lOMoARcPSD|56128505
Nclex High Yield Topics
Med Surg (Health Career Institute.)
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NCLEX High Yield Topics
7 Righs of Med Administration
o Right patient
o Right medication
o Right dose
o Right route
o Right time
o Right documentation
o Right response
Prioritization topics- What are we freaking out about? ASK GRAPH
o Airway (stridor, difficulty breathing)
o Sepsis- unexpected; fever
o K+ (changes in potassium); **VFIB risk
o Glucose <70 – hypoglycemia; unresponsive
o Lethargy- infant/toddler
o Alerted mental status- SUDDEN- delirum
o Peritonitis- abdominal pain, rebound tenderness, inflammation
o Hemorrhage- post op, hypotensive, rupture
Delegation- RN doesn’t Delegate what she can EAT
o Educate
o Assess
o Teach
o **also don’t delegate to an LPN what a UAP is capable of doing!!
When you see a question ended with.. What is the nurse BEST response?
o Look for TELL ME MORE
When taking the Exam
o Critically think about your options with the information provided without adding
to it
o “best”- maintain safety and/or be therapeutic
o “first”- if I don’t see this patient right now, the client is going to die.
What am I freaking out about? ASK GRAPH
o Most appropriate action equals “best”
METHOD
o Step 1- read LAST part of question FIRST identify type of question it is
o Step 2- put question in own words, take control
What am I FREAKING out about?
o Step 3- figure out the situation
Always changing
Downloaded by John Wangari ()
, lOMoARcPSD|56128505
o Step 4- start with #4 and 3- compare eliminate
ASK GRAPH
Look for AASH of ASK GRAPH when client is post-op
o You don’t want your patient to turn into AASHES post op
Airway
Altered mental status
Sepsis Hemorrhage
When you get a patient post op- watch for 2 of ASK GRAPH
o Infection (sepsis)
o Bleeding (hemorrhage)
o WE ARE FREAKING OUT! Its unexpected!!
Two things you must encourage Post op
o Ambulate- the faster we get patient up and walking, the less likely they will
develop a DVT
o Incentive Spirometry- get patient to use their lungs to prevent Atelectasis and
further respiratory complications
When you see the following answers… CHOOSE THEM
o Eat Healthy
o Exercise- as tolerated
o Decrease or Stop ETOH
o Smoking cessation
Ethical Principles
o Veracity- telling the truth
o Fidelity- keeping promises
o Nonmaleficience- do no harm
o Justice- fairness
o Beneficence- doing good
o Autonomy- rights to self-determination and decision making
if you have an inflammatory process of the GI tract select all of these.. (ex-
diverticulitis, appendicitis, colitis)
o NPO- rest GI tract and also useful incase need to perform emergency surgery
o IVF- FLUIDS FLUIDS FLUIDS
o Pain control- help make patient comfortable (PRN)
o PPI- proton pump inhibitor (PRN)
If you see the words: DROOLING, ACCESSORY MUSCLES or STRIDOR used to describe
a patients status.. you are FREAKING OUT
o Respiratory distress
o REMEMBER to apply ASK GRAPH to ALL Prioritization
Different ways we can develop a pulmonary embolism “FAT BAT”
o Fat embolism- obtained through fractures long bones
Downloaded by John Wangari ()
Nclex High Yield Topics
Med Surg (Health Career Institute.)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by John Wangari ()
, lOMoARcPSD|56128505
NCLEX High Yield Topics
7 Righs of Med Administration
o Right patient
o Right medication
o Right dose
o Right route
o Right time
o Right documentation
o Right response
Prioritization topics- What are we freaking out about? ASK GRAPH
o Airway (stridor, difficulty breathing)
o Sepsis- unexpected; fever
o K+ (changes in potassium); **VFIB risk
o Glucose <70 – hypoglycemia; unresponsive
o Lethargy- infant/toddler
o Alerted mental status- SUDDEN- delirum
o Peritonitis- abdominal pain, rebound tenderness, inflammation
o Hemorrhage- post op, hypotensive, rupture
Delegation- RN doesn’t Delegate what she can EAT
o Educate
o Assess
o Teach
o **also don’t delegate to an LPN what a UAP is capable of doing!!
When you see a question ended with.. What is the nurse BEST response?
o Look for TELL ME MORE
When taking the Exam
o Critically think about your options with the information provided without adding
to it
o “best”- maintain safety and/or be therapeutic
o “first”- if I don’t see this patient right now, the client is going to die.
What am I freaking out about? ASK GRAPH
o Most appropriate action equals “best”
METHOD
o Step 1- read LAST part of question FIRST identify type of question it is
o Step 2- put question in own words, take control
What am I FREAKING out about?
o Step 3- figure out the situation
Always changing
Downloaded by John Wangari ()
, lOMoARcPSD|56128505
o Step 4- start with #4 and 3- compare eliminate
ASK GRAPH
Look for AASH of ASK GRAPH when client is post-op
o You don’t want your patient to turn into AASHES post op
Airway
Altered mental status
Sepsis Hemorrhage
When you get a patient post op- watch for 2 of ASK GRAPH
o Infection (sepsis)
o Bleeding (hemorrhage)
o WE ARE FREAKING OUT! Its unexpected!!
Two things you must encourage Post op
o Ambulate- the faster we get patient up and walking, the less likely they will
develop a DVT
o Incentive Spirometry- get patient to use their lungs to prevent Atelectasis and
further respiratory complications
When you see the following answers… CHOOSE THEM
o Eat Healthy
o Exercise- as tolerated
o Decrease or Stop ETOH
o Smoking cessation
Ethical Principles
o Veracity- telling the truth
o Fidelity- keeping promises
o Nonmaleficience- do no harm
o Justice- fairness
o Beneficence- doing good
o Autonomy- rights to self-determination and decision making
if you have an inflammatory process of the GI tract select all of these.. (ex-
diverticulitis, appendicitis, colitis)
o NPO- rest GI tract and also useful incase need to perform emergency surgery
o IVF- FLUIDS FLUIDS FLUIDS
o Pain control- help make patient comfortable (PRN)
o PPI- proton pump inhibitor (PRN)
If you see the words: DROOLING, ACCESSORY MUSCLES or STRIDOR used to describe
a patients status.. you are FREAKING OUT
o Respiratory distress
o REMEMBER to apply ASK GRAPH to ALL Prioritization
Different ways we can develop a pulmonary embolism “FAT BAT”
o Fat embolism- obtained through fractures long bones
Downloaded by John Wangari ()
