7/30/23, 8:38 PM 426757408 Nclex PN Cheat Sheet
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NCLEX-RN NOTES TIPS: - Deal with patients rather than with machines. - AVOID: never, always, must, “why?”, “I unde rstand”.
- If 2 opposites (e.g. hyper-/hypo-), one is correct. - Do not leave the patient alone. - Choose physical over psychological. - IDK the answer: pick the one with the most information. ABC (except in emergencies, distress situations & CPR) Assessment vs. Implementation Acute vs. Chronic Stable vs. Unstable Expected vs. Unexpected Real vs. Potential Odd man out DO NOT DELEGATE (PACET): - Planning; - Assessment (initial); - Collaboration; - Evaluation; - Teaching. UAP’s cannot be delegated: “EAT”, medication & unstable patients. LPN’s cannot be delegated anything related with blood and are assigned the most stable patients. 1 tsp = 5 ml 1 pint = 2 cups (16 oz) 1 tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz) 1 oz = 30 ml 1 gr (grain) = 60 mg 1 cup = 8 oz 1 kg = 2,2 lbs 1 g = 1 ml (diapers) ºF = (ºC x 1,8) + 32 Temperature normal range: 98,6ºF ±1 (37ºC ±0,5) MAP: (systolic + 2xdyastolic)/3 Normal: 70-105 mmHg (>60 mmHg) CVP: 2-8 mmHg (CVP can indicate right
ventricular failure or fluid volume overload) ETHICS & LEGAL ISSUES - is truth and is an essential component of a Veracity therapeutic relationship between a health care provider and his patient. - is the duty to do no harm and the duty to do Beneficence
good. There’s an obligation in patient care to do no harm and an equal obligation to assist the patient. - is the duty to do no harm. Nonmaleficence
- litigation in which one person asserts that an injury Tort:
(physical, emotional or financial) occurred as a consequence of another’s actions or failure to act. - harm that results b Negligence: ecause a person didn’t act reasonably. - professional negligence. Malpractice:- character attacked and uttered in the presence of Slander:
others. - act in which there is a threat or attempt to do bodily Assault:
harm. - unauthorized physical contact. Battery: CULTURAL CONSIDERATIONS 1. African Americans - Higher incidence of high blood pressure and obesity; - gh incidence of lactose intolerance. Hi
2. Arab Americans - May remain silent about STIs, substance abuse, and mental illness; - After death, the family may want to prepare the body and autopsy is discouraged unless required by law; - Use same-sex family members as interpreters. 3. Asian Americans - ; Believe in the yin/yang “hot-cold” theory of illness
- Sodium intake is generally high because of salted and dried foods; - Usually refuse organ donation; - May nod without necessarily understanding. 4. Latino Americans - Family members are typically involved in all aspects of decision making such as terminal illness; - May see no reason to subm it to mammograms or vaccinations. 5. Native Americans - Diet may be deficient in vitamin D and calcium because many suffer t drink milk; from lactose intolerance or don’
- Obesity and diabetes are major health concerns. RELIGIOUS CONSIDERATIONS - : no blood product s should be used. Jehovah’s Witness
- : no beef or items containing gelatin. Hindu
- ecial dietary restrictions, use of kosher foods. Jewish: sp
- no pork nor alcohol and sometimes no meat. Adventists:
- no pork nor alcohol; people with chronic illnesses Muslims: and women that are pregnant, breast-feeding or menstruating don’t fast during Ramadan. ORDER OF ASSESSMENT: Inspection Palpation Percussion Auscultation ABO BLOOD TYPE COMPATIBILITY Blood Type Can receive from: Can donate to: O O O, A, B, AB A A, O A,AB B B, O B, AB AB O, A,B,AB AB Abdomen: 1º Inspection 2º Auscultation 3º Percussion 4º Palpation 7/30/23, 8:38 PM 426757408 Nclex PN Cheat Sheet
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TRACTIONS - knee immobility Buck’s traction:
- femur or lower leg Russell traction:
- skeletal or skin Dunlap traction:
- children <3y, <35 lbs with femur fracture. Bryant’s traction: INFANT’S DEVELOPMENT: 2-3 months: turns head side to side 4-5 months: grasps, switch & roll 6-7 months: sit at 6 and waves bye- bye
8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up, drink from a cup ERIKSON’S STAGES OF PSYCHO SOCIAL DEVELOPMENT BURNS Parkland formula: 4ml/kg/%body burned - 1st 8h: ½ total volume - 2/ 8h: ¼ total volume nd
