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

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






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






4. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






5. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






6. 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






7. Battles Sign and Racoon's eyes






8. After endoscopy check gag reflex.






9. Painless hematuria... CA=Cancer ! Duhh






10. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






11. 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%






12. Allergic to eggs (Tristan D. ) !






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






14. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






15. 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






16. If patients have hallucinations redirect them. In delusions distract them.






17. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






18. 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.






19. 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






20. If HR is <100 do not give dig to children.






21. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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22. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






23. Dystocia= baby cannot make it down to canal






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






25. Absence of menstruation leads to osteoporosis in the anorexic.






26. Butterfly rashes






27. Seizure>






28. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






29. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






30. Pumonary tuberculosis






31. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






32. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






33. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






34. 3 -4 -6






35. Petechiae or + Herman's sign






36. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






37. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






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






39. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






40. Pain is usually the highest priority with RA






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






42. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






43. Level of consciousness is the most important assessment parameter with status epilepticus.






44. Low or semi - Fowler's - support head - neck and shoulders.






45. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






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






47. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






48. Femur or lower leg instability






49. A laxative is given the night before an IVP in order to better visualize the organs.






50. Knee - chest position or Trendelenburg







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