Mark Klimek Yellow Book (KV)

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1. If the pH and the BiCarb are Metabolc 14. Before Allen's test. Should be positive. Pt makes a
both in the same direction measuing fist and pressure is applied to the ulnar and
then it is? ABGs you the radial arteries Ulnar pressure is released
should check and color should return in 7 seconds (means
2. If the pH is up it is? Alkalosis
what? it's positive and OK to take ABG's).
3. As the pH goes so goes my Potassium
15. Definition of PH is normal! It is never compensated if it is
patient except for?
Compensation abnormal.
4. If the pH is down it is? Acidosis
16. If PH normal look in the direction it is going. Closer to
5. If the pH is up my patient with Increase... like Acidic? (7.35) acidosis.
show signs and symptoms of? tachycardia,diarrhea and
borborygmi Then look at Bicarb & figure out which is
6. If the pH is down my patient Decrease... like decreased abnormal. If Bicarb is out of range, it's
will show signs and symtoms output, bradycardia and metabolic acidosis.
of? constipation If C02 is abnormal, it's Respiratory Acidosis :)

7. If my pH is up my potassium Down 17. If your pt is Pick the symptom where everything is

(K+) is ? acidotic and DOWN. ( And vice Versa)
you need to
8. If my pH is down my Up
pick a Ex: 2 degree Morbitz Type 2 BLOCK. <----
potassium (K+) is?
symptom Down direction
9. If my patient is Respiratory Alkalosis
18. If you don't Metabolic Acidosis
overventilating I should
know what
choose?
causes an acid
10. If my patient is Respiratory Acidosis base balance,
underventilating I should pick
choose?
19. If in doubt in Headache, nausea, weakness & numbness+
11. If my patient has prolonged Metabolic Alkalosis ABGs, always tingling. It can be either up or down.
gastric vomiting or suction I pick
choose?
20. High pressure They cannot push air in
12. If it is not lung or prolonged Metabolic Acidosis alarms are
vomiting or suctioning I triggered
choose? when?
13. Kussmal Respirations Metabolic Acidosis ( 21. High pressure Kinking, Water in dependant loops and
Remember MacKussmal alarms are mucus in the airway.
caused by
what three
types of
obstructions?
22. If kinking in Unkink
the tube is
present you?
23. If water is Open system and empty water.
present in the
dependant
loops you?
24. If mucus is Turn them, cough and have them deeo
present you? breath first. If ineffective you then suction.
25. Don't suction Coughing & deep breathing is deemed
unless inappropriate.
26. In order to suction, you must be Mucus in the lung 42. What is the biggest problem Denial
able to hear in abuse?
27. Low pressure alarms are It is to easy to push air in. 43. To treat denial you need to? Confront them.
triggered when?
44. Definition of Denial Refusal to accept reality of
28. Low pressure alarms are Disconnection their problem
normally caused by?
45. How do you confront? Point out the difference
29. If the tubing is disconnected Reconnect between what they say and
you? what they do.
30. If O2 sensor line is disconnected Reconnect 46. What is the one circumstance Loss and Grief
you? that you as a nurse would
support denial?
31. In a vented client respiratory High
alkalosis means the vent setting 47. Always go Med surg first. Then Psych
may be too?
48. What is dependency? When the abuser gets a
32. In a vented client respiratory Low significant other so make
acidosis means the vent may be decisions for them or do
too? thing for them.
33. What do you do if the patients Bag them, (call for help) 49. What is codependency? When the significant other
disconnected tube is on the get new tube and then gets positive self esteem
floor? reconnect. from doing things or making
decisions for an abuser.
34. First question to ask if the low Where is the tubing?!
pressure alarm sounds 50. To treat Set limits and enforce them.
dependency/codependency
35. HOLD H- High Pressure
you ? Say NO and follow through.
O- Obstruction
Agree in advance on what
L- Low
requests are allowed, then
D- Disconnections
enforce the agreement.
36. Never put anything in YOUR On anyone else
scope of practice
37. Make sure your answer is PATIENT FOCUSED. Work on self esteem of the
TAKE CARE OF YOUR codependent.
PATIENT! 51. What is manipulation? When the abuser gets the
Don't answer based on significant other fo do things
staff, building, machine, for them that is not in the
etc. best interest of the
PATIENT FIRST. significant other. This can be
38. What does wean mean? Decrease Gradually dangerous and harmful to
the significant other.
39. What do you do if the patients Reconnect ... if its above
disconnected tube is on the the waist its ok. 52. How do you treat Set limits and enforce.
chest? manipulation?

