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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. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






2. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






3. Butterfly rashes






4. A






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






6. Bananas - potatoes - citrus fruits






7. Wheezing on EXPIRATION






8. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






9. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






10. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






12. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






14. Kopliks spots






15. Kussmauls breathing (deep rapid RR)






16. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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






18. After a hydrocele repair provide ice bags and scrotal support.






19. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






20. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






21. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






22. OAmniotic fluid yellow with particles = meconium stained`






23. Irritable - and poor sucking






24. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






25. 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






26. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






27. After endoscopy check gag reflex.






28. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






29. Brain problems occur






30. Descending muscle weakness






31. Swimming






32. Inspiratory stridor.. LTB = croup!!!!






33. Place the apparatus first then place the weight (der)






34. Always check lead posioning levels






35. PainLESS vision loss - opacity of lens - blurring of the vision






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






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






38. 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






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






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






41. **If kid has cold - can still give immunizations






42. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






43. *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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44. Area of detachment should be in the dependent position -- dependent meaning supported by something






45. Hypotension and bradypnea / bradycardia are major risks and emergencies.






46. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






47. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






48. 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






49. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






50. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.