Professional Documents
Culture Documents
Day of exam
o arrive 30 min early
o Bring valid ID
o Picture fingerprint and palm vein scan will be done.
o Pearsonvue.com/NLCEX board of nursing application
o Dont even bring your phone, dont bring any education materials
o Only bring a snack
Alternate item formats
o Multiple response
o Fill in the blank
o Hot spot
o Multiple choice
o Chart/exhibit
o Audio
o Drag and drop
On select all that apply, at least 2 will be correct
Test taking strategies
o Stop method
i. S story
1. Identify the issue and client
ii. T think
1. Key words
2. Identify the stem true or false
a. Manager reconizes a need for futher education when the nurse
does which of the following False stem
iii. O Options
1. Consider potential options/answers
2. What do you the answer should be
iv. P Pick
1. Make your selection and do not change it
SN - continue to monitor when there is nothing wrong
More priority strategies
o Choose the least restrictive/invasive answer
o Determine the clients survival potential
i. See the sickest client first
o Acute before chronic
o Stable before unstable
i. Delegation applies to stable patient
Default strategies
o Early vs Late signs and symptoms
o Pre, post, intra
o Time elapsed
o Stay with client
o Use what you know
o Prevent harm to client / What will do the least harm to the client?
o Look for most complete answer
o Safe and effective delegation
i. Evaluate
ii. Assess
iii. Teach
Things that are of concern to the nurse are things that are not expected.
2-point gate left foot right crutch at same time, then right foot left crutch same time
4-point gate individual points hit the ground separately
Swing to gait move crutches forward, swing both feet forward
o Similar to 3 point gate
Management of care
5 rights of delegation
o Person
o Task
o Circumstance
o Communication
o Supervision
i. RN
1. Unstable clients, assessments, initiate care plans, teaching, blood
products, IV fluids and IV push medications
ii. PN
1. Stable clients only, gather data, contribute to care plan, reinforce
teaching, monitor IVFs, and blood transfusions, administer piggybacks
iii. AP
1. Stable clients, obtain vital signs, gather specific data, hygiene care, bed
making, feeding, positioning, ambulation, NO BLOOD GLUCOSE CHECKS
Pharmacology
Colostomy care
o 2 types of colostomies -2 piece and one piece
i. One piece you have to take it off every time you have to change it
Diets pg. 162
Enteral Nutrition
o Enteral GI tract
o Parenteral vascular
Residual less than 100ml is what you should get
Physiologic adaptation
Cancer management
o Staging I, II, III, IV
o Chemo s/s
Bone marrow suppression
Infection
Bleeding
Anemia
Stomatitis
Inflammation of mouth
o Interventions
Assess for signs of infectinos neurtopenic
Assess for signs of bleeding
Encourage energy conservation
Provide soft bland diet and frequent oral care
Promote hydration and nutrition
Pain managemtn
Assess psychosocial needs
Cirrhosis pg. 102
o s/s
portal hyptertension
esoph varices
clotting abnormalities
hepatic enceiph
ascites/peritonitis
altered nutrient and vitamin metabolism
need high calorie, low protein, low fat, low sodium diet
Emergency burn care pg. 158
o 4 x weight (kg) x % = total fluid after a burn
Half must be given within 8 hours after burn
Fat embolus pg. 108
o Petechial rash is hallmark sign
Traction pg. 109
Compartment syndrome pg. 109
Head injury and ICP pg. 144-145
Spinal cord injury 147-148
Autonomic dysreflexia pg. 148
Hemodialysis pg. 140
Peritoneal dialysis pg. 140
Psychosocial integrity
Areas to review
o Harder questions are generally the analysis questions such as delegation, prioritization,
and evaluation of treatment/intervention
o The recall/recognition questions are more the below passing level questions
o Venous insufficiency legs go up (Peace up)
o Arterial insufficiency legs go down (A-town down)
o Normal WBC 5,000 to 10,000 mm
o Low urine spec. gravity is dilute urine
o Normal platelets
o Methotrexate
o Prevent fluid volume deficit by monitoring blood glucose every 4-6 hours if patient has
total parenteral nutrition.
o Wedge pressure normal range 4-12
Too high = fluid vol. overload
o 1 Liter of fluid = 1 kg of weight = 2.2 pounds
o Serum albumin of 2.8 is expected with nephrotic syndrome
o BP of 138/86 is expected with glomerulonephritis
o Hyperthyroid and hypothyroid meds
o Methylergonovine administration question if client has pre-existing medical condition
of gestational hypertension
o Dont take alcohol with Antabuse
o Phenelzine MAOI dont eat bacon & eggs, liver pepperoni pizza
o s/s of hyperkalemia vs hypokalemia
o proton pump inhibitor Side effects
o digoxin toxicity muscle weakness, blurred vision, nausea/vomiting, irregular heart
rhythm
o methimazole to treat hyperthyroidism, SE is agranulocytosis
o blood types
o lab values
o V-tach and awake meds I take
o V-tach and a nap ZAP ZAP ZAP
o Pancreatitis keep NPO so you dont secrete enzymes to digest food that eats the
pancreas
o Diverticulitis give clear liquids
o Cholecystitis low fat diet
o Liver disease decrease protein intake
o Celiac glutens BROW Barley Rye Oats and Wheat.
o N/V clear liquids
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