40. Remember is PSYCH if you are MASLOW! 53. Why is manipulation easier to Because no one likes being
asked to Prioritize, Don't forget 1. Physiological treat then manipulated.
2. Safety dependency/codependency?
3. Comfort - Includes 54. DABDA D- Denial
pain A- Anger
4. Psychological B- Bargaining
5. Social D- Depression
6. Spiritual A- Acceptance
41. When prioritizing, always use For one patient. Don't if 55. Psych Needs, In order Denial
Maslow + ABCs you have more than one Depend
patient. Manipulation
56. To address a patient's STABLE, safe, comfortable. 72. What are Elixirs? 95% of liquids. If it is not an
psychological needs, antibiotic, assume it is an elixir, so
they must be: the patient can't have it if on
antabuse.
57. Pain Never killed anyone. NOT the top
priority, especially if there are
This rule applies for diabetics too
physiological needs in the
(elixers also have sugar).
question that make the patient
unstable. 73. What happens if a Nausea, Vomiting, & Possibly Death
person on Antabuse
58. What is Wernickes Psychosis induced by vitamin B1
ingests alcohol?
(Korsakoffs) Syndrome? (Thiamine) deficiency.
74. In Overdose VS Is this drug an upper or a downer?
59. Symptom of Wernickes Amnesia with confabulation.
Withdrawal, Ask
Korsakoffs syndrome?
yourself?
= Loss of memory with making up
stories to fill in the gaps. 75. What are the five Caffeine, Cocaine,
uppers? Methamphetamines, PCP/LSD and
60. Vitamin B1 helps Alcohol
ADHD Meds, Bath Salts
breakdown?
76. Downers are? Everything other then the five
61. So without B1 what Alcohol isn't metabolized
uppers.
happens? correctly goes to the brain and
Heroin
causes Wernickes
Ativan
62. Primary symptom of Amnesia with confabulation Valiumn
Wernickes? (making up stories). Fetanyl
63. Is Wernickes Yes- Take Vitamin B1 77. S/S of upper use? Everything goes up
preventable? Tachycardia
64. Is Wernickes arrestable? Yes- Take Vitamin B1 Increased BP
Irritability
65. Is Wernickes reversible? No
Fever
66. What is the goal of Maintain function, Never Improve. Diarrhea
patients +4 Reflexes
dementia/organic brain Pupil Dilation
syndrome? Excitability
67. What is aversion When you try and make the Seizures
therapy? patient hate something. Borborygmi
ETC.
68. Antabuse onset and 2 weeks
duration is? 78. S/S of downer use? Everything goes down
Bradycardia
69. Teach a patient taking Alochol Lethargy
Antabuse to avoid what? Constricted Pupils
70. On top of alcohol a Alcohol Hyporeflexia
patient taking Antabuse Aftershave, Cologne, Perfumes Flaccidity
should also avoid what Insect Repellent Respiratory Depression
other 7 things? Elixirs 79. Then ask yourself: Are they talking about Overdose or
Vanilla Extract Withdrawal?
Vinaigrettes
Handsanitizer 80. Overdose/Intoxication: I have too much....
Alcohol Prep Pads 81. Withdrawal: I don't have enough...
Vanilla Icing
82. Overdose of a downer Down
71. How long does it take 2 weeks causes everything to
for Antabuse to get out go?
of the system so they
83. Overdose of an upper Up
can drink Alcohol
causes everything to
again?
go?
84. Withdrawal of an upper causes Down 101. All aminoglycosides end in? "mycin" Vancomycin
everything to go?
102. For Aminoglycosides, think: A Mean Old Mycin
85. Withdrawal of a downer causes Up
103. Aminoglycosides treat? Big gun antibiotics.
everything to go?
Treat serious, life
86. Upper withdrawal looks like Downer Overdose threatening, resistant
infections
87. Downer Withdrawal looks like Upper overdose
104. If it has "thro" in it you? Throw it out...Zithromycin.
88. At birth if the mother was Overdosed
It treats a minor infection
addicted to a substance always
assume the newborn is? 105. Toxic effects of Ototoxicity
aminoglycosides? Nephrotoxicity
89. If 24 hours after birth assume the Withdrawal
Cranial nerve 8
baby is in?
(vestibulocochlear nerve)
