NCLEX High Yield Topics
7 Righs of Med Administration
o Right patient
o Right medication
o Right dose
o Right route
o Right time
o Right documentation
o Right response
Prioritization topics- What are we freaking out about? ASK GRAPH
o Airway (stridor, difficulty breathing)
o Sepsis- unexpected; fever
o K+ (changes in potassium); **VFIB risk
o Glucose <70 – hypoglycemia; unresponsive
o Lethargy- infant/toddler
o Alerted mental status- SUDDEN- delirum
o Peritonitis- abdominal pain, rebound tenderness, inflammation
o Hemorrhage- post op, hypotensive, rupture
Delegation- RN doesn’t Delegate what she can EAT
o Educate
o Assess
o Teach
o **also don’t delegate to an LPN what a UAP is capable of
doing!!
When you see a question ended with.. What is the nurse BEST response?
o Look for TELL ME MORE
When taking the Exam
o Critically think about your options with the information provided without
adding to it
o “best”- maintain safety and/or be therapeutic
o “first”- if I don’t see this patient right now, the client is going to
die.
What am I freaking out about? ASK GRAPH
o Most appropriate action equals “best”
METHOD
o Step 1- read LAST part of question FIRST identify type of question it
is
o Step 2- put question in own words, take
control
, What am I FREAKING out about?
o Step 3- figure out the situation
Always changing
, o Step 4- start with #4 and 3- compare eliminate
ASK GRAPH
Look for AASH of ASK GRAPH when client is post-op
o You don’t want your patient to turn into AASHES post op
Airway
Altered mental status
Sepsis Hemorrhage
When you get a patient post op- watch for 2 of ASK GRAPH
o Infection (sepsis)
o Bleeding (hemorrhage)
o WE ARE FREAKING OUT! Its unexpected!!
Two things you must encourage Post op
o Ambulate- the faster we get patient up and walking, the less likely they will
develop a DVT
o Incentive Spirometry- get patient to use their lungs to prevent Atelectasis and
further respiratory complications
When you see the following answers… CHOOSE THEM
o Eat Healthy
o Exercise- as tolerated
o Decrease or Stop ETOH
o Smoking cessation
Ethical Principles
o Veracity- telling the truth
o Fidelity- keeping promises
o Nonmaleficience- do no harm
o Justice- fairness
o Beneficence- doing good
o Autonomy- rights to self-determination and decision making
if you have an inflammatory process of the GI tract select all of these..
(ex- diverticulitis, appendicitis, colitis)
o NPO- rest GI tract and also useful incase need to perform emergency surgery
o IVF- FLUIDS FLUIDS FLUIDS
o Pain control- help make patient comfortable (PRN)
o PPI- proton pump inhibitor (PRN)
If you see the words: DROOLING, ACCESSORY MUSCLES or STRIDOR used to describe
a patients status.. you are FREAKING OUT
o Respiratory distress
o REMEMBER to apply ASK GRAPH to ALL Prioritization
Different ways we can develop a pulmonary embolism “FAT BAT”
o Fat embolism- obtained through fractures long bones
7 Righs of Med Administration
o Right patient
o Right medication
o Right dose
o Right route
o Right time
o Right documentation
o Right response
Prioritization topics- What are we freaking out about? ASK GRAPH
o Airway (stridor, difficulty breathing)
o Sepsis- unexpected; fever
o K+ (changes in potassium); **VFIB risk
o Glucose <70 – hypoglycemia; unresponsive
o Lethargy- infant/toddler
o Alerted mental status- SUDDEN- delirum
o Peritonitis- abdominal pain, rebound tenderness, inflammation
o Hemorrhage- post op, hypotensive, rupture
Delegation- RN doesn’t Delegate what she can EAT
o Educate
o Assess
o Teach
o **also don’t delegate to an LPN what a UAP is capable of
doing!!
When you see a question ended with.. What is the nurse BEST response?
o Look for TELL ME MORE
When taking the Exam
o Critically think about your options with the information provided without
adding to it
o “best”- maintain safety and/or be therapeutic
o “first”- if I don’t see this patient right now, the client is going to
die.
What am I freaking out about? ASK GRAPH
o Most appropriate action equals “best”
METHOD
o Step 1- read LAST part of question FIRST identify type of question it
is
o Step 2- put question in own words, take
control
, What am I FREAKING out about?
o Step 3- figure out the situation
Always changing
, o Step 4- start with #4 and 3- compare eliminate
ASK GRAPH
Look for AASH of ASK GRAPH when client is post-op
o You don’t want your patient to turn into AASHES post op
Airway
Altered mental status
Sepsis Hemorrhage
When you get a patient post op- watch for 2 of ASK GRAPH
o Infection (sepsis)
o Bleeding (hemorrhage)
o WE ARE FREAKING OUT! Its unexpected!!
Two things you must encourage Post op
o Ambulate- the faster we get patient up and walking, the less likely they will
develop a DVT
o Incentive Spirometry- get patient to use their lungs to prevent Atelectasis and
further respiratory complications
When you see the following answers… CHOOSE THEM
o Eat Healthy
o Exercise- as tolerated
o Decrease or Stop ETOH
o Smoking cessation
Ethical Principles
o Veracity- telling the truth
o Fidelity- keeping promises
o Nonmaleficience- do no harm
o Justice- fairness
o Beneficence- doing good
o Autonomy- rights to self-determination and decision making
if you have an inflammatory process of the GI tract select all of these..
(ex- diverticulitis, appendicitis, colitis)
o NPO- rest GI tract and also useful incase need to perform emergency surgery
o IVF- FLUIDS FLUIDS FLUIDS
o Pain control- help make patient comfortable (PRN)
o PPI- proton pump inhibitor (PRN)
If you see the words: DROOLING, ACCESSORY MUSCLES or STRIDOR used to describe
a patients status.. you are FREAKING OUT
o Respiratory distress
o REMEMBER to apply ASK GRAPH to ALL Prioritization
Different ways we can develop a pulmonary embolism “FAT BAT”
o Fat embolism- obtained through fractures long bones
