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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. Elevate HOB 30 degrees to decrease intracranial pressure






2. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






3. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






4. Low residue diet means low fiver






5. 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






6. Chvostek and Trosseaus sign! Also hypomag!






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






8. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






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






10. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






11. EleVate Veins; dAngle Arteries for better perfusion






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






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






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






15. Charcot's Triad (IAN)






16. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






17. Kopliks spots






18. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






19. 1 cup= 8 oz






20. Hydration is a big priority!






21. LLQ - diverticulitis - low residue - no seeds - nuts - peas






22. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






23. 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.






24. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






25. A laxative is given the night before an IVP in order to better visualize the organs.






26. Broncospasm (anaphylaxis)






27. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






28. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






29. * 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.






30. 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






31. CATS - convulsions - arrhythmias - tetany - spasms and stridor






32. 2.2






33. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






34. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






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






36. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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37. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






38. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






39. Cultures






40. 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.






41. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






42. 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






43. Burning on urination






44. Rhematic fever






45. Hallmark= Sore throat - cervical lymph adenopathy - fever






46. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






48. Trousseau and Tchovoski signs observed in hypocalcemia






49. It is X- linked. Mother passes the disease to her son






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

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