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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. Gonorrhea is a reportable disease






2. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






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






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






5. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






6. Glucose






7. A






8. 1 cup= 8 oz






9. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






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






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






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






13. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






14. CVA (cerebrovascular accident) is with dead brain tissue.






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






16. * 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.






17. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






18. ** IVP requires bowel prep so they can visualize the bladder better






19. 1 quart = 2 pints






20. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






21. Inspiratory stridor.. LTB = croup!!!!






22. (severe acute resp syndrome) airborne + contact (just like varicella)






23. Seizure>






24. Swimming






25. 1 gram = 1000 mg






26. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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






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






29. Low residue diet means low fiver






30. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






31. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






33. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






34. 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.






35. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






36. If HR is <100 do not give dig to children.






37. 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






38. Barrel chest






39. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






40. 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!






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

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42. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






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






44. Coarse facial features






45. Ottorhea






46. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






47. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






48. 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






49. Absence of menstruation leads to osteoporosis in the anorexic.






50. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.