90. Every alcoholic goes through Alcohol Withdrawal which senses sound.
what withing 24 hours after syndrome
106. The one Aminoglycoside that Amikacin
cessation?
doesn't end in Mycin?
91. What is Alcohol Withdrawal Hyper irritability state
107. What is another word for Glycopeptide
Syndrome? less than 24 hours after
aminoglycoside?
the first drink
108. Monitor what with Hearing, balance, tinnitus &
92. After 72 hours of alochol Delirium Tremens
aminoglycoside use? creatinine (best indicator of
withdrawal a small minority may
renal function)
get?
109. Best indicator of Ototoxicity (Ears)
93. Can Delirium Tremens kill you? Yes
aminoglycoside toxicity?
94. Can Alcohol Withdrawal No
110. Frequency of administration Q8H
Syndrome kill you?
for aminoglycosides?
95. Are patients with Alcohol No
111. Aminoglycoside route of Im or IV
Withdrawal Syndrome a danger to
administration?
themselves or others?
112. Aminoglycosides are given Hepatic Encephalopathy
96. Are patients with Delirium Yes
PO for what two reasons? and Pre-op bowel surgery.
Tremens a danger to themselves
or others? 113. What is Hepatic Liver Coma, Ammonia-
Encephalopathy also called? Induced Encephalopathy
97. N/I for Delirium Tremens? Private room near
nurses station 114. If fluid resuscitation is used in Increased Urine Output
NPO/Clear liquids shock, there will be
Restricted bed rest
115. Neomycin and Kanmycin are Bowel sterilzation?
Restraints, tranquilizer,
used for what? Can also be given for C.Diff
multivitamin (B1
Vitamin/Thiamine) 116. Who can sterilize my bowel? "Neo" "Kan"
Antihypertensive. 117. If you give aminoglycosides No
98. N/I for Alcohol Withdrawal Semi-private room PO, do you have to worry
Syndrome? anywhere about side effects?
Regular diet 118. Hepatic Encephalopathy is High ammonia levels
Up and ad-lib, no caused by?
restraint
119. What raises ammonia levels Ecoli in the gut
Tranquilizer
the most?
Multivitamin
(B1/Thiamine) 120. Why do you draw TAP levels? Narrow therapeutic
Antihypertensive. Window
99. A two point restraint is? One arm and the 121. When do you draw a trough 30 minutes before the next
opposite leg. level? scheduled dose.
100. N/I for restraints? Check Q15min 122. When do you draw a 5-10 minutes after it is
Rotate sites Q2H sublingual peak level? dissolved.
123. When do you draw a IV peak level? 15-30 minutes 138. 3 H's of Plague Blood Everywhere.
after dose is H- emoptysis - Coughing up
finished. blood
H-ematemesis - Blood in
124. When do you draw a IM peak level? 30-60 minutes
Vomitus
after given
H-ematochezia - Bright red
125. If you must pick a time to draw the peak, So for IV, Pick blood in the diarrhea
pick the highest amount of time without 30 Minutes, not
139. Plague patients die by DIC and respiratory Distress
going over the limits 15.
140. Hemorrhagic Illnesses Petechiae and ecchymoses
126. Category A Bio terrorism Agents Most Lethal
(Like Ebola) = Pinpoint Hemorrhage,
127. What are the Category A Bio terrorism Smallpox especially on Chest & Bruising
Agents? Tularemia
141. Botulism is Ingested - Most Lethal
Anthrax
Dies from Respiratory Arrest
Plague
Hemorrhagic 142. 3 Major Symptoms of Descending Paralysis (Starts in
Fever, Such as Botulism face and goes down)
Ebola Fever
Botulism But is Alert
128. Category B A big, long list. 143. Gullian Barre Ascending Paralysis
129. Category C. Not very Lethal Hanta Virus 144. Chemical Agents Mustard Gas, Cyanide, and
Nipeh Virus Phosgine Chlorine
130. Small Pox Early Detection Symptom Rash that starts 145. Mustard Gas The Blisters
around the Chemical Agent causes
mouth
146. Cyanide The Chemical Respiratory Arrest.
131. Small pox Inhalation. Pt Agent Causes
on AIRBORNE
147. What do you use to treat Sodium Thiosulfate IV
Precautions
Cyanide Poisoning?
Dies from
Septicemia. No 148. What does Phosgine Choking
treatment Chloride Cause

