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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. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






2. 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






3. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






4. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






5. 1 quart = 2 pints






6. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






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






8. If patients have hallucinations redirect them. In delusions distract them.






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






10. 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.






11. Allergic to eggs (Tristan D. ) !






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






13. For Meningitis check for Kernig's/ Brudzinski's signs.






14. Lioning face






15. Chest tubes are placed in the pleural space.






16. Med administration is rarely a good choice






17. Descending muscle weakness






18. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






19. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






20. On bedrest while implant in place






21. Position on the RIGHT side with legs flexed






22. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






23. 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.






24. A LATE sign! Always~!






25. 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






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






27. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






28. Low magnesium and high creatinine signal renal failure.






29. Elevate HOB 30 degrees to decrease intracranial pressure






30. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






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






32. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






33. 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.






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






35. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






36. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






37. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






38. 2.2






39. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






40. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






41. Hodgkin's disease= cancer of lymph is very curable in early stage.






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






43. 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






44. Risus Sardonicus






45. Pulse area cpr on infant






46. Systematic desensitization






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






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






49. Pilling rolling tremors






50. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.