NCLEX-PN 2024 ACTUAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS VERIFIED AND GRADED A++
DO NOT delegate what you can EAT!
E-evaluate
A-assess
T-teach
Addisons
down, down, down, up, down
Cushings
up, up, up, down, up
Addisons
hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
Cushings
hypernatremia, hypertension, increased blood vol, hypokalemia, hyperglycemia
No Pee
No K
do not give POTASSIUM without adequate urine output
APGAR
A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE
MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
,or remember . . .
MTV=Airborne
Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET
think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
Private Room or cohort
Mask
CONTACT PRECAUTION
Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
, E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
SKIN INFECTIONS
VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism
S&S;chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending
doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR
late decels, decreased variability, fetal bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC
position patient on the right side (promote emptying of the stomach) with HOB elevated
(to prevent aspiration)
During Epidural Puncture
side lying
After Lumbar Puncture
and also oil myelogram . . .patient lies flat supine (to prevent headache and leaking of
CSF)
patient with heat stroke
lie flat w/legs elevated
during continuous bladder irrigation (CBI)
catheter is taped to thigh so leg should be straight. no other position restrictions
after myringotomy
position on side of affected ear after surgery (allow for drainage of secretions)
SOLUTIONS VERIFIED AND GRADED A++
DO NOT delegate what you can EAT!
E-evaluate
A-assess
T-teach
Addisons
down, down, down, up, down
Cushings
up, up, up, down, up
Addisons
hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
Cushings
hypernatremia, hypertension, increased blood vol, hypokalemia, hyperglycemia
No Pee
No K
do not give POTASSIUM without adequate urine output
APGAR
A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE
MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
,or remember . . .
MTV=Airborne
Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET
think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
Private Room or cohort
Mask
CONTACT PRECAUTION
Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
, E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
SKIN INFECTIONS
VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism
S&S;chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending
doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR
late decels, decreased variability, fetal bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC
position patient on the right side (promote emptying of the stomach) with HOB elevated
(to prevent aspiration)
During Epidural Puncture
side lying
After Lumbar Puncture
and also oil myelogram . . .patient lies flat supine (to prevent headache and leaking of
CSF)
patient with heat stroke
lie flat w/legs elevated
during continuous bladder irrigation (CBI)
catheter is taped to thigh so leg should be straight. no other position restrictions
after myringotomy
position on side of affected ear after surgery (allow for drainage of secretions)
