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






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






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






4. Side lying






5. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






6. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






7. In a five -year old breathe once for every 5 compressions doing cpr.






8. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






9. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






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






11. 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






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






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






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






15. A






16. An occulsive dressing is used






17. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






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






19. Position on the RIGHT side with legs flexed






20. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






21. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






22. Peptic ulcer






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






24. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






25. 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






26. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






27. Bananas - potatoes - citrus fruits






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






29. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






31. Nurses First action is to listen to fetal rate/tone






32. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






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






34. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






35. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






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






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






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






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






40. 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.






41. A LATE sign! Always~!






42. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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






44. Knee immobility






45. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






46. Risus Sardonicus






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






48. Ottorhea






49. Burning on urination






50. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).