- 3 8h: ¼ total volume rd CRANIAL NER VES (Sensory=S |Mo tor=M |Both=B) Cranial nerve What it controls I Olfactory Smell test II Optic Visual acuity and visual fields III Oculomotor Pupil constriction and extraocular movements IV Trochlear Extraocular movements: inferior adduct ion V Trigeminal Clench teeth and light touch VI Abduce ns Extraocular movements: lateral abduct ion VII Facial Facial movement: close eyes, smile VIII Auditory Hearing and Romberg test IX Glossopharyngeal Gag reflex X Vagus Say “ah” – uvular and palate movement XI Accessory Turn head and lift shoulders to resistance XII Hypoglossal Stick out tongue PPE (Personal Protective Equipment) TRANSMISSION-BASED PRECAU TIONS Hepatitis transmission: Consonants (B, C, D): - Blood and body fluids. Vowals (A, E): - Fecal and oral. Airborne: MTV Measles TB Varicella (Chicken Pox/Herpes Zoster-Shingles) AGE STAGES CHAR ACTERISTICS Infancy (0-18m) Trust vs. Mistrust Development of trust based on caregivers Early childhood (18m-3yrs) Autonomy vs. Shame & doubt Development of sense of personal control Preschool (3-5yrs) Initiative vs. Guilt Development of sense of purpose and directive School age (6-
11yrs) Indus try vs. Inferiority Development of pride in accomplishments Adolescence (12-18yrs) Identity vs. Role confus ion Exploration of independence and development of self Early adulthood (18-
40yrs) Intimacy vs. Isolation Development of personal relationships and love Adulthood (40-
65yrs) Generativity vs. Stagnation Fulfilling goals and building career and family Older adult (>65yrs) Integrity vs. Despair Looking back on life with acceptance Oh ( ) Olfactory I
Oh ( ) Optic II
Oh ( ) Oculomotor III
To ( ) Trochlear IV
Touch ( ) Trigeminal V
And ( ) Abduce ns VI
Feel ( ) Facial VII
A ( ) Auditory VIII
Girls ( Glossopharyngeal IX) Vagina ( ) Vagus X
And ( ) Accessory XI
Hymen ( ) Hypoglossal XIISome Say Marry Money But My Brother Says Big Bras Matter More Don PPE Remove PPE 1. Hand hygiene 2. Gown 3. Mask 4. Goggles 5. Gloves 1. Gloves 2. Goggles 3. Gown 4. Mask 5. Hand hygiene
about:blank 1/15
NCLEX-RN NOTES TIPS: - Deal with patients rather than with machines. - AVOID: never, always, must, “why?”, “I unde rstand”.
- If 2 opposites (e.g. hyper-/hypo-), one is correct. - Do not leave the patient alone. - Choose physical over psychological. - IDK the answer: pick the one with the most information. ABC (except in emergencies, distress situations & CPR) Assessment vs. Implementation Acute vs. Chronic Stable vs. Unstable Expected vs. Unexpected Real vs. Potential Odd man out DO NOT DELEGATE (PACET): - Planning; - Assessment (initial); - Collaboration; - Evaluation; - Teaching. UAP’s cannot be delegated: “EAT”, medication & unstable patients. LPN’s cannot be delegated anything related with blood and are assigned the most stable patients. 1 tsp = 5 ml 1 pint = 2 cups (16 oz) 1 tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz) 1 oz = 30 ml 1 gr (grain) = 60 mg 1 cup = 8 oz 1 kg = 2,2 lbs 1 g = 1 ml (diapers) ºF = (ºC x 1,8) + 32 Temperature normal range: 98,6ºF ±1 (37ºC ±0,5) MAP: (systolic + 2xdyastolic)/3 Normal: 70-105 mmHg (>60 mmHg) CVP: 2-8 mmHg (CVP can indicate right
ventricular failure or fluid volume overload) ETHICS & LEGAL ISSUES - is truth and is an essential component of a Veracity therapeutic relationship between a health care provider and his patient. - is the duty to do no harm and the duty to do Beneficence
good. There’s an obligation in patient care to do no harm and an equal obligation to assist the patient. - is the duty to do no harm. Nonmaleficence
- litigation in which one person asserts that an injury Tort:
(physical, emotional or financial) occurred as a consequence of another’s actions or failure to act. - harm that results b Negligence: ecause a person didn’t act reasonably. - professional negligence. Malpractice:- character attacked and uttered in the presence of Slander:
others. - act in which there is a threat or attempt to do bodily Assault:
harm. - unauthorized physical contact. Battery: CULTURAL CONSIDERATIONS 1. African Americans - Higher incidence of high blood pressure and obesity; - gh incidence of lactose intolerance. Hi
