Professional Documents
Culture Documents
''Comma, Comma, And Rule'' => all parts of an answer choice MUST be correct or
it's not correct at all
3 ''P'' of Diabetes:
o Polydipsia (excessive thirst)
o Polyuria (excessive production of urine)
o Polyphagia (excessive hunger)
MRI - the magnet used can damage tissues if any metal is present - can cause the
metal to heat up as it absorbs the energy
Tip - A mix forces you to go back to the stem of the question to validate your hunch of
what's really going on -> do you need another assessment to clarify something or are
you free to just move on an implement
Tip - Your goal is to logically, methodically work your way through the question to
eliminate as many answers as possible until you get to the legitimate, correct one
RICE:
o R = Rest
o I = Ice
o C = Compression
o E = Elevation
Tip - for balanced suspension traction you must have traction, counter-traction and line
of pull
Psych nurses assess the following on admission and while a pt. is hospitalized ->
Sleep - Appetite - Concentration - Interest - Energy
Poor hand washing by health care providers is most common cause of transmission
of VRE and MRSA.
OCD - obsessive thoughts, compulsive behaviors that the client is unable to control
Hospice Care: emphasizes palliative care rather than curative treatment, quality
rather than quantity of life. Provided for clients who are expected to die within the
next six months. Available 24 hours per day.
Hematocrit measures the amount of solids in a liquid. Make sure you know the
normal levels in your Kaplan-PN book.
o Men: 42-50
o Women 40-48
Tip - Watch video on precautions online you have to know this content
VITALS & ABC'S:
o Respiratory Rate = A or B
o Blood Pressure & Pulse = C
Fatty Emboli Syndrome (FES) occurs whenever fat enters into the circulation.
Clients diagnosed with femur or pelvic fractures or total hip replacements are a
higher risk.
o At highest risk for a FES 24 72 hrs. after the fracture/surgery
o Manifestations include: shortness of breath, restlessness and apprehension
(sometimes described as a feeling of impending doom) and petechiae on
the chest
Restraints = Chemical or Mechanical On the NCLEX, you are to use the least
restrictive means of restraint thats legitimate. NCLEX loves the patient to be
independent as possible.
Legal Issues:
o Negligence - Failure of nurse to use ordinary and reasonable care during
care of a client
o Assault and battery. = Fearful that the nurse will cause harmful or offensive
contact, such as use of physical restraints without clients permission
o Battery occurs when offensive or unwanted contact takes place; client has
right to refuse treatment
Therapeutic Response:
o Respond to feeling and tone
o Provide information
o Do not ask "why questions
o Do not ask "yes / no questions
o Do not focus on the nurse
o Do not explore (dont be nosey)
o Do not say, "don't worry"
Tip - Anything in a question or an answer is REAL in the NCLEX world. If its there it is
FAIR GAME as an answer option!
Tip - In the NCLEX hospital, the patient's picture may be in the chart - if that is what the
answer states, it is
o When caring for a child, it is okay to ask parent to identify child.
Isometric Exercises - ''Iso'' means same: -> so you are working with the same
muscle -> contracting and relaxing the ''same'' muscle
Pain is what the client says it is. Patient says he's in pain = he is!
The LPN/LVN calculates the 8-hour intake of a client. During the last 8 hours, the
client consumed:
o 2 cups coffee = 16 oz x 30mL = 480mL
o 1/2 jello = 4 oz x 30mL= 120 mL
o 8 oz milk = 8 oz x 30mL = 240mL
o 1 cup juice = 8 oz x 30mL = 240 mL
o 1 1/2cup soup = 12 oz x 30mL= 360mL
o 3 cups water = 24 oz x 30mL = 720mL
o Total mL => 2160
Measurements:
o 1 cup = 8 oz
o 1oz = 30ml
Psyche conditions:
o Schizophrenic - delusion, out of touch with reality
o Denial - denying the event or circumstance
o Depression - expected reaction due to loss of body part. Signs = insomnia,
lack of interest.
o Depression affects:
Sleep
Appetite
Concentration
Interest
Energy
Stages of grief
o Shock and disbelief
o Awareness of the pain of loss
o Restitution
Stages of dying
o Denial
o Anger
o Bargaining
o Depression
o Acceptance
Intermittent claudication: Calf pain that occurs with activity then decreases with
rest. Achy pain.
Signs of LEFT heart failure signs: dyspnea, orthopnea, pleural effusion, Cheyne
Stokes respirations, cough with frothy blood tinged sputum, edema, weight gain,
fatigue and muscle weakness.
Eye Conditions:
o Cataracts: causes opacity of lens of the eye. Gradual loss of vision, blurred
vision, sensitivity to light, opaque appearance to the eye.
o Glaucoma: increased intraocular pressure. Too much production or poor
drainage of aqueous humor. Poor night vision, halos around lights.
o Astigmatism: curving of the cornea will cause blurred vision
o Retinal detachment: retinal layers separate from the choroids;
o Floaters, flashes of light, or description of a curtain falling down over the
visual field.
Putting pregnant mom on her left side displaces the uterus. This allows circulation
thru the vena cava. Pregnant women often experience vena cava syndrome from
the fetus putting pressure on the inferior vena cava. When hypotension and
dizziness occur always turn on left side.
RACE
o R = Rescue
o A = Alarm
o C = Contain
o E = Extinguish
Client should not get pregnant for at least 4 weeks after receiving the rubella
vaccine.
Live vaccines like MMR, chicken pox and the inhaled flu vaccine should not be
administered to pregnant women, and immuno-compromised pts.
Intrinsic factor, located in the gastric mucosa, is necessary for the absorption of
vitamin B12.
Do not encourage high fiber or spicy food for clients on radiation therapy.
Creatinine is a by-product of muscle metabolism. Excreted only through the
kidney. If the kidney function fails, the creatinine goes up.
Lantus - is a long-acting insulin and does not have a peak effect. Usually
administered at bedtime, and reduces risk of nighttime hyperglycemia.
Still worried about meds & calculations? Here are some tips:
o Conversion Equivalents are in your PN Course book
o You have to know this content for the NCLEX - PN.
In your Kaplan online, there are a TON of content videos about medications - IV
therapy, blood infusion, side effects, meds. It definitely includes some calculation
work for you
Exam Time Thoughts:
o Do not chew gum during the NCLEX. The camera may think you are talking to
someone else.
o Bring a snack for the exam and take the breaks offered to re-energize.
o Dress in layers
o Review the content videos online in your Kaplan materials. Listen to those
lectures.
o You can review these questions again with Lessons On Demand. It's like taking
the class again.
o Use that Decision Tree.
If you have questions about your online Q-Bank questions, you can email nclex-
expert@kaplan.com
Having trouble with your online resources? Here are some tips:
o Go to - www.kaplannursing.com
o Next, sign in. Your email is your user name
o Click 'My Kaplan'
o On My Course Syllabus, click Go!
o There is a TON of info here. To get to the Q Bank, click My Toolbox.
Check it during break today. We can help you if it doesn't work for you today :)