http://allnurses.com/nclex-discussion-forum/anyoone-up-random-308584.html
1. I prayed hard and even said a prayer before i started my test and with the good Lord's help I
passed. Just remember this - God did not bring you through Nursing school if he didnt want
you to be one. Keep the faith and I in turn will pray for you and anyone else who is
attempting NCLEX. Thank you so much and remember - KEEP THE FAITH AND KNOW
YOU CAN DO IT ! ! ! !
A kid with Hepatitis A can return to school 1 week within the onset of jaundice.
2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the
dialysis solution is warmed by the machine.
3. Hyperkalemia presents on an EKG as tall peaked T-waves
4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes
seperate from the family. They also need to wash their hands frequently and avoid contact.
positive sweat test. indicative of cystic fibrosis
1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an
antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may
cause dig toxicity.
2. With acute appendicitis, expect to see pain first then nausea and vomiting. With
gastroenitis, you will see nausea and vomiting first then pain.
3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion
fruit, bananas, avocados, chestnuts, tomatoes and peaches.
4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion
contracture.
5. Beta Blockers and ACEI are less effective in African Americans than Caucasians.
1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye
heavier bed flat.
2.autonomic dysreflexia- elevated bed first....then check foley or for impaction
3. any of the mycin's..check for tinnitus or hearing loss
4. cloudy dialysate...always futher assess and call doctor
5.osteoporosis prevention and mgt. choose weight bearing (walking) instead of calcium if
both are choices
1. Dilantin can cause gingival hypoplasia, advise good oral hygiene and freq. dental visits, IVP
25-50 mg/min
2. Placentia Previa is painless, bright red bleed
3. Abruption is painful, board-like abdomen
, 4. Need MAP of 70-90 to perfuse organs
5. Vitamin C can cause false + occult blood
1. celiac disease cant have BROW! BARLEY RYE OAT WHEAT
2. any eye surgery place on pt on unaffected side
3. if pt has lung cancer, craniotomy, or some kinda pituitary surgery watch for diabetes
insipidus
4. sickle cell- hydration hydration important and treat pain if in crisis
5.dont palpate a wilm's tumor on the peds pt. can cause cancer cells to be released!
oh one more:
6. terbutaline (Brethine) and mag sulfate- tx for preterm labor
Librium-antianxiety used to tx symptoms of acute alcohol withdrawal.
Cogentin-used to tx parkinsonian side effects of Thorazine (antipsychotic med)
Methadone hydrochloride-opiod analgesic; tx for narcotic withdrawal
Procardia-antianginal med (CCB) decreases myocardial O2 demand.
Digoxin-strengthens myocardial contractio0n & slows conduction thru AV node
Coumadin-inhiits prothrombin synthesis
Amicar-antifibrinolytic; prevents recurrence of subarachnoid hemorhage.
Lithium-tx manic phase of bipolar
Nimodipine-CCB; decreases spasm in cerebral blood vessels
diltiazem-CCB; inhibits Ca+ influx in vascular smooth muscle; reduces myocardial O2 demand &
decreases force of ventricular contraction
clotrimazole-antifungal; treats rashes.
NEVER NEVER NEVER administer KCl via IV push.
The level in the water seal chamber (chest tubes) fluctuates with respiration- no fluctuation
indicates an obstruction and excessive bubbling indicates an air leak.
Stay with the client for 15 minutes at the start of a blood transfusion.
Nephrotic Syndrome leads to proteinuria while Glomerulonephritis leads to hematuria.
Goodell's Sign is the softening of the cervix at the start of the 2nd month of pregnancy
Nagele's Rule is First date of last menstrual period + 7 days - 3 months + 1year.
Vinca Alkaloids (Vincristine) lead to neurotoxicity and can present with numbness and tingling in
the legs or paralytic ileus.
,Avoid herbal supps like ginsing, ginger, ginko, garlic (all the G's) if on any clotting drugs/products
(coumadin, platelets, ASA, Plavix)
High triglycerides may cause a false HIGH Hemoglobin A1C (normal is 2.6-6)
Deer ticks transmit Lyme Disease and it is most common in the NE Atlantic states. (Go figure I
thought it was down here in the South)
Think of pain last or as a psychosocial UNLESS: Burns, sickle cell crisis, or kidney stones.
Anemia of pregnancy is common in the 2nd trimester due to rapid expanding blood volume and is
not a cause for concern. It can get as low as 10.5 and still be OK. 1st and 3rd trimesters can go as
low as 11 and still be ok
Preterm labor--after 20 weeks and before 37
true labor INCREASES with activity and usually moves from the back to the front (according to our
instructors but from personal experiance IT HURT ALL OVER THE DANG PLACE AND
INCREASED WITH EVERYTHING ).
