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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. Purple bruises around the belly button... Pancreatitis!






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






3. Respiratory problems!






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






5. Another c section with any more kids






6. Brain problems occur






7. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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8. 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






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






10. 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






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






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






13. It is X- linked. Mother passes the disease to her son






14. Never release traction unless you have an order from an MD to do so






15. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






16. Handle any blood






17. 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.






18. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






19. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






20. Kussmauls breathing (deep rapid RR)






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






22. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






23. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






24. 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.






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






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






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






28. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






29. A






30. 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






31. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






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






33. Skin to skin contact on mom with a blanket






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






35. Position on the RIGHT side with legs flexed






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






37. Hypotension and bradypnea / bradycardia are major risks and emergencies.






38. 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 -






39. Ambient air (room air) contains 21 % o2






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






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






42. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






43. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






44. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






45. The MMR vaccine is given SQ not IM.






46. 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 -






47. Place in prone position






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






49. 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






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