Exam (elaborations)
MARK KLIMEK NCLEX PHARM EXAM QUESTIONS WITH VERIFIED ANSWERS
- Course
- Institution
MARK KLIMEK NCLEX PHARM EXAM QUESTIONS WITH VERIFIED ANSWERS
[Show more]
Content preview
MARK KLIMEK NCLEX PHARM EXAMQUESTIONS WITH VERIFIED ANSWERS
Never hold the hormone for what patient? - Answer-patient who is NPO with mydexema
Addison's disease easy way to remember - Answer-Add a Sone (sone = steroid)
Best default order for click and drag order questions? - Answer-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Answer-call Doctor, NCLEX wants you to think critically
INR lab values - Answer-2-3, critical value if off, potential for patient to bleed. Use
default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K
(antidote for Coumadin), Call or notify
Potassium lab values - Answer-3.5-5.3 If low it is a critical lab to worry about assess the
heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
If question says there is pitocin running and there are complications - Answer-stop pit
first then LIONpit
Pain meds in labor - Answer-know your peaks for IV, IM, PO, Subling. If baby is likely to
be born when the pain med is peaking don't give! Why? Respiratory depression in baby
OB medications tocolytics - Answer-stop contractions, Brethine causes maternal
tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - Answer-makes labor more intense, Pitocin, Methergine,
Cervidil
OB medications Fetal/Neonatal Lung meds - Answer-Betamethasone, speeds the
development of the baby's lungs, given to Mom before baby is born, given IM, will
increase the blood sugar of Mom
Survanta (surfactant) - Answer-given to baby after baby is born given trastracheal
through the airway develops lungs
Med hints for IM injections - Answer-Look for 1's in both parts (the 1 looks like an I),
guage and length, 21 g, 1 inch means IM
, Med hints for SQ injections - Answer-look for 5's in both parts (the 5 looks like an S),
guage and length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - Answer-R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - Answer-put air into N then R , NRRN the whole process
If 70/30 insulin it is - Answer-70% N and 30% R, may have to make your own on
boards, no 70/30 on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - Answer-works immediately, labs
Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days,
pregnancy: YES (Class C pregnancy drug, use caution)
Coumadin is given PO, info re: Coumadin - Answer-takes days to work, labs ONLY PT-
INR, antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)
If a diuretic ends in the letter X it is a potassium - Answer-wasting drug plus Diurel
Baclofen/ Flexoril - Answer-muscle relaxant, think on your back loafin'! makes a patient
drowsy, weak muscles, don't drink, don't drive, don't care of kids under 12
Piaget's stage Sensorimotor age 0-2, totally
When can a child give themselves their own insulin shot? - Answer-7
What 2 parts are always irrelevant in a prioritization question? - Answer-age and gender
(NCLEX is testing discrimination against agism), age only important for peds
All psych drugs cause - Answer-low BP and weight change (usually gain)
Phenothiazines - Answer-all end in 'zine Ex: Thorazine, Compazine, they are major
tranquilizers so think safety
'Zines for the - Answer-Zanny
In large doses Phenothiazines are - Answer-anti-psychotics
In small doses Phenothiazines are - Answer-anti-emetics
Side effects of Phenothiazines - Answer-Anticholinergic (dry mouth), Blurred vision,
Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity,
aGranulocytosis (low WBC's)
#1 problem or concern for patient taking Phenothiazines - Answer-SAFETY
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now