Recommended weight gain for pregnancy 1.5-16 kg or 25-35 lbs HAHAHAHAHAHAHAHAH
yeah right. I myself classified as Shamu's little sister by week 39 .
OK one more for 2nite....
normal newborn jaundice-- AFTER 24 hours of life
pathologic jaundice-- BEFORE 24 hours of life
If it come out your ass...its metabolic acidosis...
by vomitting...metabolic alkalosis...
1. priority unstable pt- words to look for: cyanotic, sudden, increasing pain,
hypoxic, restlessness
2. when left with two choices pick the one thing you can do to make pt.
comfortable, safe, and more stable
3. no narcotics to any head injury..wont be able to accurately assess LOC. so
pick the narcotic if you have an order to question.
4. fluid resus. burn formula: kg X 4ml/kg X %(burn area)= total
give half of total in first 8 hours
5. after thyroid surgery-maintain airway-keep emergency trach set nearby,
check for blood at sides and back of dressing, teach pt to support neck
, 6. bucks traction-no pins tongs. skin traction
7. should not hear a bruit over anything except dialysis shunts. if so this is the
unstable pt
8. DVT- elevate extremity , bed rest, warm (not hot) compresses
Rubella- rash on face goes down to neck and arms then trunk and legs
pregnant women should avoid contact with any child who has Rubella or just recieved the vaccine.
if she does she has to get vaccine after she has delivered
mmr #1 @ 12- 15 months mmr #2 4-6 years old
before checking or measuring fundal height have the patient empty her bladder! A full bladder can
throw off the measurement by 3cm.
Meniers disease= ringing in the ears and hearing damage cause from HIGH sodium levels. Need
diuretics. Avoid caffeine, nicotine, and ETOH
Meningitis= look for nuchal rigidity, Kernigs sign(can't extend knee when hip is flexed) and
Brudinskis sign (flex neck and knee flexes too) petichial rash. People who have been in close
contact may need Rifampin as a prevention. Vaccine for meningitis after 65 years of age and every
5 years
MI=#1 pain relief, helps decrease 02 demand
Acute Asthma = diffuse expiratory wheezes
Cessation of wheeze omnimous
Infective endocarditis = murmur
Fluid overload = auscultate lungs 1st
24 hours after thyroidectomy, watch for s/s of thyroid storm not for decreased levels of thyroid
hormones
1.hypoglycemia= T.I.R.E.D
T-tachycardia
I- irritability
R- restless
E- excessive hunger
D- diaphoresis
1. I prayed hard and even said a prayer before i started my test and with the good Lord's help I
passed. Just remember this - God did not bring you through Nursing school if he didnt want
you to be one. Keep the faith and I in turn will pray for you and anyone else who is
attempting NCLEX. Thank you so much and remember - KEEP THE FAITH AND KNOW
YOU CAN DO IT ! ! ! !
A kid with Hepatitis A can return to school 1 week within the onset of jaundice.
2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the
dialysis solution is warmed by the machine.
3. Hyperkalemia presents on an EKG as tall peaked T-waves
4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes
seperate from the family. They also need to wash their hands frequently and avoid contact.
positive sweat test. indicative of cystic fibrosis
1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an
antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may
cause dig toxicity.
2. With acute appendicitis, expect to see pain first then nausea and vomiting. With
gastroenitis, you will see nausea and vomiting first then pain.
3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion
fruit, bananas, avocados, chestnuts, tomatoes and peaches.
4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion
contracture.
5. Beta Blockers and ACEI are less effective in African Americans than Caucasians.
1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye
heavier bed flat.
2.autonomic dysreflexia- elevated bed first....then check foley or for impaction
3. any of the mycin's..check for tinnitus or hearing loss
4. cloudy dialysate...always futher assess and call doctor
5.osteoporosis prevention and mgt. choose weight bearing (walking) instead of calcium if
both are choices
1. Dilantin can cause gingival hypoplasia, advise good oral hygiene and freq. dental visits, IVP
25-50 mg/min
2. Placentia Previa is painless, bright red bleed
3. Abruption is painful, board-like abdomen
, 4. Need MAP of 70-90 to perfuse organs
5. Vitamin C can cause false + occult blood
1. celiac disease cant have BROW! BARLEY RYE OAT WHEAT
2. any eye surgery place on pt on unaffected side
3. if pt has lung cancer, craniotomy, or some kinda pituitary surgery watch for diabetes
insipidus
4. sickle cell- hydration hydration important and treat pain if in crisis
5.dont palpate a wilm's tumor on the peds pt. can cause cancer cells to be released!
oh one more:
6. terbutaline (Brethine) and mag sulfate- tx for preterm labor
Librium-antianxiety used to tx symptoms of acute alcohol withdrawal.
