NCLEX Med-Surg & Pediatric Nursing Review | Cardiac (ECG QRS/P Wave,
Tetralogy of Fallot, LION, VEAL-CHOP-MINE), Endocrine (Type 1 & 2 DM, Insulin
Peak/Duration, DKA, Hypo/Hyperkalemia, Magnesemia, Natremia, Electrolyte
Management), OB/Prenatal (Fundal Height, FHR Auscultation, Labor Phases LAT,
EDB Calculation), Chest Tubes (Apical/Basilar, Water Seal Management,
Continuous/Intermittent Bubbling), Psych (Delusions, Hallucinations, Illusions,
Dementia, Psychosis, Mania, Delirium, Psychotropic Meds: Zines, TCAs, SSRIs,
MAOIs, Lithium), Pharmacology & Labs (INR, BUN, Hct, Na, K, WBC, Neutropenic
Precautions), Insulin Mixing & Administration, Immunizations &
Contraindications, Nursing Delegation, Pediatric Growth & Development, Safety,
and Nursing Interventions Exam Questions Verified and Provided with Complete
A+ Graded Rationales Latest Updated 2026
QRS depolarization
always refers to ventrical
P wave always refers to
atrial
Apical chest tubes for
Air
upper
,Basilar chest tubes for
Blood
lower (base/bottom of lungs)
What to do if water seal breaks
1. clamp tube
2. cut tube away
3. submerge tube in sterile water
4. unclamp
What to do if chest tube comes out
1. cover w/ gloved hand
2. vaseline gauze dressiing
3. sterile dressing
4. tape
Best answer= vaseline gauze
Intermittent bubbling in water seal
Good
, document it
Continuous bubbling in water seal
BAD
there is a leak, tape it
Intermittent in suction control
BAD
not enough suction, turn it up
How to remember what is good and bad in seals
If something is sealed, it should NOT be continnously bubbling.
Congenital heart defects remember
trouble or no trouble?
TRouBLE
if it starts with a T, it's trouble
Tetralogy of Fallot, LION, VEAL-CHOP-MINE), Endocrine (Type 1 & 2 DM, Insulin
Peak/Duration, DKA, Hypo/Hyperkalemia, Magnesemia, Natremia, Electrolyte
Management), OB/Prenatal (Fundal Height, FHR Auscultation, Labor Phases LAT,
EDB Calculation), Chest Tubes (Apical/Basilar, Water Seal Management,
Continuous/Intermittent Bubbling), Psych (Delusions, Hallucinations, Illusions,
Dementia, Psychosis, Mania, Delirium, Psychotropic Meds: Zines, TCAs, SSRIs,
MAOIs, Lithium), Pharmacology & Labs (INR, BUN, Hct, Na, K, WBC, Neutropenic
Precautions), Insulin Mixing & Administration, Immunizations &
Contraindications, Nursing Delegation, Pediatric Growth & Development, Safety,
and Nursing Interventions Exam Questions Verified and Provided with Complete
A+ Graded Rationales Latest Updated 2026
QRS depolarization
always refers to ventrical
P wave always refers to
atrial
Apical chest tubes for
Air
upper
,Basilar chest tubes for
Blood
lower (base/bottom of lungs)
What to do if water seal breaks
1. clamp tube
2. cut tube away
3. submerge tube in sterile water
4. unclamp
What to do if chest tube comes out
1. cover w/ gloved hand
2. vaseline gauze dressiing
3. sterile dressing
4. tape
Best answer= vaseline gauze
Intermittent bubbling in water seal
Good
, document it
Continuous bubbling in water seal
BAD
there is a leak, tape it
Intermittent in suction control
BAD
not enough suction, turn it up
How to remember what is good and bad in seals
If something is sealed, it should NOT be continnously bubbling.
Congenital heart defects remember
trouble or no trouble?
TRouBLE
if it starts with a T, it's trouble
