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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. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






2. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






3. Pilling rolling tremors






4. 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






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






6. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






7. Trousseau and Tchovoski signs observed in hypocalcemia






8. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






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






10. 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






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






12. Lioning face






13. Questions about a halo Remember safety first - have a screwdriver nearby.






14. 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






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






16. On bedrest while implant in place






17. If HR is <100 do not give dig to children.






18. No meat and milk together






19. An occulsive dressing is used






20. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






21. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






22. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






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. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






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






26. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






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






29. 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






30. Rusty sputum






31. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






32. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






33. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






34. Rose spots on abdomen






35. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






36. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






37. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






38. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






39. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






40. Knee immobility






41. 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






42. MRI- claustrophobia - no metal - assess pacemaker






43. 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






44. Petechiae. Treated with heparin.






45. Hypotension and bradypnea / bradycardia are major risks and emergencies.






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






47. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






48. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






49. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






50. Chipmunk face