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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. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






2. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






3. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






4. 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






5. Systematic desensitization






6. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






7. Upper part of the uterus






8. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






9. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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10. Med administration is rarely a good choice






11. Coarse facial features






12. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






13. 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






14. Hallmark= Sore throat - cervical lymph adenopathy - fever






15. Co2 causes vasoconstriction.






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






17. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






18. Broncospasm (anaphylaxis)






19. 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






20. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






21. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






22. 7 - 10ml / kg






23. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






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






25. Normal in CHF from the squishin'.. Not normal in an MI patient






26. Petechiae. Treated with heparin.






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






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






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






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

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31. Battles Sign and Racoon's eyes






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






33. Small frequent is better than large






34. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






35. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






36. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






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






38. Charcot's Triad (IAN)






39. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






40. Butterfly rashes






41. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






42. Bossing Sign (prominent forehead)






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






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






45. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






46. 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






47. Risus Sardonicus






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






49. A






50. Cat's eye reflex (grayish discoloration of the pupil)






Can you answer 50 questions in 15 minutes?



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