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






2. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






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






4. Rhematic fever






5. Low residue diet means low fiver






6. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






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






8. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






9. Expiratory grunt -- Causes Infant respiratory distress!






10. 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.






11. Absence of menstruation leads to osteoporosis in the anorexic.






12. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






13. 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






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






15. MRI- claustrophobia - no metal - assess pacemaker






16. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






17. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






18. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






19. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






20. 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






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






22. Rebound tenderness






23. Vertigo - Tinnitus

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24. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






25. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






26. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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27. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






28. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






29. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






30. Salty skin






31. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






32. Petechiae. Treated with heparin.






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






34. Mothers receive rhogam to protect next baby.






35. Elevate HOB 30 degrees to decrease intracranial pressure






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

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37. 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.






38. Patent ductuous arteriousus in infants! Valve doesn't close!






39. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






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






41. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






43. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






44. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






45. Alk Ash diet - milk - veggies - rhubarb - salmon






46. B/c of low platelets






47. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






48. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






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






50. Skeletal or skin