NCLEX-RN Study Guide
_______ patch is administered up to 3 times with intervals of 5 mins - ANS-Nitroglycerine
\- International Normalized Ratio (INR): Lab Values - ANS-2-3: standard warfarin therapy
3-4.5: high-dose warfarin therapy
\1 oz = ? mL - ANS-30 mL
\1st stage of labor - ANS-Cervical dilation
- Begins with onset of regular contractions and ends with complete dilation.
\2nd stage of labor - ANS-Expulsion
- Begins with complete dilation and ends with delivery of the fetus.
\3rd stage of labor - ANS-Placental
- Begins immediately after the fetus is born and ends when the placenta is delivered.
\4th stage of labor - ANS-maternal homeostatic stabilization
- Begins after the delivery of the placenta and continues for 1-4 hours after delivery
\Absolute contraindication for a intra-aortic balloon pump - ANS-Significant aortic
regurgitation
\Acronym AVA for umbilical cord - ANS-Artery
Vein
Artery
(2 arteries and 1 vein)
\Acronym for signs of a possible heart defect in newborns - ANS-CORBIN
\Acronym MCATO - ANS-Metronidazole* hepatic failure
Chloramphenicol gray baby syndrome Aminoglycosides ototoxicity
Tetracyclines teeth discoloration & liver failure Others Nitrofurantoin, Quinolones &
sulfonamides *relatively contraindicated
\Airborne: MTV - ANS-Measles
TB
Varicella (Chicken Pox/Herpes Zoster-Shingles)
\Alanine aminotransferase (ALT): Lab Values - ANS-10-40 units/L
\Albumin Lab Values - ANS-3.4-5 g/dL
\Aluminum hydroxide WOF - ANS-Constipation
\Amiodarone WOF - ANS-diaphoresis, dyspnea, lethargy
\Another name for methylphenidate - ANS-Ritalin
\ANTIBIOTICS CONTRAINDICATED DURING PREGNANCY ACRONYM - ANS-MCATO
\Antidote for Anticholinergics - ANS-Physostigmine
\Antidote for Benzodiazepines - ANS-Flumanezil
\Antidote for Beta blockers - ANS-glucagon
\Antidote for Digoxin - ANS-Digoxin Immune Fab (Digiband)
\Antidote for Heparin - ANS-Protamine sulfate
\Antidote for Methotrexate - ANS-Folinic acid (Leucovorin)
\Antidote for Opioids - ANS-Naloxone (Narcan)
\Antidote for Tricyclic antidepressants - ANS-Sodium bicarbonate
\Antidote for Warfarin - ANS-Vitamin K
\APGAR - ANS-Appearance
Pulse
,Grimace
Activity
Respiration
\APGAR Scoring and Interventions - ANS-Score interventions:
8-10: no intervention required expect to support newborn's spontaneous efforts.
4-7: stimulate; rub newborn's back; administer oxygen, rescore at specific intervals.
0-3: requires full resuscitation; rescore at specific intervals.
0-2 in all categories
\aPTT Lab Values - ANS-20-36 sec, depending on testing method
Therapeutic (Heparin): 46-70 seconds
\Aspartate aminotransferase (AST) Lab Values - ANS-10-30 units/L
\At C6 injury effect - ANS-May use a lightweight wheelchair; feed self with devices; write and
care for self; transfer from chair to bed.
\At C7 injury effect - ANS-Can dress legs; minimal assistance needed; independence in
wheelchair; can drive car with hand controls.
\at L3-L4 injury effect - ANS-May use crutches or canes for ambulation.
\at T1-T4 injury effect - ANS-Some independence from wheelchair; long-leg braces for
standing exercises.
