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






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






3. 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.






4. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






5. 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






6. OAmniotic fluid yellow with particles = meconium stained`






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






8. Never release traction unless you have an order from an MD to do so






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






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






11. Risus Sardonicus






12. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






14. Irritable - and poor sucking






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

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16. Increased temp - pulse and HTN






17. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






18. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






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






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






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






22. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






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






24. Skeletal or skin






25. The MMR vaccine is given SQ not IM.






26. 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.






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






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






29. Systemic Lupus Ethramoutus.... (Lupus)






30. Kopliks spots






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






32. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






33. Sausage shaped mass - Dance sign (empty portion of RLQ)






34. Pumonary tuberculosis






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






36. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






38. 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%






39. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






40. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






41. 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






42. 1 gr (grain)= 60 mg






43. Barrel chest






44. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






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

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46. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






47. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






48. 1 cup= 8 oz






49. Lie flat with legs elevated






50. Cultures







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