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






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






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






4. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






5. Dystocia= baby cannot make it down to canal






6. Elevate HOB 30 degrees to decrease intracranial pressure






7. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






8. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






9. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






10. Knee immobility






11. 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.






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






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






14. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






15. On bedrest while implant in place






16. Pulse area cpr on infant






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






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






19. One pound equals 16 0z






20. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






21. TPN(total parenteral nutrition) given in subclavian line.






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






23. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n


24. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


25. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






26. Rebound tenderness






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






28. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






29. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






30. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs


31. Co2 causes vasoconstriction.






32. 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






33. 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%






34. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






35. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






36. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






37. 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!






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






39. Just know the MMR and Varicella immunizations come later (15 months).






40. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






41. Visual floaters - flashes of light - curtain vision






42. Another c section with any more kids






43. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






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






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






46. CHRONIC pain






47. Strawberry tongue






48. 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.






49. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






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