NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
✓ Always do your best so you can be proud that you gave it your best shot.
✓ Focus on your achievements rather than your failures. If you do find yourself thinking about how
you failed then look at what you managed to do right and how you could correct what you did next
time.
✓ A mind that is troubled with doubt won't be able to focus on the victory to be had.
✓ Take time for yourself. A fried mind can't focus or learn.
✓ Look carefully when you have no idea. In a word like rhabdomyosarcoma you can
easily ascertain it has something to do with muscle (myo) cancer (sarcoma). The
same thing goes for drug names. For example, if it ends in –ide it’s probably a
diuretic, as in Furosemide, and Amyloride.
✓ When getting down to two answers, choose the assessment answer (assess, collect,
auscultation, monitor, palpate) over the intervention except in an emergency or
distress situation. If one answer has an absolute, discard it. Give priority to answers
that deal directly to the patient’s body, not the machines/equipments.
✓ Key words are very important. Avoid answers with absolutes for example: always,
never, mu etc.
✓ When choosing an answer, think in this manner… if you can only do ONLY one
thing to help this patient what would it be? Pick the most important
intervention.
✓ If two of the answers are the exact opposite, like bradycardia or tachycardia... one is
probably t answer.
✓ If two or three answers are similar or are alike, none is correct.
✓ When asking patients’ questions NEVER use “why” questions. Eliminate all “why?”
answer options.
✓ If you have never heard of it… please don’t pick it!
✓ Never release traction UNLESS you have an order from the MD to do so
Always deal with actual problems or harm before potential problems Always
select a “patient focused” answer.
✓ An answer option that states "reassess in 15 minutes" is probably wrong. An
answer that delays care or treatment is ALWAYS wrong
DO NOT delegate what you can EAT! or
PACET P – Planning
A – Assess (Primary/Initial)
C – Collaboration (with RT, OT,
PT, ETC) E – Evaluate (for trends)
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
,NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
T – Teach
* Assessment, teaching, i.v. meds, evaluation, unstable patient cannot be
delegated to an Unlicensed Assistive Personnel.
* LVN/LPN cannot handle blood.
Vit K is to coumadin as Protamine Sulfate is to Heparin as Ca Glu is to MgSo4 as
Mucomyst is to Acetaminophen as Aminocaproic Acid (Amicar) is to TPA…get
it?
Antidotes/treatments for overdose
REVERSE AGENTS FOR TOXICITY ammonia= lactulose, acetaminophen=
n- Acetylcysteine. Iron= deferoxamine, Digitoxin/digoxin=
digibind. Alcohol withdraw=chlordiazepoxide(Librium).
- Methadone is an opioid analgesic used to detoxify/treat pain in narcotic addicts.
- Potassium potentiates dig toxicity.
Order of assessment: Inspection, Palpation, Percussion and Ausculation. EXCEPT
w/abdomen cuz you don’t wanna mess with the bowels and their sounds so you Inspect,
Auscultate, Percuss then Palpate (same with kids, I suppose since you wanna go from
least invasive to most invasive since they will cry! Gotta love them kids!)
No Pee, no K (do not give potassium without adequate urine
output) EleVate Veins; dAngle Arteries for better perfusion
For PVD remember DAVE (Legs are Dependent for Arterial & for Venous Elevated) Arterial
– PPP, Pain, pallor, pulselessness. Stand up to reduce pain
Each worth 2 points: >8 no interventions, 4-7 stimulate/rub back/give O2/rescore, 0-3 Full CPR/Rescore
Points: 2 1 0
A= appearance {skin color} (color all pink pink and blue blue [pale])
P= pulse {HR} (>100 < 100 absent)
G= grimace {reflex irritability } (cough/pulls away
facial movement/grimace only with
stimulation no response)
A= activity {muscle tone} (spontaneous activity arms/legs flexed
w little movement limp/floppy tone)
R= respirations {effort} (30-60 bpm/strong cry
irregular/slow breathing/weak cry
absent)
PPE ORDER:
Donning: Gown, Mask, Googles, Gloves
Removal: Gloves, Googles, Gown,
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
,NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
TRANSMISSION-BASED PRECAUTIONS:
AIRBORNE - Private Room - negative pressure with 6-12 air exchanges/hr, Mask, N95 for TB
My - Measles or remember... MTV=Airborne
Chicken - Chicken Pox/Varicella Measles
Hez - Herpez Zoster/Shingles TB Varicella-Chicken Pox/Herpes Zoster-
TB Shingles
What is airborne precautions used for?
Measles, TB (Spread via droplet), Chicken POx (Varicella), SARS
DROPLET - Private Room or cohort Mask think of
SPIDERMAN! S – sepsis, S - scarlet fever, S -
streptococcal pharyngitis P - parvovirus B19, P -
pneumonia P - pertussis
I - influenza
D- diphtheria (pharyngeal)
E- epiglottitis
R - rubella
M – mumps, M – meningitis, M - mycoplasma or meningeal
pneumonia An - Adenovirus
What is droplet precaution used for?
influenza (H1N1), meningitis, diphtheria, pertussis, mumps
CONTACT PRECAUTION
MRS.WEE
M - multidrug resistant
organism W - wound infxn
R - respiratory E - enteric infxn – C. Diff
infection S - skin E - eye infxn - conjunctivitis
infections *
CONTACT precautions used for?
Herpes, Enteric (Rotavirus, Shigellosus), Staph (MRSA), RSV
(transmitted via droplet but contact because kids put mouths on everything)
SKIN INFECTIONS
VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simplex
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
, NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
I - impetigo
P - pediculosis
S - scabies
*MRSA - Contact precaution ONLY
*VRSA - Contact AND airborne precaution (Private room, door closed, negative pressure)
*During the acute stage of Hep-A: gown and gloves are required. In the convalescent
stage it is no longer contagious.
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom) → turn pt to left side and lower the
head of the bed.
2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal
bradycardia, etc
→
turn on left side (and give O2, stop Pitocin, increase IV fluids)
3. Tube Feeding w/ Decreased LOC → position pt on right side (promotes emptying of
the stomach) with the HOB elevated (to prevent aspiration)
4. During Epidural Puncture → side-lying
5. After Lumbar Puncture (and also oil-based Myelogram) → pt lies in flat supine (to
prevent HA & leaking of CSF). AFTER the procedure, place in the supine
position for 4- 12 hrs as prescribed.
6. Pt w/ Heat Stroke → lie flat w/ legs elevated
7. During Continuous Bladder Irrigation (CBI) → catheter is taped to thigh so leg
should be kept straight. No other positioning restrictions.
8. After Myringotomy → position on side of affected ear after surgery (allows drainage of
secretio
9. After Cataract Surgery → pt will sleep on unaffected side with a night shield for 1-4 weeks.
10. After Thyroidectomy → low or semi-Fowler's, support head, neck and shoulders.
11. Infant w/ Spina Bifida → position prone (on abdomen) so that sac does not rupture
12. Buck's Traction (skin traction) → elevate foot of bed for counter-traction
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
SOLUTIONS
✓ Always do your best so you can be proud that you gave it your best shot.
✓ Focus on your achievements rather than your failures. If you do find yourself thinking about how
you failed then look at what you managed to do right and how you could correct what you did next
time.
✓ A mind that is troubled with doubt won't be able to focus on the victory to be had.
✓ Take time for yourself. A fried mind can't focus or learn.
✓ Look carefully when you have no idea. In a word like rhabdomyosarcoma you can
easily ascertain it has something to do with muscle (myo) cancer (sarcoma). The
same thing goes for drug names. For example, if it ends in –ide it’s probably a
diuretic, as in Furosemide, and Amyloride.
✓ When getting down to two answers, choose the assessment answer (assess, collect,
auscultation, monitor, palpate) over the intervention except in an emergency or
distress situation. If one answer has an absolute, discard it. Give priority to answers
that deal directly to the patient’s body, not the machines/equipments.
✓ Key words are very important. Avoid answers with absolutes for example: always,
never, mu etc.
✓ When choosing an answer, think in this manner… if you can only do ONLY one
thing to help this patient what would it be? Pick the most important
intervention.
✓ If two of the answers are the exact opposite, like bradycardia or tachycardia... one is
probably t answer.
✓ If two or three answers are similar or are alike, none is correct.
✓ When asking patients’ questions NEVER use “why” questions. Eliminate all “why?”
answer options.
✓ If you have never heard of it… please don’t pick it!
✓ Never release traction UNLESS you have an order from the MD to do so
Always deal with actual problems or harm before potential problems Always
select a “patient focused” answer.
✓ An answer option that states "reassess in 15 minutes" is probably wrong. An
answer that delays care or treatment is ALWAYS wrong
DO NOT delegate what you can EAT! or
PACET P – Planning
A – Assess (Primary/Initial)
C – Collaboration (with RT, OT,
PT, ETC) E – Evaluate (for trends)
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
,NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
T – Teach
* Assessment, teaching, i.v. meds, evaluation, unstable patient cannot be
delegated to an Unlicensed Assistive Personnel.
* LVN/LPN cannot handle blood.
Vit K is to coumadin as Protamine Sulfate is to Heparin as Ca Glu is to MgSo4 as
Mucomyst is to Acetaminophen as Aminocaproic Acid (Amicar) is to TPA…get
it?
