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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. 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.






2. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






3. Upper part of the uterus






4. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






5. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






6. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






7. Vastus lateralis is IM administration site for 6month infants 






8. 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






9. 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






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

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11. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






12. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






13. B/c of low platelets






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






15. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






16. 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






17. Place the apparatus first then place the weight (der)






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






19. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






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






21. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






22. Weight






23. One pound equals 16 0z






24. Inspiratory stridor.. LTB = croup!!!!






25. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






27. Intercostal retractions=bad!






28. - 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






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






30. Chemo - radiation - surgery - allow to die with dignity.






31. Level of consciousness is the most important assessment parameter with status epilepticus.






32. Petechiae or + Herman's sign






33. Orange tag in triage is non emergent Psych






34. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






35. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






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






37. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






38. 2.2






39. It is X- linked. Mother passes the disease to her son






40. Questions about a halo Remember safety first - have a screwdriver nearby.






41. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






42. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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






44. ICP (intracranial pressure) should be <2. measure head circonference.






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






46. 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.






47. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






48. 1 gram = 1000 mg






49. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






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