132. Tularemia Inhalation 149. Sarin, the Nerve Agent, Massive Cholinergic
Chest Causes parasympathic response
Symptoms 150. Cholinergic, B-ronchorrhea
Dies from Parasympathetic effects B-ronchospasm
RESPIRATORY cause? S-Salivation
FAILURE L-acrimating
Treat with U-rinating Constantly
Streptomycin D-iaphoretic + Diarrhea
133. Anthrax spreads by Inhalation G-I distress
(AIRBORNE E-mesis
PRECAUTIONS) 151. Ebola (Hemorrhagic Standard, Contact, and Droplet
134. Anthrax looks like Respiratory FLU Fever) Precautions

135. Anthrax death occurs from? Respiratory

Failure
136. Treat Anthrax with Cipro, Penicillin,
Streptomycin
137. Plague spreads by Inhalation
152. All chemical agents require A WEAK Bleach 168. Asystole
only soap and water except for
Sarin, which requires
153. What do you do in a Chemical Decontaminate + Treat
Attack? TX: Epinephrine
(Think Heart Stimulant)
154. What is the Nurse's role in Put clothes in Biohazard
Chemical Decontamination? bag that gets burned 169. Atrail Flutter Rapid P-wave repolarizations in a saw tooth
Put them in a Government is? pattern.
Issued suit 170. Atrial Flutter
They may need to be
housed for a while
155. Biochemical Attack, what do Quarrentine Pharmacological therapy, such as beta
you do? blockers, antiarrhythmics, or calcium-channel
blockers, need frequent monitoring of EKG
156. Calcium Channel Blockers are Valium
rhythm strips, heart sounds, and apical pulse
like what for the heart?
rate. (Unlikely to ask this)
157. Calcium Channel Blockers Negative Ino, Chrono,
171. Atrial- Fib is? Chaotic QRS depolarizations
Dromo
172. Atrial
158. Calcium Channel Blockers treat Antihypertensive, Anti-
Fibrillation
what? (the 6 A's) Anginal, Anti Atrial
Arrythmia and SVTS
159. Calcium Channel Blocker side Headache and Chaotic Between QRS, but QRS is still
effects? (the 2 H's) Hypotension PRESENT.
Also Bradycardia HR Has to be Irregular.
Treatment:
160. Calcium Channel Blockers treat A, as well as SVT
Heparin. IMMEDIATELY.
what Arrhythmias starting
with? 173. What do you 1. Heparin First
do if the A- 2. Cardioversion
161. What causes angina? Chest pain due to
fib is 3. ADENOsine 8 second Push- Watch for the
decreased O2 supply and
unwitnessed? pt to go into Asystole
demand issues.
BETA Blocker
162. What do Anti-Anginal Decrease O2 demand on CALCIum Channel Blockers
Medications do? the Heart, allowing more DIGitalis (Lanoxin)
O2 to chest (dilate)
174. V-fib is? Chaotic QRS depolarizations
163. 90% of Calcium Channel "dipine" and "zem"
175. Ventricular
Blockers end in?
Fibrillation
164. When giving a Calcium Systolic is 100 or lower.
Channel Blocker you hold and
notify if? TX: Shock therapy.
165. "QRS" refers to? Ventricular you DE-FIB.

