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






2. MRI- claustrophobia - no metal - assess pacemaker






3. Confirms multiple myeloma






4. Another c section with any more kids






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






6. Glucose






7. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






8. Glomerulonephritis: take vs q 4 hrs + daily weights






9. Always check lead posioning levels






10. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






12. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






13. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






14. Cat's eye reflex (grayish discoloration of the pupil)






15. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






16. Most spinal cord injuries are at the cervical or lumbar regions






17. Petechiae. Treated with heparin.






18. TPN(total parenteral nutrition) given in subclavian line.






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






20. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






21. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






22. 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






23. 7 - 10ml / kg






24. 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.






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






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






27. Place in prone position






28. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






29. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






30. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






31. Second voided urine most accurate when testing for ketones and glucose.






32. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






33. Position pt in left side - lying (Sim's) with knee flexed






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






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

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36. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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






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






39. Small frequent is better than large






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






41. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






42. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






43. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






44. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






45. 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






46. Weight






47. 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






48. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






49. Visual floaters - flashes of light - curtain vision






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

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Can you answer 50 questions in 15 minutes?



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