questions and Answers for nclex test

l OM oA RcPSD |21 742 172 l OM oA RcPSD |21 742 172 2023-2024 ATI fund RN Practice new questions and Answers for nclex test What are the steps in removing an artificial eye? Pull down the lower lip with index finger & exert slight pressure, allowing to slide over lower lid and grab with free hand  Store artificial eye in labeled container filled with tap water or saline What are the steps in inserting an artificial eye? Lift upper and lower lid to insert and blink until sets How do you wash an artificial eye? Wash with warm, normal saline, with soft gauze or clean tap water How do you properly irrigate an ear? Have pt sit or lie on side with the affected ear UP.Using a bulb-irrigating syringe or Walter Pik set on No 2, gently wash ear with warm solution, directing flow toward the superior aspect of the ear canal.Non blanchable erythema indicates the skin has been damaged by what?Pressure Explain what is happening in the S1 sound-  "Lub" sound- tricuspid and mitral valves snap shut @ beginning of systole. It is loudest at the apex of the heart.Explain what is happening in the S2 sound-  "Dub" sound- Aortic and Pulmonic valves shut at beginning of diastole. This is heard best at the base of the heart.What does a split S2 mean?

l OM oA RcPSD |21 742 172  Electrical conduction may be delayed on one side so ventricles might not close at the same time  may sound like a "stutter"

l OM oA RcPSD |21 742 172 S3 is heard in the patients with what? CHF. It follows S2 S4 is heard in patients with what?

 HTN, CAD, MI.

What is a murmur? occurs between S1 and S2. It should be silent there, but with a murmur there is a whooshing sound  this typically happens if a valve isn't open wide enough (Stenotic) or if a valve doesn't close tightly enough and blood leaks back Grade 1 murmurs are typically to hear –  difficult Grade 6 murmurs are typically to hear –  easy to hear Grade 4 and above murmurs are considered and are accompanied by a -  loud murmurs. palpable thrill Pericardial friction rub  Pericardium (membrane around the heart) becomes inflamed. It causes high pitched, scratchy sound. It is loaded at apex What is the Valsalva maneuver? holding breath and bearing down. Usually done to check for hernia's

l OM oA RcPSD |21 742 172 When suctioning a trach, do you apply suction before or after insertion? Do you use a rotation method? After insertion. Yes Do not insert into artificial airway because it increases the risk of infection  normal saline.Insert artificial airway until  feel resistance or patient starts coughing.If pt needs more suctioning, repeat procedure only more times & wait at least minute-

 1-2. 1

To rinse catheter, use mL of  5-10 mL. Normal saline Elderly people and children need a gauge for IV's  larger # Every time access port you should -  clean it NEVER infuse  potassium chloride