166. "P" refers to? Atrail 176. V-tach is? Wide bizarre QRS's

167. Asystole is? A lack of QRS 177. Ventricular

repolarizations Tachycardia

Treatment: Lidocaine & amniodarone

178. SVT - 188. PVC's fall on what wave of the T wave
Subventricular previous beat?
Tachycardia
189. When prioritizing lethal Always choose the
arrhythmias, if one happened 6 closest to the 8 minute
Narrow QRS. minutes ago and the other mark.
Treatment: happened 15 minutes ago, which After 8 minutes the
A-denosine 8 second Push- Watch for do you choose? survival rate is LOW.
the pt to go into Asystole 190. To treat PVC's you give? Lidocaine/Amnioderone
B-eta Blocker
191. To treat V-tach you give? (If it Lidocaine/Amnioderone
C- Calcium Channel Blockers
starts with V you use..)
D- igitalis (Lanoxin)
192. To treat supraventricular Adeno
179. PVC is? Periodic wide, bizarre QRS's
arrythmias you give? Beta
180. PVC Calci
Dig (Lonoxin)
193. Supra means? Above
194. To treat V-fib you ? Defibrillate ...
PVC is the deviation in the picture from For V-fib you D-fib
the normal QRS. 195. To treat AsystolE you give? CPR
Treatment is Lidocaine & Aminodorone Epinephrine (atropine
181. Be concerned More then 6 per minute, 6 in a row no longer given)
about PVC's if? ( Oxygen
rule of 6's) 196. If asked how to treat A-fib first Give Heparin then
182. What are the 2 you? ABCD.... Heparin is
lethal instant Warfarin and
arrythmias? Plavix take time.
197. What is the purpose of Chest To re-establish negative
Tubes? pressure in the pleural
A-systole and V-Fib (Pic if V-Fib, space
Asystole is Flat Lining)
198. Pneumothorax removes Air
183. What are the 4 V-tach, A-fib, A-flutter and PVC
potentially life 199. Hemothorax removes Blood
threatening 200. Pneumohemothorax Air and Blood
arrythmias?
201. An Apical chest tube is placed? High (for air) A for air
184. What are the 6 V-fib, A-fib, A-flutter, PVC, A-systole and
202. A Basilar chest tube is placed? Low (for blood) B for
arrythmias you V-tach
blood
are tested over
on the NCLEX? 203. Chest tubes after a surgery or Unilateral
trauma assumes it's a? Pneumohemothorax
185. What are the 6 A-systole, V-fib, V-tach, A-fib, A-flutter
arrythmias for and PVC 204. Does a pneumonectomy get a No..removes the pleural
NCLEX in order chest tube? space
for prioritization? 205. Patient Positioning after Chest Chest Tube Up, good
186. When talking Fibrillation Surgery side down
about arrythmias 206. Patient Positioning after Chest Operative side (Good
the word Surgery lung up) Or Back
"chaotic" means? (Supine)
187. When talking Tachy 207. What 4 things do you do if the Clamp it 1st!!
about arrythmias water seal breaks on a chest Cut broken device off
the word 'bizarre" tube? of tube
means? Put the tube in water
(NS)
Unclamp.
208. What do you do if you Set it back up 222. In routine care, do you No. In an emergency, you can.
kick over the collection Tell the patient to take some deep ever clamp a chest tube?
bottle? breaths
223. When picking answers Which one is MOST important
209. What is the BEST thing Put it in water (NS). ask yourself ? to leave undone. More so than
to do if the water seal (the first= clamp it) the others.
breaks?
224. All congenital heart "T"
210. What 4 things do you Cover hole with a gloved hand defects that are trouble
do if a chest tube Put on a vaseline gauze dressing, start with a ?
comes out? Put on sterile dressing and then
225. Which exception to the Left Ventricular Hypoplastic
tape on 3 sides.
rule of congenital heart Syndrome
211. How many chest tubes 2 chest tubes, One side defects doesn't start with
(and where) for a (Unilateral) one apical (for a T?
Unilateral air/pneumo) and one basal (for
226. What defects have right Trouble defects
Pneumohemothorax ? blood-hemo)
to left shunts and are
212. How many chest tubes Bilateral- chest tubes on both cyanotic?
(and where) for sides
227. What defects have left to Not trouble defects
bilateral Pneumo- (air) Apical
right shunts and are
Pneumothorax? = 2 apical chest tubes (one on
acyanotic?
each side)
228. All congenital heart Murmur and an
213. How many chest tubes Unilateral, pneumohemo (2 chest
defects have what? echocardiogram done
(And Where) for post- tubes, one side, apical and basal)
op chest surgery? Assume Chest trauma is a gunshot 229. What are the four defects Ventricular Defect, Pulmonic
wound. of Tetrology of Fellot? Stenosis, Overriding Aorta and
Right Hypertrophy
214. Straight Catheter is to a Like a Thoracentesis is to a Chest
foley catheter Tube :) 230. What is the saying to help VarieD PictureS Of A RancH
(meaning less invasive, less remember the four
infection risk) defects of Tetrology of
Fellot?
215. How long can you No longer then 15 seconds
clamp a chest tube? without a doctors order. 231. 1 fingerwidth is how many 1
cm's?
216. What do you use to Rubber tipped double clamps.
clamp a chest tube and Rubber because it won't pierce 232. How to measure crutches 2-3 cm/fingerwidths below
why? the tube and double because anterior AXILLARY FOLD to a
were nurses and if one is good point lateral and slightly in front
two is better. of the foot