\Auscultation location for aortic sound - ANS-Right 2nd intercostal space
\Auscultation location for ERB's point - ANS-(S1, S2) Left 3rd intercostal space
\Auscultation location for Mitral sound - ANS-Left 5th intercostal, medial to midclavicular line
\Auscultation location for pulmonic sound - ANS-Left 2nd intercostal space
\Benzo given for conscious sedation - ANS-Midazolam (Versed)
\Black Cohosh benefits - ANS-Treats menopausal symptoms
\Black Cohosh WOF - ANS-Contraindicated in pregnancy (causes premature labor)
\Blood Type A - ANS-Antigen-A; Antibody-Anti B; Can receive from A or O; Can donate to A
or AB
\Blood Type AB - ANS-- Can donate to O, A, B, AB
- Can receive from AB
\Blood type B - ANS-- Receive from B and O
- Can donate to B and AB
\Blood type O - ANS-- Can receive from O
- Can donate to O, A, B, AB,
\bryant's traction - ANS-children <3 y <35 lbs with femur fx
\buck's traction - ANS-knee immobility
\BUN Lab Values - ANS-5-20 mg/dL
\C3 and above injury effect - ANS-Unable to care for self, life-sustaining ventilator is
essential.
\Calcium Lab Values - ANS-8.6-10 mg/dL
\Can cause peripheral neuritis - ANS-Isoniazid
\Causes of Compartment Syndrome - ANS-- Trauma, especially when it results in shock.
- Abdominal surgery, particularly liver transplant.
- Burns
- Sepsis.
- Severe ascites or abdominal bleeding.
- Pelvic fracture.
, - Vigorous eccentric abdominal exercises (i.e. sit-ups on a back extension machine in weight
rooms).
\Causes problems with vision and liver - ANS-Ethambutol
\Causes red-orange tears and urine - ANS-Rifampcin
\Chest tube: Suction control chamber - ANS-- Gentle bubbling indicates that there is suction
and does not indicate that air is escaping from the pleural space.
\Chest tubes: Water seal chamber - ANS-- Water oscillates (up as the client inhales and
down as the client exhales).
- Intermittent bubbling is expected in a patient with pneumothorax.
- Continuous bubbling indicates an air leak in the chest tube system.
\CHF TREATMENT (UNLOAD FAST) - ANS-Upright position.
Nitrates.
Lasix (Furosemide).
Oxygen.
ACE inhibitors.
Digoxin.
Fluids (decrease).
Afterload (decrease).
Sodium restriction.
Test (digoxin level, ABGs, K level).
\Chloride Lab Values - ANS-98-107 mEq/L
\CO2 Lab Values - ANS-35—45 mEq/L
\COMPARTMENT SYNDROME - ANS-- It occurs when excessive pressure builds up inside
an enclosed muscle space in the body.
- It usually results from bleeding or swelling after an injury.
- The dangerously high pressure in compartment syndrome impedes the flow of blood to and
from the affected tissues.
\Contact: MRS.WEE - ANS-Multidrug resistant organisms Respiratory infection
Skin infections (*VCHIPS) Wound infection
Enteric infection (C. difficile) Eye infection (conjunctivitis)
\CONTRACTION signs - ANS-2-5 minutes apart with duration of <90 seconds and intensity
of <100 mmHg.
\CORBIN acronym - ANS-Color: bluish skin or extremities.
O2: low pulse oximetry percentage.
Rhythm: abnormal heart rate.
Breathing: heavy or labored.
Increase in sweat, especially on the forehead.
Nursing: trouble feeding and breathing at the same time or poor appetite.
\Coumadin WOF - ANS-signs of bleeding, diarrhea, fever, rash
\Crackles - ANS-High pitched and heard during inspiration. Not cleared by cough.
Discontinuous. Clinical examples include pneumonia, heart failure, asthma, restrictive
pulmonary diseases; if coarse crackles: pulmonary edema and pulmonary fibrosis and also
in patients terminally ill with diminished gag reflex.
