NCLEX study packet | NCLEX study guide. Download to pass your NCLEX test
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Course
NCLEX
Institution
NCLEX
Congratulations on passing nursing school! this was a huge accomplishment in
itself. I want you to know how proud we are of you and we believe in you ! first
things first , let's talk about study habits and how to prepare for NCLEX RN/ PN
The 21 day NCLEX preparation guide
21 days is roughly 3 ...
Congratulations on passing nursing school! this was a huge accomplishment in
itself. I want you to know how proud we are of you and we believe in you ! first
things first , let's talk about study habits and how to prepare for NCLEX RN/ PN
The 21 day NCLEX preparation guide
21 days is roughly 3 weeks. in those three weeks you’ll be anxious and nervous so lets get a plan!
week 1 : learn the WWW question breakdown method ( outlined at the end of the study guide) practice
75 questions each day and WRITE THE RATIONALES to the ones you missed in a binder. take a small
break each day to do something you love. go back over the rationales of the day at least 5 times. Also any
material you aren't grasping go back to Mike’s simple nursing videos. www.simplenursing.com
Week 2: getting closer right? Time to teach! every opportunity you get teach a concept to someone, when
you're ready to study we're going to repeat week 1 ( wine at this time is ok lol) or men go shoot some guns
or fish before sitting down to studying. practice 75 questions each day and WRITE THE RATIONALES
to the ones you missed in a binder. take a small break each day to do something you love. go back over the
rationales of the day at least 5 times.
Week 3 : The final countdown! please I beg you to relax that week! teach when you can and we're going
to cut back on study time with a final power push 48 hours before. M-W only do about 25 questions with
rationales WRITE THE RATIONALES to the ones you missed in a binder. take a small break each day
to do something you love. go back over the rationales of the day at least 5 times. NOW 48 hours before
the exam were going to do an nclex power push with questions do as many as possible BUT before you
write the rationales they give you write your own rationales and see where you compare and adjust as
needed. Get a map of there you are taking your test and drive there in traffic so you can see how long it's
going to take to get there so you aren't late.
Night before the EXAM : stop studying at 830, have a good meal , and sleep!
Morning of the EXAM : Eat breakfast, get ready and be comfortable, if you are used to lounge clothes
wear that . if you're superhuman and used to looking killer when you're in public this would be a good
day to kill it too.
GOOD LUCK!
The services and all information, products, and other content included in this guide or other materials
accessible from the services are provided "as is" and without warranties of any kind (express, implied,
and statutory, including but not limited to the implied warranties of merchantability and fitness for a
particular purpose), all of which Angie Renee expressly disclaim to the fullest extent permitted by law."
This is not medical advice and should under no circumstances be used as such.
,● Focus on your successes encouraging yourself to greater achievements in the future and Forget your past
mistakes.
● Always do your best so you can be proud that you gave it your best shot.
● Focus on your achievements rather than your failures. If you do find yourself thinking about how you failed
then look at what you managed to do right and how you could correct what you did next time.
● A mind that is troubled with doubt won't be able to focus on the victory to be had.
● Take time for yourself. A fried mind can't focus or learn.
● Look carefully when you have no idea. In a word like rhabdomyosarcoma you can easily ascertain it has
something to do with muscle (myo) cancer (sarcoma). The same thing goes for drug names. For example,
if it ends in –ide it’s probably a diuretic, as in Furosemide, and Amiloride.
● When getting down to two answers, choose the assessment answer (assess, collect, auscultation, monitor,
palpate) over the intervention except in an emergency or distress situation. If one answer has an absolute,
discard it. Give priority to answers that deal directly to the patient’s body, not the machines/equipments.
● Key words are very important. Avoid answers with absolutes for example: always, never, must, etc.
● When choosing an answer, think in this manner… if you can only do ONLY one thing to help this patient
what would it be? Pick the most important intervention.
● If two of the answers are the exact opposite, like bradycardia or tachycardia... one is probably the
answer.
● If two or three answers are similar or are alike, none is correct.
● When asking patients’ questions NEVER use “why” questions. Eliminate all “why?” answer options.
● If you have never heard of it… please don’t pick it!
● Never release traction UNLESS you have an order from the MD to do so
● Always deal with actual problems or harm before potential problems
● Always select a “patient focused” answer.
● An answer option that states "reassess in 15 minutes" is probably wrong.
● An answer that delays care or treatment is ALWAYS wrong
DO NOT delegate what you can EAT! or PACET
P – Planning
A – Assess (Primary/Initial)
C – Collaboration (with RT, OT, PT, ETC)
E – Evaluate (for trends)
1. – Teach
,○ Assessment, teaching, i.v. meds, evaluation, unstable patient cannot be delegated to an Unlicensed
Assistive Personnel.
○ LVN/LPN cannot handle blood.
Vit K is to coumadin as Protamine Sulfate is to Heparin as Ca Glu is to MgSo4 as Mucomyst is to
Acetaminophen as Amicar is to TPA…get it? Antidotes/treatments for overdose
- REVERSE AGENTS FOR TOXICITY
ammonia= lactulose acetaminophen= n-Acetylcysteine. Iron= deferoxamine, Digitoxin/digoxin= digibind.
Alcohol withdrawal= Librium.
● methadone is an opioid analgesic used to detoxify/treat pain in narcotic addicts.
● Potassium potentiates dig toxicity.
Order of assessment: Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen cuz
you don’t wanna mess with the bowels and their sounds so you Inspect, Auscultate, Percuss and Palpate
(same with kids, I suppose since you wanna go from least invasive to most invasive since they will cry!
Gotta love them kids!)
No Pee, no K (do not give potassium without adequate urine output)
EleVate Veins; dAngle Arteries for better perfusion
For PVD remember DAVE (Legs are Dependent for Arterial & for Venous Elevated)
Arterial – PPP, Pain, pallor, pulselessness. Stand up to reduce pain
G= grimace {reflex irritability} (cough/pulls away ↘ facial movement/grimace only with
stimulation ↘ no response)
A= activity {muscle tone} (spontaneous activity ↘ arms/legs flexed with little
movement ↘ limp/floppy tone) R= respirations {effort} (30-60 bpm/strong cry ↘
irregular/slow breathing/weak cry ↘ absent)
TRANSMISSION-BASED PRECAUTIONS:
AIRBORNE - Private Room - negative pressure with 6-12 air exchanges/hr, Mask, N95 for TB
My - Measles or remember... MTV=Airborne
Chicken - Chickenpox/Varicella Measles
DROPLET - Private Room or cohort Mask think of SPIDERMAN!
S – sepsis, S - scarlet fever, Streptococcal pharyngitis
P - parvovirus B19, P - pneumoniae P - pertussis
I - influenza
D - diphtheria (pharyngeal)
E - epiglottitis
R - rubella
M – mumps, Meningitis, M - mycoplasma or meningeal pneumonia
An - Adenovirus
, CONTACT PRECAUTION
MRS.WEE
M - multidrug resistant organism W - wound infxn
R - respiratory infection E - enteric infxn - clostridium difficile
S - skin infections * E - eye infxn - conjunctivitis
SKIN INFECTIONS
VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpes simplex
I - impetigo
P - pediculosis
S - scabies
1.
Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom) → turn pt to left side and lower the
head of the bed.
1. Woman in Labor w/ Non-reassuring FHR (late decels, decreased variability,
fetal bradycardia, etc) → turn on left side (and give O2, stop Pitocin, increase
IV fluids)
1. Tube Feeding w/ Decreased LOC → position pt on right side (promotes emptying
of the stomach) with the HOB elevated (to prevent aspiration)
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