age 4 to 5 yrs child needs DPT/MMR/OPV






25. 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






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






27. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






28. Femur or lower leg instability






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






30. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






31. Purple bruises around the belly button... Pancreatitis!






32. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






33. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






34. Olive like mass






35. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






36. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






37. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






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






39. 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






40. One pound equals 16 0z






41. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






42. 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.






43. Bronze like skin pigmentation






44. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






45. 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.






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






47. 1 cup= 8 oz






48. Skin to skin contact on mom with a blanket






49. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






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