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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. 1 quart = 2 pints






2. Hallmark= Sore throat - cervical lymph adenopathy - fever






3. Battles Sign and Racoon's eyes






4. Red beefy tongue






5. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






6. Swimming






7. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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

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






10. 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.






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






12. 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!






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






14. Knee - chest position or Trendelenburg






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






16. 1 gram = 1000 mg






17. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






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






19. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






20. Low residue diet means low fiver






21. Olive like mass






22. Bronze like skin pigmentation






23. Confirms multiple myeloma






24. Alk Ash diet - milk - veggies - rhubarb - salmon






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






26. Vesicular rash (central to distal) dew drop on rose petal






27. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






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






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

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30. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






31. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






32. Chvostek and Trosseaus sign! Also hypomag!






33. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






34. Lie flat with legs elevated






35. Place a wheelchair parallel to the bed on the side of weakness






36. If HR is <100 do not give dig to children.






37. Low magnesium and high creatinine signal renal failure.






38. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






39. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






40. Barrel chest






41. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






42. 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.






43. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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44. A laxative is given the night before an IVP in order to better visualize the organs.






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






46. Dystocia= baby cannot make it down to canal






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






48. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






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






50. 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').