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






2. Pulse area cpr on infant






3. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






5. 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






6. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






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






8. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






9. Brain problems occur






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






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






12. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






13. Chipmunk face






14. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






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






16. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






17. 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.






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






19. Olive like mass






20. 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






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






22. 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






23. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






24. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






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






26. Red beefy tongue






27. Rice watery stool






28. Petechiae or + Herman's sign






29. 1 t (teaspoon)= 5 ml






30. 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






31. 2.2






32. 3 -4 -6






33. 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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34. Skeletal or skin






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






36. 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.






37. Elevate HOB 30 degrees to decrease intracranial pressure






38. 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






39. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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40. Battles Sign and Racoon's eyes






41. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






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






43. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






44. Place the apparatus first then place the weight (der)






45. 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






46. Just know the MMR and Varicella immunizations come later (15 months).






47. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






48. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






49. 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






50. Flapping tremors