MARK KLIMEK NCLEX –RN PREP EXAM LATEST 2026-2027
UPDATE WITH 265 HIGHLY PREDICTED QUESTIONS
WHICH ARE CORRECTLY ANSWERED AND ALREADY
GRADED A+ |100% SUCCESS GUARANTEE
Never hold the hormone for what patient?
patient who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for
Addison's C in Cortex stands
for Cushing's
Addison's disease is
undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into
shock very easily. STRESS can trigger.
Addison's disease treatment
give a steroid, chronic steroid therapy
,Cushing's syndrome
Over secretion of adrenal cortex, too much hormone, too much steroid.
S/S of Cushing's syndrome
same as steroid use ... moon face, think cushman "I'm mad I have an infection", high
blood sugar, losing Potassium,
Treatment for Cushing's syndrome
Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
Donning PPE's order
Gown, Mask, Goggles, Gloves
Removing PPE's order
alphabetically inside the room
For airborne precautions the mask is removed where?
outside of the room
Avoid answers with what words for children 9 mths and younger?
build, sort, stack, construct, make
,Toddlers (1-3) work on
their gross motor skills ( jump, hop, throw), NO fine motor, parallel play
Preschoolers (3-6) work on
fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
School age (7-11) work on
creative, collect, competitive
Best default order for click and drag order questions?
Hold ..... med
Assess ... what med does
Prepare .... the correction
Call ..... or notify
Rarely if ever answer ...
call Doctor, NCLEX wants you to think critically
Creatinine lab values
same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about
INR lab values
2-3, critical value if off, potential for patient to bleed. Use default order for
order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for
Coumadin), Call or notify
, Potassium lab values
3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare
to give K if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved!
Dangerous!!
pH lab values
7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient's pH goes
so goes the patient
If bad vitals, call rapid response team
BUN lab values
8-30 check for dehydration if elevated not a big deal, just be concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the
rapid response team!
HgB lab values
12-18 check for bleeding if low or high, if low prepare for tranfussion
HCO3 lab values
22-26 if it is abnormal so what!
UPDATE WITH 265 HIGHLY PREDICTED QUESTIONS
WHICH ARE CORRECTLY ANSWERED AND ALREADY
GRADED A+ |100% SUCCESS GUARANTEE
Never hold the hormone for what patient?
patient who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for
Addison's C in Cortex stands
for Cushing's
Addison's disease is
undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into
shock very easily. STRESS can trigger.
Addison's disease treatment
give a steroid, chronic steroid therapy
,Cushing's syndrome
Over secretion of adrenal cortex, too much hormone, too much steroid.
S/S of Cushing's syndrome
same as steroid use ... moon face, think cushman "I'm mad I have an infection", high
blood sugar, losing Potassium,
Treatment for Cushing's syndrome
Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
Donning PPE's order
Gown, Mask, Goggles, Gloves
Removing PPE's order
alphabetically inside the room
For airborne precautions the mask is removed where?
outside of the room
Avoid answers with what words for children 9 mths and younger?
build, sort, stack, construct, make
,Toddlers (1-3) work on
their gross motor skills ( jump, hop, throw), NO fine motor, parallel play
Preschoolers (3-6) work on
fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
School age (7-11) work on
creative, collect, competitive
Best default order for click and drag order questions?
Hold ..... med
Assess ... what med does
Prepare .... the correction
Call ..... or notify
Rarely if ever answer ...
call Doctor, NCLEX wants you to think critically
Creatinine lab values
same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about
INR lab values
2-3, critical value if off, potential for patient to bleed. Use default order for
order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for
Coumadin), Call or notify
, Potassium lab values
3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare
to give K if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved!
Dangerous!!
pH lab values
7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient's pH goes
so goes the patient
If bad vitals, call rapid response team
BUN lab values
8-30 check for dehydration if elevated not a big deal, just be concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the
rapid response team!
HgB lab values
12-18 check for bleeding if low or high, if low prepare for tranfussion
HCO3 lab values
22-26 if it is abnormal so what!
