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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. * 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.






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






4. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






5. Tet spells treated with morphine.






6. A newly diagnosed hypertension patient should have BP assessed in both arms






7. Burning on urination






8. Descending muscle weakness






9. 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






10. Respiratory problems!






11. Flapping tremors






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






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






14. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






15. Skeletal or skin






16. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






17. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






18. Protruding tongue






19. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






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






21. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






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






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






24. (incision behind hairline) --> elevate HOB 30-45 degrees






25. Psuedo membrane formation






26. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






27. Renal impairment: serum creatinine elevated and urine clearance decreased






28. 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.






29. 2.2






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






31. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






32. Machine like murmur






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






34. Opposites! Nursing connection! Think about it!






35. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






36. Visual floaters - flashes of light - curtain vision






37. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






38. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






39. Chvostek and Trosseaus sign! Also hypomag!






40. Reduced size and force of urine






41. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






42. Femur or lower leg instability






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






44. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






45. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






46. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






47. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






49. Private Room or cohort mask






50. Wheezing on EXPIRATION