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NCLEX-PN review
What is the nursing process? - Assess Forming nursing diagnosis Planning and Goal Setting Implementation Evaluation
What are some therapeutic communication barriers? - Giving advice, judging, stereotyping, being defensive, appearing distracted or uninterested, agreeing or disagreeing, appearing biased, not being a good listener or excessive probing
What is HELLP Syndrome? - This is preeclampsia with Liver involvement:
Hemolysis(breakdown of RBCs) Elevated Liver Function Tests Low Platelet Count
How many arteries and veins are in the umblical cord? - 2 arteries, 1 vein
What is Ortilani's Sign - The click that is heard or felt when the infant is supine and knees are flexed and hips are abducted = hip dyslpasia
What are the dietary considerations for pancreatitis? - Avoid aldohol bland foods small, frequent meals decrease fat
- tsp = how many mL? - 5 mL
What is Ptosis? - Drooping
Which cranial nerve is the optic? - 2
The Lub sound of Lub-dub is closure of which heart valves? - Closure of Tricuspid and Mitral Valves(Systole) = Lub
Which sign is the softening of the cervix? - Goodell's
Drugs ending in "olol" belong to which drug classification? - Beta-Blockers = particularly for the management of cardiac arrhythmias, cardioprotection after myocardial infarction (heart attack), and hypertension
What is the normal Lithium value? - normal = < 1.5 mEq/L toxic = > 2 mEq/L
Where is the location to listen to the Pulmonic valve? - Left second intercostal space
Enema position is on the left or right side? - left
What is the antidote for acetaminophen? - Mucomyst (N-acetylcysteine)
What are the dietary considerations for Celiac Disease? - No gluten Increase calories Increase protein
Drugs ending in "statin" belong to which drug classification? - Antihyperlipidemics = used in the treatment of hyperlipidemias. They are called lipid-lowering drugs (LLD) or agents
What is a continuous seizure that must be interrupted by emergency measures? - Status Epilepticus
What are the meds most often used to treat status epilepticus? - diazepam (Valium) phenytoin (Dilantin) phenobarbitol (Luminol)
Which body positioning is called the "shock" position? - Modified Trendelenburg = Supine with legs straight and elevated at the hips and head is slightly raised (increases bloodflow to heart and brain)
Which blood type is the universal 'recipient'? - AB+
Which blood type is the universal 'donor type'? - O-
What is stroke volume? - the amount of blood ejected by the heart in any one contraction
What is cardiac output? - Volume of blood ejected by the heart in one minute:
cardiac output = heart rate x stroke volumne
Do Mydriatic drops constrict or dilate the pupils? - Dilate -- myDriatic (d for dilate)
How do you mix insulin? - Clear before Cloudy (NPH)!!!
- draw up air to equal total insulin
- wipe vial runner with alcohol
- inject the amount of air to equal the amount of cloudy insulin into the cloudy vial. BE
CAREFUL NOT TO INJECT INTO THE SOLUTION
- Inject the remaining air into clear vial and draw up the clear insulin
- reinsert the needle into the cloudy vial and withdraw the desired amount
What are the dietary considerations for Acute Renal Failure? - Increase carbs Limit protein
decrease sodium fluid restriction
What are the dietary considerations for Chronic Renal Failure? - Avood high potassium foods Low sodium High iron High calcium Vitamins B, C & D
Normal Sodium Values? - 135 - 145
- tbsp = how many mL? - 15 mL
What is the normal PT value? - 9.5 - 12.0 seconds
The Dub sound of Lub-Dub is closure of which heart valves? - Closure of the pulmonic and aortic valves (Distole) = Dub
What are the normal Creatinine values? - 0.6 - 1.5 mg/dl
Which cranial nerve is the Vagus? - 10 - gag reflex, swallowing, talking
What is the normal heart and blood flow in the correct order? - Blood enters:
Right Atgrium => Tricuspid valve => Right Ventricle => Pulmonic Valve => Pulmonary Veins => Left Atrium => Mitral valve (bicuspic) => Left Ventricle => Aortic Valve => out to body
Normal Blood Ph - 7.35 - 7.45
Peripheral Edema, bounding pulses, jugular vein distention, decreased or absent urinary output are signs of right or left sided heart failure? - Right-sided
- kg = how many liters of water? - 1 L
Which cranial nerve is our sense of smell or Olfactory? - 1
What are the dietary considerations for Cushings? - Increase protein and potassium Decrease sodium and calories
What is the normal heart rate of an adult? - 60-100 per minute
What is the normal PTT value? - 20 - 45 seconds
Where is the location to listen to the Aortic valve? - Right second intercostal space
What are normal calcium values? - 8.5 - 10.5
"When taking a BP, if the arm is below the heart level, will the BP reading be elevated or decreased? - Elevated
Whichncranial nerve is our sense of hearing and balance or Acoustic? - 8
- oz = how many mL? - 30 mL
Where is the location to listen to the Mitral valve? - Left mid-clavicular line
Normal Potassium values - 3.5 - 5.0
What is Nagele's rule? - 1st day of last menstrual cycle, minus 3 months, plus 7 days = estimated date of delivery
What is the normal respiratory rate of an adult? - 12-20 per minute
Cyanosis, increased RR, decreased BP, pulmonary crackles are signs of right or left sided heart failure - Left-sided
What is the normal value for Digoxin? - normal = < 2 ng/mL toxic = > 2 ng/mL
What is the antidote for heparin? - protamine sulfate
Do Myotic drops constrict or dilate the pupils? - Constrict = myotiC (c for constrict)
What is constant and involuntary movement of the eyeball? - Nystagmus
What are normal magnesium values? - 1.5 - 2.5
Which sign is bluish coloration of the vagina? - Chadwicks
Which test is used to check Rh status? - Coombs Test
What are the normal BUN values? - 7 - 18
- - 20 > 60 years
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