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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. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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






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






4. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






5. The MMR vaccine is given SQ not IM.






6. Slowed physical and mental function - sensitivity to cold - dry skin and hair






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






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






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






10. 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.






11. MRI- claustrophobia - no metal - assess pacemaker






12. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






13. 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






14. Red beefy tongue






15. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






16. Skin to skin contact on mom with a blanket






17. A






18. (incision behind hairline) --> elevate HOB 30-45 degrees






19. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






20. 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






21. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






22. Expiratory grunt -- Causes Infant respiratory distress!






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






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

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25. Handle any blood






26. 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!






27. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






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






29. Ambient air (room air) contains 21 % o2






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






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






32. Opposites! Nursing connection! Think about it!






33. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






34. (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)






35. Bronze like skin pigmentation






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






37. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






38. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






39. EleVate Veins; dAngle Arteries for better perfusion






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






41. Rice watery stool






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






43. Liver - brain - lung - bone - and lymph






44. Purple bruises around the belly button... Pancreatitis!






45. 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').






46. 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






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






48. Chemo - radiation - surgery - allow to die with dignity.






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






50. 1 gram = 1000 mg