217. Is bubbling in the water No it is bad. 233. When measuring any foot landmark like a "toe" or
seal continuously You need to find the air leak, tape crutches, don't pick "heel"
good? it, report it and then record it. 234. When the handgrip of a 30*
218. Is bubbling in the water Yes it should tidal on inhalation crutch is properly in
seal intermittently place the elbow felxion
good? should be?

219. Is bubbling in the No it is bad. 235. If crutch is not 30*, what Nerve Damage
suction control You need to dial up the suction, will happen?
chamber intermittently report and record. 236. Crutches should be how 2-3
good? many fingerwidths below
220. Is bubbling in the Yes the armpit?
suction control chanber 237. Describe a 2 point gait? 1. one crutch and opposite foot
continuously good? together
221. When picking answers, If i did this, but not this, what 2. Other crutch and other foor
narrow it down to two, would be the outcome? Is it together.
then ask yourself better? 2 points 2gether and the same
time.
238. Describe a 3 point gait? 1. Move two crutches 253. A non psychotic insight and is reality based
and bad leg together. person has
2. Move good foot.
254. A psychotic person has No Insight and is Not reality based
Move all three
together and then the 255. Not all psych patients Psychotic. Show this in your
good leg. are answers!

239. Describe a 4 point gait? NOTHING moves 256. 7 Hallucinatory Words Look
together See
1. Right crutch 2. Left Listen
foot. 3. Left crutch. 4. Hear
Right foot. Feel
It moves one at a time Taste
so 1,2,3,4 and 1,2,3,4, Smell
and 1,2,3,4 257. If the question has A delusion ( a belief)
240. Describe swing through? Traditional crutching "appear" in psych, it is

241. Who uses Swing Through? Amputees, non 258. What is a delusion? A false fixed belief, idea or
weight bearing thought.
(sprain/break) This has no sensory component.

