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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. 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






2. Vesicular rash (central to distal) dew drop on rose petal






3. OAmniotic fluid yellow with particles = meconium stained`






4. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






5. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






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






7. Barrel chest






8. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






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






10. Pilling rolling tremors






11. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






12. CHRONIC pain






13. Opposites! Nursing connection! Think about it!






14. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






15. Kussmauls breathing (deep rapid RR)






16. 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.






17. 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).






18. After endoscopy check gag reflex.






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






20. 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






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






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






23. Small frequent is better than large






24. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






25. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






26. 1 cup= 8 oz






27. Rebound tenderness






28. 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






29. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






30. PainLESS vision loss - opacity of lens - blurring of the vision






31. 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%






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






33. Cultures






34. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






35. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






36. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






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






38. MRI- claustrophobia - no metal - assess pacemaker






39. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






40. No nasotracheal suctioning with head injury or skull fracture.






41. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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42. 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






43. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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44. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






45. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






46. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






47. 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.






48. Risus Sardonicus






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






50. Place a wheelchair parallel to the bed on the side of weakness