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






2. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






3. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






4. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






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






7. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






8. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






9. Ascending muscle paralysis.. dont confuse with MG






10. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






11. Red beefy tongue






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






13. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






14. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






15. A LATE sign! Always~!






16. Just know the MMR and Varicella immunizations come later (15 months).






17. 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.






18. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.


19. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






20. CHRONIC pain






21. Alk Ash diet - milk - veggies - rhubarb - salmon






22. Lymes is found mostly in Conneticuts






23. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






24. 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






25. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






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


27. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






28. Trousseau and Tchovoski signs observed in hypocalcemia






29. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






30. 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.






31. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






32. OAmniotic fluid yellow with particles = meconium stained`






33. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






35. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






36. Bethamethasone (celestone)=surfactant. Med for lung expansion.






37. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






38. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






39. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






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






41. 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






42. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






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






44. With low back aches - bend knees to relieve






45. Systematic desensitization






46. 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.






47. Petechiae. Treated with heparin.






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






49. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






50. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3