Antidotes/treatments for overdose
REVERSE AGENTS FOR TOXICITY ammonia= lactulose, acetaminophen=
n- Acetylcysteine. Iron= deferoxamine, Digitoxin/digoxin=
digibind. Alcohol withdraw=chlordiazepoxide(Librium).
- Methadone is an opioid analgesic used to detoxify/treat pain in narcotic addicts.
- Potassium potentiates dig toxicity.
Order of assessment: Inspection, Palpation, Percussion and Ausculation. EXCEPT
w/abdomen cuz you don’t wanna mess with the bowels and their sounds so you Inspect,
Auscultate, Percuss then Palpate (same with kids, I suppose since you wanna go from
least invasive to most invasive since they will cry! Gotta love them kids!)
No Pee, no K (do not give potassium without adequate urine
output) EleVate Veins; dAngle Arteries for better perfusion
For PVD remember DAVE (Legs are Dependent for Arterial & for Venous Elevated) Arterial
– PPP, Pain, pallor, pulselessness. Stand up to reduce pain
Each worth 2 points: >8 no interventions, 4-7 stimulate/rub back/give O2/rescore, 0-3 Full CPR/Rescore
Points: 2 1 0
A= appearance {skin color} (color all pink pink and blue blue [pale])
P= pulse {HR} (>100 < 100 absent)
G= grimace {reflex irritability } (cough/pulls away
facial movement/grimace only with
stimulation no response)
A= activity {muscle tone} (spontaneous activity arms/legs flexed
w little movement limp/floppy tone)
R= respirations {effort} (30-60 bpm/strong cry
irregular/slow breathing/weak cry
absent)
PPE ORDER:
Donning: Gown, Mask, Googles, Gloves
Removal: Gloves, Googles, Gown,
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
,NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
TRANSMISSION-BASED PRECAUTIONS:
AIRBORNE - Private Room - negative pressure with 6-12 air exchanges/hr, Mask, N95 for TB
My - Measles or remember... MTV=Airborne
Chicken - Chicken Pox/Varicella Measles
Hez - Herpez Zoster/Shingles TB Varicella-Chicken Pox/Herpes Zoster-
TB Shingles
What is airborne precautions used for?
Measles, TB (Spread via droplet), Chicken POx (Varicella), SARS
DROPLET - Private Room or cohort Mask think of
SPIDERMAN! S – sepsis, S - scarlet fever, S -
streptococcal pharyngitis P - parvovirus B19, P -
pneumonia P - pertussis
I - influenza
D- diphtheria (pharyngeal)
E- epiglottitis
R - rubella
M – mumps, M – meningitis, M - mycoplasma or meningeal
pneumonia An - Adenovirus
What is droplet precaution used for?
influenza (H1N1), meningitis, diphtheria, pertussis, mumps
CONTACT PRECAUTION
MRS.WEE
M - multidrug resistant
organism W - wound infxn
R - respiratory E - enteric infxn – C. Diff
infection S - skin E - eye infxn - conjunctivitis
infections *
CONTACT precautions used for?
Herpes, Enteric (Rotavirus, Shigellosus), Staph (MRSA), RSV
(transmitted via droplet but contact because kids put mouths on everything)
SKIN INFECTIONS
VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simplex
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
, NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
I - impetigo
P - pediculosis
S - scabies
*MRSA - Contact precaution ONLY
*VRSA - Contact AND airborne precaution (Private room, door closed, negative pressure)
*During the acute stage of Hep-A: gown and gloves are required. In the convalescent
stage it is no longer contagious.
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom) → turn pt to left side and lower the
head of the bed.
2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal
bradycardia, etc
→
turn on left side (and give O2, stop Pitocin, increase IV fluids)
3. Tube Feeding w/ Decreased LOC → position pt on right side (promotes emptying of
the stomach) with the HOB elevated (to prevent aspiration)
4. During Epidural Puncture → side-lying
5. After Lumbar Puncture (and also oil-based Myelogram) → pt lies in flat supine (to
prevent HA & leaking of CSF). AFTER the procedure, place in the supine
position for 4- 12 hrs as prescribed.
6. Pt w/ Heat Stroke → lie flat w/ legs elevated
7. During Continuous Bladder Irrigation (CBI) → catheter is taped to thigh so leg
should be kept straight. No other positioning restrictions.
8. After Myringotomy → position on side of affected ear after surgery (allows drainage of
secretio
9. After Cataract Surgery → pt will sleep on unaffected side with a night shield for 1-4 weeks.
10. After Thyroidectomy → low or semi-Fowler's, support head, neck and shoulders.
11. Infant w/ Spina Bifida → position prone (on abdomen) so that sac does not rupture
12. Buck's Traction (skin traction) → elevate foot of bed for counter-traction
NURS202 NCLEX PRACTICE STUDY GUIDE WITH COMPLETE ELABORATED
SOLUTIONS
