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NCLEX-PN review

some points to remember for nclex
STUDY
PLAY
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