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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. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






3. Red beefy tongue






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






5. 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.






6. Brain problems occur






7. Vesicular rash (central to distal) dew drop on rose petal






8. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






9. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






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






11. Strawberry tongue






12. Area of detachment should be in the dependent position -- dependent meaning supported by something






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






14. Systematic desensitization






15. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






16. A LATE sign! Always~!






17. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






18. Barrel chest






19. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






20. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






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






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






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






24. 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






25. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






26. Descending muscle weakness






27. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






28. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






29. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






30. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






31. 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






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






33. - 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






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






35. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






36. 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!






37. Small frequent is better than large






38. 1 T(tablespoon)= 3 t = 15 ml






39. 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






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






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






42. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






43. Toes curl= GREAT Toes fan = BAD






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






45. Battles Sign and Racoon's eyes






46. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






47. 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.






48. 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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49. Patent ductuous arteriousus in infants! Valve doesn't close!






50. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.