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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 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 -






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






3. Inspiratory stridor.. LTB = croup!!!!






4. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






5. Handle any blood






6. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






7. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






8. 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






9. Recurrent bloody diarrhea






10. Knee immobility






11. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






12. 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.






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






14. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






15. EleVate Veins; dAngle Arteries for better perfusion






16. Never release traction unless you have an order from an MD to do so






17. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






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






20. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






21. Bananas - potatoes - citrus fruits






22. No meat and milk together






23. (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.






24. Birth weight doubles by 6 month and triple by 1 year of age.






25. Low residue diet means low fiver






26. 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






27. Orange tag in triage is non emergent Psych






28. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






29. Lymes is found mostly in Conneticuts






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






31. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






32. Painless hematuria... CA=Cancer ! Duhh






33. 2.2






34. Hydration is a big priority!






35. Small frequent is better than large






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






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






38. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






39. 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.






40. Beta cells of pancreas produce insulin






41. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






42. Pulse area cpr on infant






43. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






44. No nasotracheal suctioning with head injury or skull fracture.






45. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






46. Toes curl= GREAT Toes fan = BAD






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






48. 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.






49. One pound equals 16 0z






50. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids