NCLEX questions Flashcards
Cystic fibrosis give diet ___fat, __sodium, fat soluble vitamins(____). 3 drugs
low
high
ADEK
Aerosal bronchodilators,mucolytics, pancreatic enzymes
Age 4 to 5 yrs need what immunizations..
DPT/MMR/OPV
Airborne Precautions
My Chicken Hez TB
private room, negative pressure w/ 6-12 air exchanges, masks N95
Zoloft side effects 1)____ and 2)______
sleep disturb
dry mouth
Cloazapine s/e 1)______ 2)_______ 3)____
agranulocytosis,tacycardia, seizures
Blood Test for MI
CK,myoglobin, troponin
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
Contact Percautions
Multi-system resistant organisms Resp infections Skin infections Wounds Enteric Eye infections
Salt substitutes may contain…
K+
Placental abruptio: Bleeding _____, dont forget to monitor…
with pain volume status (I&O)
An ill child..
regresses in behaviors
Meningeal irritation s/s : _____ ____, ____ Brudzinski + ____ signs, and ____ too!
nuchal rigidity
positive
Kernig
NCLEX TIP
School age children : 5 and up are old enough, and should have an explanation of what will happen a week before surgery.
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.
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
We know KWASAKI disease causes heart problems, but what specifically?
Coronary artery aneurysms due to the inflammation of blood vessels
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
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
It is essential to maintain nasal latency with children under one because they are?
obligatory nose breathers
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
Just know that what two vaccines come later?
MMR and varicella immunizations (15 months)
Cryptorchidism is a known risk factor for?later in life. Start teaching boys to self-exam at what age
undescended testes
testicular cancer
12
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)
No___ with children because it is associated with Reyes syndrome, and also NSAIDS such as IBprofen just give Tylenol
Aspirin
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
30
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
