NCLEX-PN review

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some points to remember for nclex

What is the nursing process?

Assess
Forming nursing diagnosis
Planning and Goal Setting
Implementation
Evaluation

What are some therapeutic communication barriers?

Giving advice, judging, stereotyping, being defensive, appearing distracted or uninterested, agreeing or disagreeing, appearing biased, not being a good listener or excessive probing

What is HELLP Syndrome?

This is preeclampsia with Liver involvement:

Hemolysis(breakdown of RBCs)
Elevated Liver Function Tests
Low Platelet Count

How many arteries and veins are in the umblical cord?

2 arteries, 1 vein

What is Ortilani's Sign

The click that is heard or felt when the infant is supine and knees are flexed and hips are abducted = hip dyslpasia

What are the dietary considerations for pancreatitis?

Avoid aldohol
bland foods
small, frequent meals
decrease fat

1 tsp = how many mL?

5 mL

What is Ptosis?

Drooping

Which cranial nerve is the optic?

2

The Lub sound of Lub-dub is closure of which heart valves?

Closure of Tricuspid and Mitral Valves(Systole) = Lub

Which sign is the softening of the cervix?

Goodell's

Drugs ending in "olol" belong to which drug classification?

Beta-Blockers = particularly for the management of cardiac arrhythmias, cardioprotection after myocardial infarction (heart attack), and hypertension

What is the normal Lithium value?

normal = < 1.5 mEq/L
toxic = > 2 mEq/L

Where is the location to listen to the Pulmonic valve?

Left second intercostal space

Enema position is on the left or right side?

left

What is the antidote for acetaminophen?

Mucomyst (N-acetylcysteine)

What are the dietary considerations for Celiac Disease?

No gluten
Increase calories
Increase protein

Drugs ending in "statin" belong to which drug classification?

Antihyperlipidemics = used in the treatment of hyperlipidemias. They are called lipid-lowering drugs (LLD) or agents

What is a continuous seizure that must be interrupted by emergency measures?

Status Epilepticus

What are the meds most often used to treat status epilepticus?

diazepam (Valium)
phenytoin (Dilantin)
phenobarbitol (Luminol)

Which body positioning is called the "shock" position?

Modified Trendelenburg = Supine with legs straight and elevated at the hips and head is slightly raised (increases bloodflow to heart and brain)

Which blood type is the universal 'recipient'?

AB+

Which blood type is the universal 'donor type'?

O-

What is stroke volume?

the amount of blood ejected by the heart in any one contraction

What is cardiac output?

Volume of blood ejected by the heart in one minute:
cardiac output = heart rate x stroke volumne

Do Mydriatic drops constrict or dilate the pupils?

Dilate -- myDriatic (d for dilate)

How do you mix insulin?

Clear before Cloudy (NPH)!!!
1. draw up air to equal total insulin
2. wipe vial runner with alcohol
3. inject the amount of air to equal the amount of cloudy insulin into the cloudy vial. BE CAREFUL NOT TO INJECT INTO THE SOLUTION
4. Inject the remaining air into clear vial and draw up the clear insulin
5. reinsert the needle into the cloudy vial and withdraw the desired amount

What are the dietary considerations for Acute Renal Failure?

Increase carbs
Limit protein
decrease sodium
fluid restriction

What are the dietary considerations for Chronic Renal Failure?

Avood high potassium foods
Low sodium
High iron
High calcium
Vitamins B, C & D

Normal Sodium Values?

135 - 145

1 tbsp = how many mL?

15 mL

What is the normal PT value?

9.5 - 12.0 seconds

The Dub sound of Lub-Dub is closure of which heart valves?

Closure of the pulmonic and aortic valves (Distole) = Dub

What are the normal Creatinine values?

0.6 - 1.5 mg/dl

Which cranial nerve is the Vagus?

10 - gag reflex, swallowing, talking

What is the normal heart and blood flow in the correct order?

