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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. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






2. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






3. Pulse area cpr on infant






4. Lioning face






5. (severe acute resp syndrome) airborne + contact (just like varicella)






6. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






7. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






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






9. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






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






11. Opposites! Nursing connection! Think about it!






12. Glomerulonephritis: take vs q 4 hrs + daily weights






13. 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

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14. Chest tubes are placed in the pleural space.






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






16. Coarse facial features






17. Risus Sardonicus






18. 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






19. Low residue diet means low fiver






20. Beta cells of pancreas produce insulin






21. Liver - brain - lung - bone - and lymph






22. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






23. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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






25. Skeletal or skin






26. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






28. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






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






30. 30 ml = 1 oz






31. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






32. Tet spells treated with morphine.






33. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






34. - 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






35. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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36. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






37. Charcot's Triad (IAN)






38. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






39. Side lying






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






41. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






42. Pumonary tuberculosis






43. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






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






45. 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%






46. TIA (transient ischemic attack) mini stroke with no dead brain tissue






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






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






49. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






50. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.