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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. Lymes is found mostly in Conneticuts






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






3. Osession is to thought. Compulsion is to action






4. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






5. 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






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






7. 1 quart = 2 pints






8. Age 4 to 5 yrs child needs DPT/MMR/OPV






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






10. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






11. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






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






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






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






15. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






16. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






17. For knee replacement use continuous passive motion machine.






18. Psuedo membrane formation






19. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






20. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






21. Gonorrhea is a reportable disease






22. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






23. 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






24. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






25. Respiratory problems!






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






27. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






28. Red beefy tongue






29. Skin to skin contact on mom with a blanket






30. 1 cup= 8 oz






31. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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32. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






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






34. LLQ - diverticulitis - low residue - no seeds - nuts - peas






35. Portal hypotension + albuminemia= Ascites.






36. 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






37. 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






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






39. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






40. Absence of menstruation leads to osteoporosis in the anorexic.






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






42. Purple bruises around the belly button... Pancreatitis!






43. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






44. 30 ml = 1 oz






45. 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.






46. Small frequent is better than large






47. Femur or lower leg instability






48. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






49. Rice watery stool






50. Hypotension and vasoconstricting meds






Can you answer 50 questions in 15 minutes?



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