\Cranial Nerve I - ANS-Olfactory
\Cranial Nerve II - ANS-Optic
\Cranial Nerve III - ANS-Oculomotor
\Cranial Nerve IV - ANS-Trochlear
\Cranial Nerve IX - ANS-Glossopharyngeal
_______ patch is administered up to 3 times with intervals of 5 mins - ANS-Nitroglycerine
\- International Normalized Ratio (INR): Lab Values - ANS-2-3: standard warfarin therapy
3-4.5: high-dose warfarin therapy
\1 oz = ? mL - ANS-30 mL
\1st stage of labor - ANS-Cervical dilation
- Begins with onset of regular contractions and ends with complete dilation.
\2nd stage of labor - ANS-Expulsion
- Begins with complete dilation and ends with delivery of the fetus.
\3rd stage of labor - ANS-Placental
- Begins immediately after the fetus is born and ends when the placenta is delivered.
\4th stage of labor - ANS-maternal homeostatic stabilization
- Begins after the delivery of the placenta and continues for 1-4 hours after delivery
\Absolute contraindication for a intra-aortic balloon pump - ANS-Significant aortic
regurgitation
\Acronym AVA for umbilical cord - ANS-Artery
Vein
Artery
(2 arteries and 1 vein)
\Acronym for signs of a possible heart defect in newborns - ANS-CORBIN
\Acronym MCATO - ANS-Metronidazole* hepatic failure
Chloramphenicol gray baby syndrome Aminoglycosides ototoxicity
Tetracyclines teeth discoloration & liver failure Others Nitrofurantoin, Quinolones &
sulfonamides *relatively contraindicated
\Airborne: MTV - ANS-Measles
TB
Varicella (Chicken Pox/Herpes Zoster-Shingles)
\Alanine aminotransferase (ALT): Lab Values - ANS-10-40 units/L
\Albumin Lab Values - ANS-3.4-5 g/dL
\Aluminum hydroxide WOF - ANS-Constipation
\Amiodarone WOF - ANS-diaphoresis, dyspnea, lethargy
\Another name for methylphenidate - ANS-Ritalin
\ANTIBIOTICS CONTRAINDICATED DURING PREGNANCY ACRONYM - ANS-MCATO
\Antidote for Anticholinergics - ANS-Physostigmine
\Antidote for Benzodiazepines - ANS-Flumanezil
\Antidote for Beta blockers - ANS-glucagon
\Antidote for Digoxin - ANS-Digoxin Immune Fab (Digiband)
\Antidote for Heparin - ANS-Protamine sulfate
\Antidote for Methotrexate - ANS-Folinic acid (Leucovorin)
\Antidote for Opioids - ANS-Naloxone (Narcan)
\Antidote for Tricyclic antidepressants - ANS-Sodium bicarbonate
\Antidote for Warfarin - ANS-Vitamin K
\APGAR - ANS-Appearance
Pulse
,Grimace
Activity
Respiration
\APGAR Scoring and Interventions - ANS-Score interventions:
8-10: no intervention required expect to support newborn's spontaneous efforts.
4-7: stimulate; rub newborn's back; administer oxygen, rescore at specific intervals.
0-3: requires full resuscitation; rescore at specific intervals.
0-2 in all categories
\aPTT Lab Values - ANS-20-36 sec, depending on testing method
Therapeutic (Heparin): 46-70 seconds
\Aspartate aminotransferase (AST) Lab Values - ANS-10-30 units/L
\At C6 injury effect - ANS-May use a lightweight wheelchair; feed self with devices; write and
care for self; transfer from chair to bed.
\At C7 injury effect - ANS-Can dress legs; minimal assistance needed; independence in
wheelchair; can drive car with hand controls.
\at L3-L4 injury effect - ANS-May use crutches or canes for ambulation.
\at T1-T4 injury effect - ANS-Some independence from wheelchair; long-leg braces for
standing exercises.
