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






2. Petechiae or + Herman's sign






3. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






4. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






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






6. 3 -4 -6






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






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






9. Psuedo membrane formation






10. Red beefy tongue






11. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






12. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






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






14. Flapping tremors






15. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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16. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






17. Bethamethasone (celestone)=surfactant. Med for lung expansion.






18. 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!






19. 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






20. 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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21. Protruding tongue






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






23. Pulse area cpr on infant






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






25. Femur or lower leg instability






26. 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






27. Upper part of the uterus






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






29. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






30. Ambient air (room air) contains 21 % o2






31. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






32. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






33. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






34. Co2 causes vasoconstriction.






35. Low or semi - Fowler's - support head - neck and shoulders.






36. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






37. 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').






38. CATS - convulsions - arrhythmias - tetany - spasms and stridor






39. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






40. Always check lead posioning levels






41. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






42. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






43. Ottorhea






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






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






46. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






47. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






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






49. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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







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