NCLEX-RN Live Review Notes

NCLEX-RN Live Review Notes Leave the first rating Students also studied Terms in this set (119) Science MedicineNursing Save Mark Klimek NCLEX Review - Lectur...109 terms Nurse__LizPreview Mark Klimek NCLEX Review Questio...2,000 terms kristaruanoPreview CNA Practice Exam 100 terms PsaulsPreview Practic 130 term ohs When do we do peak and troughs?For vancomycin.It can harm the kidneys, so we look at its highest (peak) and lowest (trough). It can also harm hearing.What food groups must be avoided when taking MAOIs? Tyramine In what order do you take off your PPE?To remember, think of it alphabetically.

-G-L-O: Gloves

-G-O-G: Goggles

-G-O-W: Gown

-Mask You take off gloves first because it's usually soiled.We don't do trailing zeros in nursing, so if 1.0 mL correct? No, because someone could mistake it as 10ml.To thine own self be true.What is the temp for a child when we start to treat their fever?

100.4 degrees Fahrenheit.For an adult it will be ~101 What age is a neonate?Day 1 of birth to 28 day, so for a neonate a fever is very serious because a temp of 100 degrees Fahrenheit might indicate sepsis.When the heart needs more O2 it pumps?Faster.

Do bronchodilators come in nebulizer/inhaler forms only?

No, they can be subq as well or PO. Eg:) Terbutaline (Bricanyl)

What are 2 types of clots?Veins-DVTs & Arteries-Arterial thrombosis A DVT would feel like?Feel hot to touch.When a client walks and feels pain, but when they rest the pain goes away, they are experiencing?Intermittent claudication.Arterial thrombosis feels?Cool to the touch and would have weak pulse, because blood is not getting there, away from the heart is the artery, so we would position the leg dependently to prevent it from coming up to the circulatory system.If a pt has a DVT we would elevate their leg because? We want to get the extra fluid to drain off.Why don't we dorsiflex?Because it might dislodge a clot.V=Legs up while /\= legs down.V= Venous /\=Artery (dependent) With a newly placed tracheostomy, we should always have 2 trachs at the bedside. One that is normal size and one that is slightly bigger. Why?So when you change it routinely, and the pt coughs one out with no security, the hole will swell and you can just put in the smaller lumen (normal size). Which is why it's important to secure the track prior.Safety can take precedence with which type of client? Mental Health due to risk of harm to self or others.Things that could cause a respiratory rate of below 12 include?-Seizures -Paralysis (Injury to spine) -Opioids/Anesthesia If a newborn is born and needs to be suctioned which comes first? Nose or mouth?Mouth.M is before N in the alphabet.

Dehiscence vs EviscerationDehis: The stitches popped

Evis: The colon or whatever is out.

If evisceration does occur, the must do what?Sterile dressing with saline position the pt in such a way where there is no pressure or pulling on the ABD, so 30 degrees or more, and prevent coughing.Pts with COPD can have an O2 of?89%-91%ish

What does each emergency tag mean?-Black -Yellow -Red -Green -Black: Expect them to pass away, i.e: head injury with fixed and dilated pupils and fluid draining out the ears.

-Yellow: Urgent, they can wait at least 30 min.

-Red: Needs emergency room care. Triaged first out of these 4.

-Green: Walking wounded

A LPN does nothing new, because new things require? Teaching When we have a sterile field how much is considered not sterile?

• inch, and if something falls to the floor, it unusable.

As an OR nurse our biggest role would be?Advocating for the client.During a spinal tap at the bedside once the bed is raised the client should be facing?Facing me the nurse with their back to the MD on them on their side. We tell them what's going on, and help MD with items. After the procedure place them in supine with HoB up no more than 30 degrees for aspiration.After a spinal tap, we don't want pt sitting right up because?Risk of H/A, so for a min of 6-8 hrs pt must lay down supine w/ no more than 30 degrees of HoB up. So urinal is used lying down, female uses fx pan.Early signs of hypoglycemia include?-Sweating -Slight confusion -Slight hunger Post-op pts are usually shallow breathers, so shallow respirations are pretty common so it might be a different answer despite that being an ABC response, same with those in pain. But if disorientation occurs especially for an adolescent this is high priority because it could mean?Head injury or hypoxia When is ECT used?Severe depression that has not been successfully treated yet with medication after years. Mental health.Which drugs do we give for ECT and for what reasons? -Atropine: Dries up the secretion

-Methohexital: Anesthetic

-Succinylcholine: Helps with the paralytics so that they're not having bone jerking and movements.*Questions will have 28 words or less. The client's are all 20-65 yrs old unless told otherwise and are whatever gender unless specified.What is a usual time frame after an orthopedic procedure to be on a blood thinner?

• wks

What can occur if a pillow is under the knees of a pt? A contracture *Always stay with the client, and if they died, we turn our focus on the family *Always look for the most complete answer When we take out a catheter, it's our responsibility to do what after?Check for output q 2 hrs. Try to get them to void. If pt has retention we can straight cath, but prior we must do a bladder scan.*NCLEX cannot use brand names like vaseline.Besides making a water seal, what else can we do to prevent air from coming into a disconnected cx tube?Covering with Gauze and petroleum jelly, and tape it on 3 sides, so air comes out but does not re-eneter.What is the purpose of methotrexate?Immunosuppression, given for cancer and RA.*In NCLEX hospital we always record the V/S.With 3 point crutch walking we keep arms flexed, and do what with to get seated in a chair?Back up and feel chair at back of calf. Crutches should also be at least 2-3 fingers above the axilla between pt and top of crutch.Squatting equals what in a child/infant?Tet spell or unoxygenated blood needing to be shunted.Squatting is significant or a hallmark to what disease? Tetralogy of Fallot.So blood is being shunted.What is the main reason we insert an NG tube?Decompression of the stomach to pull things out.What do we set the NG at?Intermittent low suction.What is the main component in TPN?Glucose. D50.This is a very concentrated carbohydrate load which can dehydrate a pt, because all that sugar can make your blood thick (like anything high in sugar such as syrup or honey).Best way to measure dehydration is by taking what measurement?Daily weight.*If you have 5 options and 2 of them represent the same concept in a SATA and it's incorrect, then reject them

both. Eg:) If one options says tachycardia and another

says heart rate 140bpm then reject both.