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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. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






2. 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






3. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






4. 2.2






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






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






7. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






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






9. An occulsive dressing is used






10. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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11. Med administration is rarely a good choice






12. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






13. 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).






14. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






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






16. Allergic to eggs (Tristan D. ) !






17. Bull's eye rash

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18. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






19. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






21. 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






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






23. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






24. 1 pint= 2 cups






25. Glaucoma patients lose peripheral vision. Treated with meds






26. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






27. 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.






28. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






29. Bronze like skin pigmentation






30. Salty skin






31. Chemo - radiation - surgery - allow to die with dignity.






32. Beta cells of pancreas produce insulin






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






34. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






35. Barrel chest






36. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






37. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






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






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






40. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






41. 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






42. Ambient air (room air) contains 21 % o2






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






44. Skin to skin contact on mom with a blanket






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






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






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






48. Reduced size and force of urine






49. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






50. Children <3yoa - <35 lbs with femur fx

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