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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. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






2. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






3. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






4. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






5. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






6. Birth weight doubles by 6 month and triple by 1 year of age.






7. CVA (cerebrovascular accident) is with dead brain tissue.






8. Vesicular rash (central to distal) dew drop on rose petal






9. 1 gram = 1000 mg






10. Psuedo membrane formation






11. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






12. HYPERtension TACHYpnea and TACHYcardia






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






14. It is X- linked. Mother passes the disease to her son






15. Uremic fetor --> smell urine on the breath






16. Position pt in left side - lying (Sim's) with knee flexed






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






18. No meat and milk together






19. Battles Sign and Racoon's eyes






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






21. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






22. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






23. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






24. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






25. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






27. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






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






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. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






31. 7 - 10ml / kg






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






33. Bananas - potatoes - citrus fruits






34. 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.






35. 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.






36. 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.






37. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






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






39. Vastus lateralis is IM administration site for 6month infants 






40. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






41. Reduced size and force of urine






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






43. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






44. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






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

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






47. Strawberry tongue






48. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






49. Gonorrhea is a reportable disease






50. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet