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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. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






2. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






3. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






4. Bossing Sign (prominent forehead)






5. The MMR vaccine is given SQ not IM.






6. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






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






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






9. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






10. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






11. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






12. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






13. Elevate HOB 30 degrees to decrease intracranial pressure






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






15. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






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






17. 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






18. Rose spots on abdomen






19. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






20. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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21. Low magnesium and high creatinine signal renal failure.






22. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






23. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






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






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






26. Orange tag in triage is non emergent Psych






27. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






29. (skin traction) --> elevate foot of bed for counter - traction

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30. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






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






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






33. 30 ml = 1 oz






34. 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.






35. Barrel chest






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






37. Systemic Lupus Ethramoutus.... (Lupus)






38. Its important to be aware of the lab result for prothrombin time






39. Knee - chest position or Trendelenburg






40. Renal impairment: serum creatinine elevated and urine clearance decreased






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






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






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






44. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






45. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






46. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






47. Beta cells of pancreas produce insulin






48. Brain problems occur






49. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






50. 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.