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






2. Patent ductuous arteriousus in infants! Valve doesn't close!






3. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care


4. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






5. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






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






7. 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






8. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






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






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






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






12. Small frequent is better than large






13. 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).






14. 1 T(tablespoon)= 3 t = 15 ml






15. A LATE sign! Always~!






16. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






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






18. 3 -4 -6






19. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






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






21. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






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






23. CATS - convulsions - arrhythmias - tetany - spasms and stridor






24. With low back aches - bend knees to relieve






25. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






26. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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






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






29. 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 (






30. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






31. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






32. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






33. 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






34. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






35. Increased temp - pulse and HTN






36. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






37. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






38. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






39. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






40. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






41. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






43. Chest tubes are placed in the pleural space.






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






45. Cultures






46. Systematic desensitization






47. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






48. (skin traction) --> elevate foot of bed for counter - traction


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






50. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.