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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. Expiratory grunt -- Causes Infant respiratory distress!






2. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






3. (incision behind hairline) --> elevate HOB 30-45 degrees






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






5. Rose spots on abdomen






6. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






7. 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






8. Moon face appearance and buffalo hump






9. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






10. Cultures






11. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






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






13. Reduced size and force of urine






14. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






16. Ascending muscle paralysis.. dont confuse with MG






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






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






19. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






21. 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






22. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis


23. Skeletal or skin






24. 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.






25. Knee - chest position or Trendelenburg






26. Sausage shaped mass - Dance sign (empty portion of RLQ)






27. CVA (cerebrovascular accident) is with dead brain tissue.






28. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






29. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






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






31. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






33. Chipmunk face






34. One pound equals 16 0z






35. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






36. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






37. 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.






38. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






39. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






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






41. Brain problems occur






42. Osession is to thought. Compulsion is to action






43. 7 - 10ml / kg






44. Femur or lower leg instability






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






46. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






47. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






48. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






49. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






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