THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
1. Prioritization Questions: These questions are asking WHO DIES FIRST?
So when you get stuck on a question, ask yourself- WHO WILL DIE FIRST?
2. Unstable patients: Unstable patients always come FIRST.
Keywords that indicate a pt is unstable:
-New
-Sudden
-Worsening
-Rapid
-Post op
-Unstable
-Returning to unit after a procedure
3. Prioritizing chronic pts by organs: 1. Brain- The pt can't come back from brain damage!
2. Lungs
3. Heart
4. Maslow's Hierarchy of Needs: #1 Priority:
Physiological Needs- Airway, Breathing, Circulation, Food, Water, Shelter, Clothing, Rest, Sex, Warmth)
#2 Priority:
Safety
5. Normal Adult Vitals: BP: 120/180
Pulse: 60-100
Respirations: 12-20
Temperature: 98.6 F
SP02: 94%-100%
6. Hypertension "Silent Killer": High Blood pressure:
Anything over 140, the heart says "OH LORDY!"
Hypertension Crisis=
Anything over 180 systolic
Anything over 120 diastolic
High BP can cause a brain bleed (CVA Stroke) due to the constant pressure. It's like punching the organs repeatedly.
, THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
*Indication of a brain bleed:
Headache!
When bringing down BP, you want to bring it down nice and steady. Like landing a plane. You don't want the pt to seize
if the bp comes down too quick
7. Hypotension: Systolic less than 100
Low BP can KILL the pt because low bp means low oxygen to the body!
8. 1st indication of HYPOXIA: Change in mental status!
Keywords:
Agitation
Restlessness
Decreased level of consciousness
Confusion
9. Indications of internal bleeding: Hard-board like abdomen
Platelets less than 150,000
Bright red blood "Bright is never right"
PTT and INR too HIGH= the pt will die!
10. Delegation: LPN's take care of stable pts
LPN's can monitor and maintain
LPN's can do secondary teaching
LPN's can do follow up assessments
LPN's can't do first, primary, or initial assessments
LPN's can't do first, primary, or initial teachings
LPN's can't trend vitals
LPN's can't evaluate
LPN's can't do interpretations
LPN's can't titrate
UAP's can only do "VAPER" to STABLE pts:
Vitals
, THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
Ambulation
Position
Eating
Record I&Os
11. TERMS:
Negligence
Malpractice
Assault
Battery
False Imprisonment
Libel
Slander: Negligence- Failing to provide adequate care for your patient
Malpractice- Bad practice by a healthcare professional, that results in provable damage
Assault- A threat to harm (Threats make you an ASS!)
Battery- Physical Harm (I physically hurt you with a bat)
False Imprisonment- Keeping stable pts against their will (Could be with restraints or sedation)
Libel- Written slander (Written Bible and Libel rhyme)
Slander- Spoken slander
12. TERMS:
Autonomy
Beneficence
Fidelity
Justice
Non-maleficence
Veracity: Autonomy- The pt has the right to make their own medical decisions
Beneficence- Benefiting your pt
, THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
Fidelity- Keeping a promise
Justice- To be Fair (Justice for all)
Non-maleficence- To do no harm
Veracity- Very honest
13. Nurses Role for Informed Consent: 1. Assess that the patient is competent enough to make
decisions (Dementia pts can give consent as long as they are oriented X4 in that moment)
2. Witness the clients signature
3. Document the date and time the signature was obtained
14. Advanced Directive (Living wIll): A legally signed document that outlines wishes and desired
medical care if a client becomes unable to communicate
15. Power of Attorney (POA): A proxy that makes decisions for the patient if they are unable to do so
16. Respiratory Acidosis: ACIDosis is more dangerous than Alkalosis
S/S of respiratory Acidosis- think acidLOWsis
S/S will be low and slow
17. Respiratory Alkalosis: S/S of respiratory Alkalosis: Fast breathing, panic attack.
(Think "ALK" as panting like a dog- if it's respiratory)
18. Metabolic Acidosis: Comes out of the ass
19. Metabolic Alkalosis: Comes out of the mouth
(Alk, think of gagging like your going to puke- if it is metabolic)
20. Normal Ranges:
pH
Paco2
Hc03: pH: 7.35-7.45
Paco2: 35-45 (drop the 7s from the pH)
Hc03; 22-26
21. ABG Interpretation: pH: A 7.35----------------7.45 B
o2: B 35--------------------45 A
Study online at https://quizlet.com/_fcejc8
1. Prioritization Questions: These questions are asking WHO DIES FIRST?
So when you get stuck on a question, ask yourself- WHO WILL DIE FIRST?
