NCLEX questions Flashcards by ashlan brown

Cystic fibrosis give diet ___fat, __sodium, fat soluble vitamins(____). 3 drugs

low
high
ADEK
Aerosal bronchodilators,mucolytics, pancreatic enzymes

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Age 4 to 5 yrs need what immunizations..

DPT/MMR/OPV

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Airborne Precautions

My Chicken Hez TB

private room, negative pressure w/ 6-12 air exchanges, masks N95

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Zoloft side effects 1)____ and 2)______

sleep disturb

dry mouth

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Cloazapine s/e 1)______ 2)_______ 3)____

agranulocytosis,tacycardia, seizures

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Blood Test for MI

CK,myoglobin, troponin

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Droplet Percautions

Sepsis, Scarlet Fever, Streptococcal pharyngitis, Pharyngitis, Parovirus B19, Pneumonia, Influenza, Diptheria, Epiglottis, Rubella, Mumps,Meningitis, Mycoplasma, Adenovirus. DOOR OPEN , 3 feet , private room, cohort, masks

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Contact Percautions

Multi-system resistant organisms
Resp infections
Skin infections
Wounds
Enteric 
Eye infections

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Salt substitutes may contain…

K+

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Placental abruptio: Bleeding _____, dont forget to monitor…

with pain
volume status (I&amp;O)

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An ill child..

regresses in behaviors

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Meningeal irritation s/s : _____ ____, ____ Brudzinski + ____ signs, and ____ too!

nuchal rigidity
positive
Kernig

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NCLEX TIP

School age children : 5 and up are old enough, and should have an explanation of what will happen a week before surgery.

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If you give a toddler a choice about taking medicine and he says no.. what do you do ?

you should leave the room and come back in 5 mins, because to a toddle it is another episode. Next time don’t ask.

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The first sign of pyloric stenosis in a baby is… Later you may be able to palpate a madd, the baby will seem hungry but…

mild vomiting that progresses into projectile vomiting, may spit up after feeding

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We know KWASAKI disease causes heart problems, but what specifically?

Coronary artery aneurysms due to the inflammation of blood vessels

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A child with a VT shunt will have a small-___ 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 _____ ____ , since fluid from the ventricles will be redirected to the peritoneum. You should also watch out for signs of _____ ____, such irritability, bulging fontanels , and high-pitched cry in an infant. In a toddler watch for lack of appetite and ___. careful on bed position. AFTER shunt placement is ___, so fluid doesn’t reduce to rapidly. If you see s/s of increased ICP….

upper 
abdominal distention
increasing ICP
HA
flat
15-30 degrees

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What could cause BRONCHOPULMONARY DYSPLASIA?

Mechanical ventilation can. Premature newborns with immature lungs are ventilated and overtime it damages the lungs . Other causes could be infection, pneumonia , or other conditions that causes inflammation or scarring

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It is essential to maintain nasal latency with children under one because they are?

obligatory nose breathers

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What out for questions suggesting a child drinks more than 3-4oz of milk, milk can reduce the intake of other essentially nutrients. Especially _____. Watch out for ___ with milkaholics. If you can remove the white patches from the babies mouth it is? if not?

milk, anemia

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Just know that what two vaccines come later?

MMR and varicella immunizations (15 months)

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Cryptorchidism is a known risk factor for?later in life. Start teaching boys to self-exam at what age

undescended testes
testicular cancer
12

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NCLEX tip

A guy loses his house in a fire.Priority is using community resources to find a shelter, before as siting with feeling about the tremendous loss (MASLOW)

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No___ with children because it is associated with Reyes syndrome, and also NSAIDS such as IBprofen just give Tylenol

Aspirin

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Babinski sign- toes curl ____, toes fan____

great, bad

Glucose Tolerance Test for preggies result of _____ and higher needs further evaluation

140

Assessing extra ocular eye movements check cranial nerves ___,____,____

3,4,6

Stomas: Dusky stoma= ____ _____ ___, protruding means____, sharp pain +rigidity means _____, mucus in ileal conduit is EXPECTED

poor blood supply prolapsed peritonitis

Dilantin s/e : rash (STOP MED), gingival hyperplasial (good hygiene). Toxicity: poor ___+coordination, ___ speech, nausea, lethargy, and ____