\Auscultation location for aortic sound - ANS-Right 2nd intercostal space
\Auscultation location for ERB's point - ANS-(S1, S2) Left 3rd intercostal space
\Auscultation location for Mitral sound - ANS-Left 5th intercostal, medial to midclavicular line
\Auscultation location for pulmonic sound - ANS-Left 2nd intercostal space
\Benzo given for conscious sedation - ANS-Midazolam (Versed)
\Black Cohosh benefits - ANS-Treats menopausal symptoms
\Black Cohosh WOF - ANS-Contraindicated in pregnancy (causes premature labor)
\Blood Type A - ANS-Antigen-A; Antibody-Anti B; Can receive from A or O; Can donate to A
or AB
\Blood Type AB - ANS-- Can donate to O, A, B, AB
- Can receive from AB
\Blood type B - ANS-- Receive from B and O
- Can donate to B and AB
\Blood type O - ANS-- Can receive from O
- Can donate to O, A, B, AB,
\bryant's traction - ANS-children <3 y <35 lbs with femur fx
\buck's traction - ANS-knee immobility
\BUN Lab Values - ANS-5-20 mg/dL
\C3 and above injury effect - ANS-Unable to care for self, life-sustaining ventilator is
essential.
\Calcium Lab Values - ANS-8.6-10 mg/dL
\Can cause peripheral neuritis - ANS-Isoniazid
\Causes of Compartment Syndrome - ANS-- Trauma, especially when it results in shock.
- Abdominal surgery, particularly liver transplant.
- Burns
- Sepsis.
- Severe ascites or abdominal bleeding.
- Pelvic fracture.
, - Vigorous eccentric abdominal exercises (i.e. sit-ups on a back extension machine in weight
rooms).
\Causes problems with vision and liver - ANS-Ethambutol
\Causes red-orange tears and urine - ANS-Rifampcin
\Chest tube: Suction control chamber - ANS-- Gentle bubbling indicates that there is suction
and does not indicate that air is escaping from the pleural space.
\Chest tubes: Water seal chamber - ANS-- Water oscillates (up as the client inhales and
down as the client exhales).
- Intermittent bubbling is expected in a patient with pneumothorax.
- Continuous bubbling indicates an air leak in the chest tube system.
\CHF TREATMENT (UNLOAD FAST) - ANS-Upright position.
Nitrates.
Lasix (Furosemide).
Oxygen.
ACE inhibitors.
Digoxin.
Fluids (decrease).
Afterload (decrease).
Sodium restriction.
Test (digoxin level, ABGs, K level).
\Chloride Lab Values - ANS-98-107 mEq/L
\CO2 Lab Values - ANS-35—45 mEq/L
\COMPARTMENT SYNDROME - ANS-- It occurs when excessive pressure builds up inside
an enclosed muscle space in the body.
- It usually results from bleeding or swelling after an injury.
- The dangerously high pressure in compartment syndrome impedes the flow of blood to and
from the affected tissues.
\Contact: MRS.WEE - ANS-Multidrug resistant organisms Respiratory infection
Skin infections (*VCHIPS) Wound infection
Enteric infection (C. difficile) Eye infection (conjunctivitis)
\CONTRACTION signs - ANS-2-5 minutes apart with duration of <90 seconds and intensity
of <100 mmHg.
\CORBIN acronym - ANS-Color: bluish skin or extremities.
O2: low pulse oximetry percentage.
Rhythm: abnormal heart rate.
Breathing: heavy or labored.
Increase in sweat, especially on the forehead.
Nursing: trouble feeding and breathing at the same time or poor appetite.
\Coumadin WOF - ANS-signs of bleeding, diarrhea, fever, rash
\Crackles - ANS-High pitched and heard during inspiration. Not cleared by cough.
Discontinuous. Clinical examples include pneumonia, heart failure, asthma, restrictive
pulmonary diseases; if coarse crackles: pulmonary edema and pulmonary fibrosis and also
in patients terminally ill with diminished gag reflex.
\Cranial Nerve I - ANS-Olfactory
\Cranial Nerve II - ANS-Optic
\Cranial Nerve III - ANS-Oculomotor
\Cranial Nerve IV - ANS-Trochlear
\Cranial Nerve IX - ANS-Glossopharyngeal
