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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. Ascending muscle paralysis.. dont confuse with MG






2. 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.






3. Femur or lower leg instability






4. Handle any blood






5. Expiratory grunt -- Causes Infant respiratory distress!






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






7. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






9. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






10. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






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






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






13. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






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






15. Opposites! Nursing connection! Think about it!






16. Risus Sardonicus






17. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






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






19. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






20. Uremic fetor --> smell urine on the breath






21. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






22. Bananas - potatoes - citrus fruits






23. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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






25. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






26. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






27. Rice watery stool






28. Glomerulonephritis: take vs q 4 hrs + daily weights






29. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






30. 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






31. Its important to be aware of the lab result for prothrombin time






32. Weight






33. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






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






35. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






36. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






37. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






38. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






39. Glaucoma patients lose peripheral vision. Treated with meds






40. Place in prone position






41. Trousseau and Tchovoski signs observed in hypocalcemia






42. 3 -4 -6






43. 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






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

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45. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






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






47. Rebound tenderness






48. Olive like mass






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






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







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