NCK PAPER 1 EXAM LATEST EXAM PREPARATION
(AUGUST SESSION) GUARANTEED PASS
air bubble in enoxparin - ANSWER: normal; do not eject air bubble in enoxaparin
(LMWH) it ensures delivery of entire dose
hypertonic solutions - ANSWER: draws water out of cells; used in IICP and severe
hyponatremia
bolus enteral feeding - ANSWER: HOB 30-45 degrees
keep up for 30-60 minutes after
flush before and after
GRV: check ever 4 hours; low GRV indicates the client is tolerating feedings well (abt
500 ml/6hrs)
pH should be acidic: <5
if air enters PICC line - ANSWER: trendelenberg
epi pen - ANSWER: hold for 10 seconds then massage for 10 seconds
give in mid outer thigh
can be given through clothing
blood administration - ANSWER: -infuse one unit at a time
-obtain Y tubing set and spike with normal saline-only use saline to flush and prime
(not run)
-infuse ovr 2-4 hrs as prescribed
-remain for 1st 15 minutes, take vitals after 15 minutes and when complete
-use new IV tubing for second set
IV infusion of potassium chloride - ANSWER: central line: never greater than 40
mEq/L
always use IV pump
statin lab levels - ANSWER: LDL <100
HDL >40
digoxin toxicity - ANSWER: -Cholinergic—nausea, vomiting, diarrhea, blurry yellow
vision (think van Gogh), arrhythmias, AV block.
-Can lead to hyperkalemia, which indicates poor prognosis.
adverse effects of ace inhbiitors (prils) - ANSWER: angioedema (swelling of face and
mouth)
ace-Is and ARBs - ANSWER: can cause hyperkalemia
adenosine - ANSWER: rapid IV push (PSVT)
, aPTT - ANSWER: 46-70 seconds
chest tube removal - ANSWER: ask client to take deep breath and bear down or
exhale
SABAs for acute asthma attack - ANSWER: -albuterol
-ipratropium
-IV steroids
acetylcysteine - ANSWER: loosens and thins respiratory secretions
INR >4 - ANSWER: critical: risk of bleeding
-hold
-assess
-prepare to give further meds
potassium >6 - ANSWER: very bad!
hold, assess heart, get EKG, call for help
ph of 6 - ANSWER: very deadly!
get DR immediately as the only cure is to correct underlying cause
hemoglobin levels - ANSWER: 12-18
<8 is very bad; intervene, assess for bleeding, prepare to give blood
respiratory failure levels - ANSWER: O2 <60
CO2 >60
stay with patient, assess respiratory status and prepare to intubate and ventilate
level D lab levels - ANSWER: ph: 6
potassium >6
CO2: 60s
O2: 60s
platelets: <40k
phenthiazines (zines) - ANSWER: -zines for the zany
-Zzz (tranquilizer)
antichilnergic effects: dry mouth
blurred vision
constipation
drowsiness
extrapyramidal s/s
fotosensitivity
aGranulocytosis
(AUGUST SESSION) GUARANTEED PASS
air bubble in enoxparin - ANSWER: normal; do not eject air bubble in enoxaparin
(LMWH) it ensures delivery of entire dose
hypertonic solutions - ANSWER: draws water out of cells; used in IICP and severe
hyponatremia
bolus enteral feeding - ANSWER: HOB 30-45 degrees
keep up for 30-60 minutes after
flush before and after
GRV: check ever 4 hours; low GRV indicates the client is tolerating feedings well (abt
500 ml/6hrs)
pH should be acidic: <5
if air enters PICC line - ANSWER: trendelenberg
epi pen - ANSWER: hold for 10 seconds then massage for 10 seconds
give in mid outer thigh
can be given through clothing
blood administration - ANSWER: -infuse one unit at a time
-obtain Y tubing set and spike with normal saline-only use saline to flush and prime
(not run)
-infuse ovr 2-4 hrs as prescribed
-remain for 1st 15 minutes, take vitals after 15 minutes and when complete
-use new IV tubing for second set
IV infusion of potassium chloride - ANSWER: central line: never greater than 40
mEq/L
always use IV pump
statin lab levels - ANSWER: LDL <100
HDL >40
digoxin toxicity - ANSWER: -Cholinergic—nausea, vomiting, diarrhea, blurry yellow
vision (think van Gogh), arrhythmias, AV block.
-Can lead to hyperkalemia, which indicates poor prognosis.
adverse effects of ace inhbiitors (prils) - ANSWER: angioedema (swelling of face and
mouth)
ace-Is and ARBs - ANSWER: can cause hyperkalemia
adenosine - ANSWER: rapid IV push (PSVT)
, aPTT - ANSWER: 46-70 seconds
chest tube removal - ANSWER: ask client to take deep breath and bear down or
exhale
SABAs for acute asthma attack - ANSWER: -albuterol
-ipratropium
-IV steroids
acetylcysteine - ANSWER: loosens and thins respiratory secretions
INR >4 - ANSWER: critical: risk of bleeding
-hold
-assess
-prepare to give further meds
potassium >6 - ANSWER: very bad!
hold, assess heart, get EKG, call for help
ph of 6 - ANSWER: very deadly!
get DR immediately as the only cure is to correct underlying cause
hemoglobin levels - ANSWER: 12-18
<8 is very bad; intervene, assess for bleeding, prepare to give blood
respiratory failure levels - ANSWER: O2 <60
CO2 >60
stay with patient, assess respiratory status and prepare to intubate and ventilate
level D lab levels - ANSWER: ph: 6
potassium >6
CO2: 60s
O2: 60s
platelets: <40k
phenthiazines (zines) - ANSWER: -zines for the zany
-Zzz (tranquilizer)
antichilnergic effects: dry mouth
blurred vision
constipation
drowsiness
extrapyramidal s/s
fotosensitivity
aGranulocytosis