Blood enters:
Right Atgrium =>
Tricuspid valve =>
Right Ventricle =>
Pulmonic Valve =>
Pulmonary Veins =>
Left Atrium =>
Mitral valve (bicuspic) =>
Left Ventricle =>
Aortic Valve =>
out to body

Normal Blood Ph

7.35 - 7.45

Peripheral Edema, bounding pulses, jugular vein distention, decreased or absent urinary output are signs of right or left sided heart failure?

Right-sided

1 kg = how many liters of water?

1 L

Which cranial nerve is our sense of smell or Olfactory?

1

What are the dietary considerations for Cushings?

Increase protein and potassium
Decrease sodium and calories

What is the normal heart rate of an adult?

60-100 per minute

What is the normal PTT value?

20 - 45 seconds

Where is the location to listen to the Aortic valve?

Right second intercostal space

What are normal calcium values?

8.5 - 10.5

"When taking a BP, if the arm is below the heart level, will the BP reading be elevated or decreased?

Elevated

Whichncranial nerve is our sense of hearing and balance or Acoustic?

8

1 oz = how many mL?

30 mL

Where is the location to listen to the Mitral valve?

Left mid-clavicular line

Normal Potassium values

3.5 - 5.0

What is Nagele's rule?

1st day of last menstrual cycle, minus 3 months, plus 7 days = estimated date of delivery

What is the normal respiratory rate of an adult?

12-20 per minute

Cyanosis, increased RR, decreased BP, pulmonary crackles are signs of right or left sided heart failure

Left-sided

What is the normal value for Digoxin?

normal = < 2 ng/mL
toxic = > 2 ng/mL

What is the antidote for heparin?

protamine sulfate

Do Myotic drops constrict or dilate the pupils?

Constrict = myotiC (c for constrict)

What is constant and involuntary movement of the eyeball?

Nystagmus

What are normal magnesium values?

1.5 - 2.5

Which sign is bluish coloration of the vagina?

Chadwicks

Which test is used to check Rh status?

Coombs Test

What are the normal BUN values?

7 - 18
8 - 20 > 60 years

The chambers on the left side of the heart receive oxygenated or unoxygenated blood?

Oxygenated

Drugs ending in "pril" belong to which drug classification?

Ace inhibitors = ACE inhibitors or angiotensin-converting enzyme inhibitors, are a group of pharmaceuticals that are used primarily in treatment of hypertension and congestive heart failure

What is the normal PaCO2 value?

35-45

What is the normal PaO2 value?

80-100

What is the normal HCO3 (bicarbonate) value?

22-26

What is the normal SAO2 value?

95% - 98%

EKG strip facts: each little box equals?

0.04

What are normal WBC values?

5,000 - 10,000

What are normal platelet count?

150,000 - 400,000

What medication stimulates lung development in premies?

Betamethasone

Normal adult temperature ranges?

97° F to 99.6° F

What are normal specific gravty values?

1.010 - 1.030

What are the normal Creatinine Clearance values?

1.67 - 2.5

What is the therapeutic range for Theophylline (aminophyline?

10-20 mcg/mL

Normal blood pressure in the adult is?

120/80 mm Hg

What are the normal phosphorus values?

2.5 - 4.5

What are the normal albumin values?

3.5 - 5.5

Where are the Tricuspid heart sounds located?

5th intercostal space, left side, sternal border

How many gtt's in a teaspoon?

60 gtt

What are the normal chloride values?

95 - 105

1 gr (grain) = how many mg?

60 mg

What are the actions of calcium channel blockers?

decrease oxygen demand
decrease conductivity
decrease HR and PVR
block calcium access to the cells
decrease force of myocardial contractility

What is the normal HCT values?

36.0 - 46.0

Painless vaginal bleeding is a possible sign of what?

Placenta Previa

Neonates normal temperature ranges?

96° to 99.5° F

What is the normal heart rate of a neonate

120-160 per minute

What is the normal heart rate of an infant?

125-135 per minute

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