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






2. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






3. The MMR vaccine is given SQ not IM.






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






5. Ottorhea






6. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






7. PainLESS vision loss - opacity of lens - blurring of the vision






8. 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






9. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






10. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






11. 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.






12. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






13. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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14. On bedrest while implant in place






15. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






16. The biggest concern with cold stress and the newborn is respiratory distress.






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






18. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






19. (severe acute resp syndrome) airborne + contact (just like varicella)






20. Salty skin






21. Barrel chest






22. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






23. Rebound tenderness






24. 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.






25. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






26. Flapping tremors






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






28. 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






29. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






30. 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






31. Systemic Lupus Ethramoutus.... (Lupus)






32. Nurses First action is to listen to fetal rate/tone






33. Upper part of the uterus






34. ** IVP requires bowel prep so they can visualize the bladder better






35. 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






36. Pilling rolling tremors






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






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






39. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






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






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






42. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






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






44. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






45. 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.






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






47. Seizure>






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






49. For knee replacement use continuous passive motion machine.






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