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






2. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






3. Systematic desensitization






4. TIA (transient ischemic attack) mini stroke with no dead brain tissue






5. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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






7. 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.






8. Moon face appearance and buffalo hump






9. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






10. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






11. A LATE sign! Always~!






12. Pilling rolling tremors






13. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






14. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






15. 1 gram = 1000 mg






16. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






17. Skin to skin contact on mom with a blanket






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






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






20. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






21. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






22. Always check lead posioning levels






23. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






24. 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






25. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






26. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






27. 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.






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






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






30. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






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






32. Orange tag in triage is non emergent Psych






33. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






34. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






35. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






37. Bananas - potatoes - citrus fruits






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






39. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






40. CHRONIC pain






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






42. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






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






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






45. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






47. Increased temp - pulse and HTN






48. 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 -






49. 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)






50. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.







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