Cogentin-used to tx parkinsonian side effects of Thorazine (antipsychotic med)
Methadone hydrochloride-opiod analgesic; tx for narcotic withdrawal
Procardia-antianginal med (CCB) decreases myocardial O2 demand.
Digoxin-strengthens myocardial contractio0n & slows conduction thru AV node
Coumadin-inhiits prothrombin synthesis
Amicar-antifibrinolytic; prevents recurrence of subarachnoid hemorhage.
Lithium-tx manic phase of bipolar
Nimodipine-CCB; decreases spasm in cerebral blood vessels
diltiazem-CCB; inhibits Ca+ influx in vascular smooth muscle; reduces myocardial O2 demand &
decreases force of ventricular contraction
clotrimazole-antifungal; treats rashes.
NEVER NEVER NEVER administer KCl via IV push.
The level in the water seal chamber (chest tubes) fluctuates with respiration- no fluctuation
indicates an obstruction and excessive bubbling indicates an air leak.
Stay with the client for 15 minutes at the start of a blood transfusion.
Nephrotic Syndrome leads to proteinuria while Glomerulonephritis leads to hematuria.
Goodell's Sign is the softening of the cervix at the start of the 2nd month of pregnancy
Nagele's Rule is First date of last menstrual period + 7 days - 3 months + 1year.
Vinca Alkaloids (Vincristine) lead to neurotoxicity and can present with numbness and tingling in
the legs or paralytic ileus.
,Avoid herbal supps like ginsing, ginger, ginko, garlic (all the G's) if on any clotting drugs/products
(coumadin, platelets, ASA, Plavix)
High triglycerides may cause a false HIGH Hemoglobin A1C (normal is 2.6-6)
Deer ticks transmit Lyme Disease and it is most common in the NE Atlantic states. (Go figure I
thought it was down here in the South)
Think of pain last or as a psychosocial UNLESS: Burns, sickle cell crisis, or kidney stones.
Anemia of pregnancy is common in the 2nd trimester due to rapid expanding blood volume and is
not a cause for concern. It can get as low as 10.5 and still be OK. 1st and 3rd trimesters can go as
low as 11 and still be ok
Preterm labor--after 20 weeks and before 37
true labor INCREASES with activity and usually moves from the back to the front (according to our
instructors but from personal experiance IT HURT ALL OVER THE DANG PLACE AND
INCREASED WITH EVERYTHING ).
Recommended weight gain for pregnancy 1.5-16 kg or 25-35 lbs HAHAHAHAHAHAHAHAH
yeah right. I myself classified as Shamu's little sister by week 39 .
OK one more for 2nite....
normal newborn jaundice-- AFTER 24 hours of life
pathologic jaundice-- BEFORE 24 hours of life
If it come out your ass...its metabolic acidosis...
by vomitting...metabolic alkalosis...
1. priority unstable pt- words to look for: cyanotic, sudden, increasing pain,
hypoxic, restlessness
2. when left with two choices pick the one thing you can do to make pt.
comfortable, safe, and more stable
3. no narcotics to any head injury..wont be able to accurately assess LOC. so
pick the narcotic if you have an order to question.
4. fluid resus. burn formula: kg X 4ml/kg X %(burn area)= total
give half of total in first 8 hours
5. after thyroid surgery-maintain airway-keep emergency trach set nearby,
check for blood at sides and back of dressing, teach pt to support neck
, 6. bucks traction-no pins tongs. skin traction
7. should not hear a bruit over anything except dialysis shunts. if so this is the
unstable pt
8. DVT- elevate extremity , bed rest, warm (not hot) compresses
Rubella- rash on face goes down to neck and arms then trunk and legs
pregnant women should avoid contact with any child who has Rubella or just recieved the vaccine.
if she does she has to get vaccine after she has delivered
mmr #1 @ 12- 15 months mmr #2 4-6 years old
before checking or measuring fundal height have the patient empty her bladder! A full bladder can
throw off the measurement by 3cm.
Meniers disease= ringing in the ears and hearing damage cause from HIGH sodium levels. Need
diuretics. Avoid caffeine, nicotine, and ETOH
Meningitis= look for nuchal rigidity, Kernigs sign(can't extend knee when hip is flexed) and
Brudinskis sign (flex neck and knee flexes too) petichial rash. People who have been in close
contact may need Rifampin as a prevention. Vaccine for meningitis after 65 years of age and every
5 years
MI=#1 pain relief, helps decrease 02 demand
Acute Asthma = diffuse expiratory wheezes
Cessation of wheeze omnimous
Infective endocarditis = murmur
Fluid overload = auscultate lungs 1st
24 hours after thyroidectomy, watch for s/s of thyroid storm not for decreased levels of thyroid
hormones
1.hypoglycemia= T.I.R.E.D
T-tachycardia
I- irritability
R- restless
E- excessive hunger
D- diaphoresis