2. Arab Americans - May remain silent about STIs, substance abuse, and mental illness; - After death, the family may want to prepare the body and autopsy is discouraged unless required by law; - Use same-sex family members as interpreters. 3. Asian Americans - ; Believe in the yin/yang “hot-cold” theory of illness
- Sodium intake is generally high because of salted and dried foods; - Usually refuse organ donation; - May nod without necessarily understanding. 4. Latino Americans - Family members are typically involved in all aspects of decision making such as terminal illness; - May see no reason to subm it to mammograms or vaccinations. 5. Native Americans - Diet may be deficient in vitamin D and calcium because many suffer t drink milk; from lactose intolerance or don’
- Obesity and diabetes are major health concerns. RELIGIOUS CONSIDERATIONS - : no blood product s should be used. Jehovah’s Witness
- : no beef or items containing gelatin. Hindu
- ecial dietary restrictions, use of kosher foods. Jewish: sp
- no pork nor alcohol and sometimes no meat. Adventists:
- no pork nor alcohol; people with chronic illnesses Muslims: and women that are pregnant, breast-feeding or menstruating don’t fast during Ramadan. ORDER OF ASSESSMENT: Inspection Palpation Percussion Auscultation ABO BLOOD TYPE COMPATIBILITY Blood Type Can receive from: Can donate to: O O O, A, B, AB A A, O A,AB B B, O B, AB AB O, A,B,AB AB Abdomen: 1º Inspection 2º Auscultation 3º Percussion 4º Palpation 7/30/23, 8:38 PM 426757408 Nclex PN Cheat Sheet
about:blank 2/15
TRACTIONS - knee immobility Buck’s traction:
- femur or lower leg Russell traction:
- skeletal or skin Dunlap traction:
- children <3y, <35 lbs with femur fracture. Bryant’s traction: INFANT’S DEVELOPMENT: 2-3 months: turns head side to side 4-5 months: grasps, switch & roll 6-7 months: sit at 6 and waves bye- bye
8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up, drink from a cup ERIKSON’S STAGES OF PSYCHO SOCIAL DEVELOPMENT BURNS Parkland formula: 4ml/kg/%body burned - 1st 8h: ½ total volume - 2/ 8h: ¼ total volume nd
- 3 8h: ¼ total volume rd CRANIAL NER VES (Sensory=S |Mo tor=M |Both=B) Cranial nerve What it controls I Olfactory Smell test II Optic Visual acuity and visual fields III Oculomotor Pupil constriction and extraocular movements IV Trochlear Extraocular movements: inferior adduct ion V Trigeminal Clench teeth and light touch VI Abduce ns Extraocular movements: lateral abduct ion VII Facial Facial movement: close eyes, smile VIII Auditory Hearing and Romberg test IX Glossopharyngeal Gag reflex X Vagus Say “ah” – uvular and palate movement XI Accessory Turn head and lift shoulders to resistance XII Hypoglossal Stick out tongue PPE (Personal Protective Equipment) TRANSMISSION-BASED PRECAU TIONS Hepatitis transmission: Consonants (B, C, D): - Blood and body fluids. Vowals (A, E): - Fecal and oral. Airborne: MTV Measles TB Varicella (Chicken Pox/Herpes Zoster-Shingles) AGE STAGES CHAR ACTERISTICS Infancy (0-18m) Trust vs. Mistrust Development of trust based on caregivers Early childhood (18m-3yrs) Autonomy vs. Shame & doubt Development of sense of personal control Preschool (3-5yrs) Initiative vs. Guilt Development of sense of purpose and directive School age (6-
11yrs) Indus try vs. Inferiority Development of pride in accomplishments Adolescence (12-18yrs) Identity vs. Role confus ion Exploration of independence and development of self Early adulthood (18-
40yrs) Intimacy vs. Isolation Development of personal relationships and love Adulthood (40-
65yrs) Generativity vs. Stagnation Fulfilling goals and building career and family Older adult (>65yrs) Integrity vs. Despair Looking back on life with acceptance Oh ( ) Olfactory I
Oh ( ) Optic II
Oh ( ) Oculomotor III
To ( ) Trochlear IV
Touch ( ) Trigeminal V
And ( ) Abduce ns VI
Feel ( ) Facial VII
A ( ) Auditory VIII
Girls ( Glossopharyngeal IX) Vagina ( ) Vagus X
And ( ) Accessory XI
Hymen ( ) Hypoglossal XIISome Say Marry Money But My Brother Says Big Bras Matter More Don PPE Remove PPE 1. Hand hygiene 2. Gown 3. Mask 4. Goggles 5. Gloves 1. Gloves 2. Goggles 3. Gown 4. Mask 5. Hand hygiene
