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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. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






2. 3 D'S -- Drooling - Dysphonia - Dysphagia






3. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






4. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






5. Systematic desensitization






6. 30 ml = 1 oz






7. 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






8. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






9. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






10. 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. ...






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






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






13. B/c of low platelets






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






15. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






16. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






17. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






18. 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






19. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






21. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






22. Position on the RIGHT side with legs flexed






23. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






24. The biggest concern with cold stress and the newborn is respiratory distress.






25. For knee replacement use continuous passive motion machine.






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






27. Normal in CHF from the squishin'.. Not normal in an MI patient






28. Weight






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






30. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






31. Risus Sardonicus






32. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






33. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






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






35. Burning on urination






36. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






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






39. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






40. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






41. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






42. A LATE sign! Always~!






43. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






44. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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






46. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






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






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






49. Small frequent is better than large






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