gait, slurred diplopia

___ can be taken during pregnancy but ____ is contraindicated

Phenobarbitol | dilantin

Tension pneumothoax trachea ---> | -Change in color=____ sign

shifts to the other side | late

Incentive S: 1) sit _____ 2) _____ 3)insert _____ 4)_____ for 3 seconds , and then hold for ___ seconds

``` up exhale mouthpiece inhale 10 ```

Aminoglycocoide (____mycin; except ERYTHROMYCINE) Adverse effects are bean shaped! (3 of them)

nephrotoxic to kidneys | ototoxic ears

MRSA: ____ percaution ONLY VRSA: ____ and_____ (private room, door closed, negative pressure

contact | contact/airborn

LITHIUM

L-Level of therapeutic 0.5-1.5 I- indicate anemia T- toxic level 2-3 N/V, diarrhea, tremors H- hydrate 2-3L of water/day U-uh oh, give mannitol & Acetazolamide (diamox) if toxic s/s are present

All psych meds (except Lithium) SE are the same as SNS but the BP is ____.

decreased

SNS: ___ in BP, HR & RR (dilated bronchioles), dilated pupils (blurred vision), ___ GUT (urinary retention), constipation, constricted blood vessels and __ mouth

increase decreased dry

Blood transfusions: signs of allergies 1) ___ pain 2) ____ swallowing 3) R____ 4) F______ 5) Chills

``` flank frequent rash fever chills ```

Thrombocytopenia

bleeding precautions. 1) soft bristled toothbrush 2) No insertion of anything(suppositories, douche) 3) NO IM meds as much as possible

Fe PO- give with Vitamin ___ or on an ___ stomach

C | empty

Fe via ___ : Inferon via ___

IM | Ztrack

Pernicious Anemia: color? tongue? med?

red beefy B12 for the rest of their life

1st Degree Burn

Red and painful

2nd Degree Burn

Blisters

3rd Degree Burn

No pain because of blocked and burned nerves

Meinere's Disease: medication? (decreases endolymph in the cochlea), restrict ___, lay on ___ ear when in bed. TRIAD?

admin diuretics NA affected ear 1)vertigo 2) tinnitus 3) N/V

A disorder of the inner ear that causes spontaneous episodes of vertigo

Meinere's Disease

Gastric Ulcer Pain: occurs ___ mins to __ min after eating, not @ night ,and doesn't go away with food.

30 to 90

What is an intraosseous infusion ?

in pediatric life-threatening emergencies, when iv access can't be obtained, an osseous(bone) needle is hand-drilled into a bone (usually the tibia), where crystalloids, colloids, blood products can be admin into the ____. It is a temporary life-saving measure. When venous access is achieved it can be d/c'd. One medication that cannot be admin by IF is ISOPROTERENOL (beta-agonist).

During SICKLE CELL CRISIS there are two interventions to prioritize. 1) and 2)

fluids and pain relief

With glomerulonephritis you should consider ___ ___ to be your most important assessment parameter. Dietary restriction you can expect 1) 2) 3) 4)

BP sodium protein potassium fluids

Congenital cardiac defects result in HYPOXIA which the body attempts to compensate for (influx of immature rbc's). Labs supporting this would show _____ ______>_____>______ count

H&H | RBC

NCLEX tips

Did you know there is an association between low-set ears and renal abnormalities? Now you know what to look for if down-syndrome is not an option. Hence they are shaped the same, which is why when doing an assessment of a neonate, if the nurse notices low set or asymmetrical ears, there is good reason to investigate renal functioning. Knowing that the kidneys and ears are similar shapes helped me to remember this.

CSF in meningititis will have ____ protein and ___ glucose

high, low

NCLEX TIP

it is always the correct answer to report child abuse

NCLEX TIP

no NT suctioning with head injury or skull fracture

Peds: Feed upright to avoid?

otitis media

Peds: GERD positioning ? in almost every other case, though, you better lay that kid on his back (SIDS)

prone

Pull pina ___ &___ for kid

down , back

Kids with RSV, no contact lenses or pre go nurses in the room where RIBAVIRAN is being admin via ___

tent

Pneumonia : positioning? to splint and reduce pain. but if you are trying to reduce congestion the sick lung goes ___.

lay on affected side | up

A positive ppd confirms ____, not just exposure. A sputum test will confirm ?

infection | active disease

Coughing w/o other s/s is suggestive of ___. Watch out if your wheezer stops wheezing

asthma

Group-a step preceded rheumatic fever. ___ is a part of sickness (grimacing, sudden body movements). They have ___ pain. watch for elevated antiSTREPtolysin O to be elevated. Drug?

chora joint penicillin

Don't pick cough over _____ for signs of CHF infant

tachycardia

No milk (as well as fresh fruit and veggies) on ___ precaution

neutropenic

Tylenol poising : liver failure possible for about ___days. Close observation required during this close time frame. Give?

4 | Acetylcysteine (Mucomyst).

Radioactive iodine: FLUSH substances out of body w/ 3-4L/day for 2 days, and flush toilet twice after using for 2 days. Limit contact with patient to __ mins /day. NO PREGNANT visitors or nurses, NO KIDS

The main hypersensitivity reaction seen with anti platelets is _____(anaphylaxis)

bronchospasm

Common sites of metastasis : ____* , brain, lung, bone, lymph

liver

Othostasis is verified by the ____ in pressure and the ___ IN HR.

drop | increase

Bence Jones Protein confirms ??

multiple mylenoma

NCLEX questions Flashcards

(72 cards)