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ATI NCLEX Live Review Sheet

Terms in this set (12)

STOP
S= Story: Issue & Client
T= Think: Stem, Type, & Key Words
O= Options: Consider Choices
P= Pick: Correct Answer (& Stick to it!!)
Multiple Response (SATA)
STOP--- > or = 2 correct answers (NEVER all)--- True/False--- In all areas of test plan & across all difficulty levels--- NO partial credit
TPN- Hyperalimentation:

1. TPN is a/an __________________ solution (hypotonic, hypertonic, isotonic).
2. TPN may be given via _______________________ (NG tube, PICC line, tunneled catheter).
3. TPN is prepared ________________ (hourly, daily, weekly)--> based on lab values.
4. The TPN dressing change is done with ____________________ asepsis (surgical or medical).
5. This lab value is checked every 4-6 hours when TPN is initiated: __________________ (WBC, total lipids, blood glucose)
6. A new TPN bag is hung every ______________ hours. (8, 12, 24). A new filter is hung with each bag (True or False?)
1. hypertonic
2. PICC Line; Tunneled catheter (central line)
3. daily
4. surgical
5. blood glucose
6. 24; True
Which Medication Might Be Given?....

1. Prevent Heart Disease
2. Prevent an MI or Stroke
3. Slow the progression of arthritis
4. Prevent urinary incontinence
5. Prevent rubella
6. Lower blood pressure
7. Treat neuropathy
8. Treat GERD
9. Treat bipolar disorder
10. Treat COPD
11. Treat Depression
12. Decrease symptoms of herpes zoster
13. Prevent bronchospasm
1. Atorvastatin
2. Clopidogrel
3. Etanercept
4. Oxybutynin
5. MMR Vaccine
6. Valsartan
7. Pregabalin
8. Esomeprazole
9. Quetiapine
10. Tiotropium
11. Duloxetine (Cymbalta)
12. Valacyclovir
13. Montelukast
What is the minimal PPE requirement?

1. Standard?
2. Contact?
3. Droplet?
4. Airborne?
1. Standard:
-Gloves? PRN
-Gown? PRN
-Mask? PRN
-Goggles? PRN
***HANDWASHING

2. Contact:
-Gloves? YES
-Gown? YES
-Mask? PRN
-Goggles? PRN

3. Droplet:
-Gloves? PRN
-Gown? PRN
-Mask? YES (surgical)
-Goggles? PRN

4. Airborne:
-Gloves? PRN
-Gown? PRN
-Mask? YES (N-95 for TB, SARS, Ebola)
-Goggles? PRN
Need to Know Lab Values....

Electrolytes:
-Na+
-K+
-Ca++
-Phosphorus

ABGS:
-pH
-PaCO2
-HCO3
-PaO2
-SaO2

CBC:
-Hgb
-Hct
-WBC

Cardiac:
-Cholesterol
-Platelets
-PT
-aPTT
-INR

Endocrine:
-Glucose Fasting
-HbA1c

GU:
-BUN
-Creatinine

Others:
-Albumin
-Urine Specific Gravity
Electrolytes:
-Na+: 135-145 mEq/L
-K+: 3.5-5.0 mEq/L
-Ca++: 9-10.5 mg/dL
-Phosphorus: 3-4.5 mg/dL

ABGS:
-pH: 7.35-7.45
-PaCO2: 35-45 mm Hg
-HCO3: 21-28 mEq/L
-PaO2: 80-100 mm Hg
-SaO2: 95-100%

CBC:
-Hgb: 12-18 g/dL (widest range)
F: 12-16 g/dL
M: 14-18 g/dL
-Hct: 37-52% (widest range)
F: 37-47%
M: 42-52%
-WBC: 5-10,000/mm3

Cardiac:
-Cholesterol: <200 mg/dL
-Platelets: 150-400,000 mm3
-PT: 11-12.5 sec
-therapeutic range: 1.5-2x/normal range (want to take longer to clot)
-aPTT: 30-40 sec
-therapeutic range: 1.5-2x/normal range
-INR: 0.7-1.8; therapeutic range 2-3

Endocrine:
-Glucose Fasting: 70-105 mg/dL
-HbA1c: 4-6%

GU:
-BUN: 10-10 mmol/L
-Creatinine: 0.5-1.2 (widest range)
F: 0.5-1.1 mg/dL
M: 0.6-1.2. mg/dL

Others:
-Albumin: 3.5-5 g/dL (Prealbumin: 23-43 mg/dL)
-Urine Specific Gravity: 1.005-1.030
Manage The Underlying Cause.....

