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NCLEX Final Ati Study
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NCLEX Final Ati Study
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25 Questions

1. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma

2. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a

3. Vastus lateralis is IM administration site for 6month infants ?

4. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot

5. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos

6. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)

7. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce

8. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)

9. Place the apparatus first then place the weight (der)

10. **If kid has cold - can still give immunizations

11. Risus Sardonicus

12. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up

13. Kopliks spots

14. Nurses First action is to listen to fetal rate/tone

15. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist

16. 1 gram = 1000 mg

17. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms

18. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.

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

20. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.

21. Intercostal retractions=bad!

22. Olive like mass

23. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc

24. Glomerulonephritis: take vs q 4 hrs + daily weights

25. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR