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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. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






2. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






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






4. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






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






6. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






8. Burning on urination






9. Osession is to thought. Compulsion is to action






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






11. Toes curl= GREAT Toes fan = BAD






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






13. 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






14. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






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






16. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






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






18. 3 -4 -6






19. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






20. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






21. Low residue diet means low fiver






22. Respiratory problems!






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






24. 1 quart = 2 pints






25. 1 cup= 8 oz






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






27. Tet spells treated with morphine.






28. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






29. Peptic ulcer






30. Petechiae or + Herman's sign






31. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






33. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






34. Place in prone position






35. Moon face appearance and buffalo hump






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






37. Chvostek and Trosseaus sign! Also hypomag!






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






39. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






40. 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






41. No nasotracheal suctioning with head injury or skull fracture.






42. Pumonary tuberculosis






43. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






44. A






45. 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').






46. MRI- claustrophobia - no metal - assess pacemaker






47. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






48. CHRONIC pain






49. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






50. 1 pint= 2 cups