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






2. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






3. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






4. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






6. Upper part of the uterus






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






8. Position on the RIGHT side with legs flexed






9. Yogurt has live cultures - dont give to immunosuppressed pt

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10. Skin to skin contact on mom with a blanket






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






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






13. Vastus lateralis is IM administration site for 6month infants 






14. Gonorrhea is a reportable disease






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






16. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






17. Renal impairment: serum creatinine elevated and urine clearance decreased






18. 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).






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






20. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






21. 1 quart = 2 pints






22. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






23. (incision at nape of neck)--> position pt flat and lateral on either side.






24. Rose spots on abdomen






25. Recurrent bloody diarrhea






26. 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.






27. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






28. OAmniotic fluid yellow with particles = meconium stained`






29. Position prone (on abdomen) so that sac does not rupture






30. 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.






31. 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






32. Private Room or cohort mask






33. 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.






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






35. Co2 causes vasoconstriction.






36. Mothers receive rhogam to protect next baby.






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






38. After a hydrocele repair provide ice bags and scrotal support.






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






40. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






41. A LATE sign! Always~!






42. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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43. Visual floaters - flashes of light - curtain vision






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






45. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






46. Glaucoma patients lose peripheral vision. Treated with meds






47. Systemic Lupus Ethramoutus.... (Lupus)






48. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






49. 1 t (teaspoon)= 5 ml






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