1. Metabolic Acidosis
2. Metabolic Alkalosis
3. Respiratory Acidosis
4. Respiratory Alkalosis
The Nurse Might Use....(Re-breather bag, Diphenoxylate/atropine, Naloxone, Ondansetron, Regular Insulin, Hydromorphone)

1. Metabolic Acidosis
-Diphenoxylate/atropine
-Regular Insulin (DKA)

2. Metabolic Alkalosis
-Ondansetron (d/t vomiting)

3. Respiratory Acidosis
-Naloxone (OD?)
-Hydromorphone

4. Respiratory Alkalosis
-Re-Breather Bag (Hyperventilation)
-Hydromorphone
Name the Medication Used for Diabetes Mellitus

1. When mixed with regular insulin, draw this medication up last.
2. The client should eat as soon as this medication is given.
3. Hold this medication 48 hours before and after use of a contrast dye.
4. This medication is given Subcutaneously and has no peak action time.
5. This medication might be used to lower serum K+ levels.
1. NPH insulin
2. Lispro
3. Metformin
4. Glargine (long-acting, AKA Lantus)
5. regular insulin, IV
Match the Diet to the Disorder

1. NPO, TPN may be used
2. Clear liquids---> high fiber
3. Low-fat diet
4. Decrease protein intake
5. Avoid glutens
6. Clear liquids
7. Avoid purines
8. Small frequent meals
9. Avoid large meals, eating late, alcohol, caffeine
1. Pancreatitis
2. Diverticulitis
3. Cholecystitis
4. Liver Disease
5. Celiac
6. Nausea/Vomiting
7. Gout
8. Dumping Syndrome
9. GERD
What Should the Nurse Monitor?

1. Digoxin
2. Acetaminophen
3. Glipizide
4. Morphine
5. Prednisone
6. Warfarin
7. Zolpidem
8. Olanzapine
9. Levofloxacin
1. Potassium
2. Temperature
3. Blood Glucose
4. Respiratory Rate
5. Delayed Wound Healing (d/t immunosuppresion)
6. INR (levels to be at 2-3)
7. Sleep Patterns
8. Mood
9. Culture & Sensitivity
How might the nurse adapt care for Erikson's Stages of Development?

1) Years: 0-1 ; Trust Vs. Mistrust
2) Years: 1-3 ; Autonomy Vs. Shame & Doubt
3) Years: 4-6 ; Initiative Vs. Guilt
4) Years: 6-12 ; Industry Vs. Inferiority
5) Years: 12-20 ; Identity Vs. Role Confusion
6) Years: 20-35 ; Intimacy Vs. Isolation
7) Years: 35-65 ; Generativity Vs. Stagnation
8) Years: > or = 65 ; Integrity Vs. Despair
1) Health Promotion: Teach parents to meet infant social & physical needs
2) Health Promotion: Provide child acceptable options
3) Health Promotion: Assist parents to identify age-appropriate activities
4) Health Promotion: Encourage child's participation in care
5) Health Promotion: Provide same-age support group
6) Health Promotion: Provide private time w/ partner
7) Health Promotion: Assist client in adaptation w/ illness and home/work demands
8) Health Promotion: Encourage use of personal items when not at home
Match The Antidotes:

1. Naloxone
2. Vitamin K
3. Protamine Sulfate
4. Acetylcysteine
5. Flumazenil
6. Digoxin immune fab
7. Succimer (chelation therapy)
8. Calcium gluconate
1. Opioids
2. Warfarin
3. Heparin
4. Acetaminophen
5. Benzodiazepines
6. Digitalis
7. Lead
8. Magnesium
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