2. Unstable patients: Unstable patients always come FIRST.
Keywords that indicate a pt is unstable:
-New
-Sudden
-Worsening
-Rapid
-Post op
-Unstable
-Returning to unit after a procedure
3. Prioritizing chronic pts by organs: 1. Brain- The pt can't come back from brain damage!
2. Lungs
3. Heart
4. Maslow's Hierarchy of Needs: #1 Priority:
Physiological Needs- Airway, Breathing, Circulation, Food, Water, Shelter, Clothing, Rest, Sex, Warmth)
#2 Priority:
Safety
5. Normal Adult Vitals: BP: 120/180
Pulse: 60-100
Respirations: 12-20
Temperature: 98.6 F
SP02: 94%-100%
6. Hypertension "Silent Killer": High Blood pressure:
Anything over 140, the heart says "OH LORDY!"
Hypertension Crisis=
Anything over 180 systolic
Anything over 120 diastolic
High BP can cause a brain bleed (CVA Stroke) due to the constant pressure. It's like punching the organs repeatedly.
, THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
*Indication of a brain bleed:
Headache!
When bringing down BP, you want to bring it down nice and steady. Like landing a plane. You don't want the pt to seize
if the bp comes down too quick
7. Hypotension: Systolic less than 100
Low BP can KILL the pt because low bp means low oxygen to the body!
8. 1st indication of HYPOXIA: Change in mental status!
Keywords:
Agitation
Restlessness
Decreased level of consciousness
Confusion
9. Indications of internal bleeding: Hard-board like abdomen
Platelets less than 150,000
Bright red blood "Bright is never right"
PTT and INR too HIGH= the pt will die!
10. Delegation: LPN's take care of stable pts
LPN's can monitor and maintain
LPN's can do secondary teaching
LPN's can do follow up assessments
LPN's can't do first, primary, or initial assessments
LPN's can't do first, primary, or initial teachings
LPN's can't trend vitals
LPN's can't evaluate
LPN's can't do interpretations
LPN's can't titrate
UAP's can only do "VAPER" to STABLE pts:
Vitals
, THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
Ambulation
Position
Eating
Record I&Os
11. TERMS:
Negligence
Malpractice
Assault
Battery
False Imprisonment
Libel
Slander: Negligence- Failing to provide adequate care for your patient
Malpractice- Bad practice by a healthcare professional, that results in provable damage
Assault- A threat to harm (Threats make you an ASS!)
Battery- Physical Harm (I physically hurt you with a bat)
False Imprisonment- Keeping stable pts against their will (Could be with restraints or sedation)
Libel- Written slander (Written Bible and Libel rhyme)
Slander- Spoken slander
12. TERMS:
Autonomy
Beneficence
Fidelity
Justice
Non-maleficence
Veracity: Autonomy- The pt has the right to make their own medical decisions
Beneficence- Benefiting your pt
, THE ULTIMATE NCLEX STUDY GUIDE!
Study online at https://quizlet.com/_fcejc8
Fidelity- Keeping a promise
Justice- To be Fair (Justice for all)
Non-maleficence- To do no harm
Veracity- Very honest
13. Nurses Role for Informed Consent: 1. Assess that the patient is competent enough to make
decisions (Dementia pts can give consent as long as they are oriented X4 in that moment)
2. Witness the clients signature
3. Document the date and time the signature was obtained
14. Advanced Directive (Living wIll): A legally signed document that outlines wishes and desired
medical care if a client becomes unable to communicate
15. Power of Attorney (POA): A proxy that makes decisions for the patient if they are unable to do so
16. Respiratory Acidosis: ACIDosis is more dangerous than Alkalosis
S/S of respiratory Acidosis- think acidLOWsis
S/S will be low and slow
17. Respiratory Alkalosis: S/S of respiratory Alkalosis: Fast breathing, panic attack.
(Think "ALK" as panting like a dog- if it's respiratory)
18. Metabolic Acidosis: Comes out of the ass
19. Metabolic Alkalosis: Comes out of the mouth
(Alk, think of gagging like your going to puke- if it is metabolic)
20. Normal Ranges:
pH
Paco2
Hc03: pH: 7.35-7.45
Paco2: 35-45 (drop the 7s from the pH)
Hc03; 22-26
21. ABG Interpretation: pH: A 7.35----------------7.45 B
o2: B 35--------------------45 A
