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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. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






2. Petechiae. Treated with heparin.






3. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






4. HYPERtension TACHYpnea and TACHYcardia






5. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






6. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






7. Sausage shaped mass - Dance sign (empty portion of RLQ)






8. 1 T(tablespoon)= 3 t = 15 ml






9. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






10. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






11. 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!






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






13. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






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






15. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






16. 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.






17. 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.






18. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






19. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






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






21. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






22. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






23. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






24. Gonorrhea is a reportable disease






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






26. Place in prone position






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






28. 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






29. 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 -






30. Reduced size and force of urine






31. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






32. Normal in CHF from the squishin'.. Not normal in an MI patient






33. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






34. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






35. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






36. Machine like murmur






37. Always check lead posioning levels






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






39. (incision at nape of neck)--> position pt flat and lateral on either side.






40. 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').






41. On bedrest while implant in place






42. Knee immobility






43. 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






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






45. 30 ml = 1 oz






46. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






47. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






48. Ottorhea






49. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






50. Increased temp - pulse and HTN