242. Use the even numbered gaits when Evenly distributed 259. What are the three Paranoid or Persecutory,
weakness is? (bilateral) types of delusions? Grandiose
and Somatic
Remember, Even for 260. What is a paranoid False fixed belief that people are
Even, Odd for Odd delusion? out to harm you (CIA, FBI).
243. When using the even gaits what 2 point gait for mild 4 261. What is a grandiose False fixed belief that you are
one is for severe and what one for point gait for severe. delusion? superior (God, the Pope).
mild problems?
262. What is a somatic False fixed belief about a body
244. 4 point gait for what? Fresh Post Op delusion? part (X-ray vision).
245. If the question says "systemic Assume it impacts 263. What is a False, fixed sensory experience.
disease" when it comes to crutches both legs hallucination?
246. Use the odd numbered gait when? The problem is 264. Five types of Auditory,
affecting one leg hallucinations? visual,
(unilateral) tactile (feel)
247. When going up the stairs or down UP with the GOOD olfactory
the stairs with crutched remember? and DOWN with the gustatory (taste)
BAD 265. Most common type of Auditory (Especially Command)
248. Crutches always move with what The bad leg. hallucination?
leg? 266. What is an illusion? Misinterpretation of reality.
249. What side do you hold the cane? Strong side. It is a sensory experience.

250. What side do you advance the The weak side for a 267. How can you Illusion: Sensory response to
cane with? wide base support. diffirentiate between something in reality [the news
Step with opposites illusions and (reality) is talking TO them
hallucinations? (illusion)]
251. For walkers remember you? Pick it up, set it down
and walk to it.
Hallucination: Sensory response
252. Remember for walkers that you Always push, never but nothing in reality pertains
pull
268. Don't treat all Psych The same/like they are psychotic
NO tennis balls on
patients
legs
If you put something 269. Example of an illusion? The clock on the wall is a bomb
on the (the clock is real, but the belief
walker, make it the isn't)
side not front
270. What are the four types Schizophrenia 283. Examples of Alzheimer's Disease,
of functional psychosis? Schizoaffective disorder, Psychosis of Senility,
Major depression/mania dementia: Organic Brain Syndrome/Post Stroke
(bipolar). Dementia,
(SCHIZO SCHIZO MAJOR Lewy Body Disease,
MANIC) Parkinson's,
Wereneke's
271. Functional Psychotics The potential to learn reality
have WHAT 284. Patients with Cannot learn reality because they
Psychosis of have brain damage
272. If a functional psychotic Acknowledge the feeling ( I see
Dementia
is having a delusion or you are upset),
illusion you? Present reality (but we have no 285. What causes Chemical Imbalance (electrolyte
spiders in the room) Psychotic Imbalance),
Set a limit ( we're not going to Delirium? Sepsis,
talk about that lets talk about UTI.
something else)
286. Is Psychotic No. Assure them its temporary.
Enforce the limit ( I see you're to
Delirium A dramatic, episodic onset of skewed
ill to talk about reality).
permanent? reality d/t acute illness.

Follow with : We have medication 287. What is flight of Jump from word to word. (This room is
to treat those symptoms ideas? big, I liked the movie BIG when they
were on the piano, Elvis could play the
273. NEVER set limits on Feelings
piano).
274. Present reality Positively
288. What is word Jump from word to word. Bob, Car,
275. Example of presenting Tell them what they CAN do salad? Sleep, Foot etc..
reality positively: instead of what they CAN'T do.
289. What is Make up new words.
276. 5 examples of psychosis Alzheimers, neologisms?
of dementia? dementia,
290. If a patient is NO. They will become violent.
organic brain syndrome,
psychotic, should
wernickes
you force them to
seniality.
do things?
277. When deciding whether Functional Psychotic
291. What is a narrowed When they refuse to leave the room or
to redirect or reassure (Schizophrenia) or Non
self concept? get dressed. (DON'T force them to do
Functional (Dementia)
it)
278. Re directing is NOT Orders Respond by saying " I see you are
Distraction uncomfortable, when you are ready,
Doing a physical action you can do it"
279. Re-direction IS Taking what a patient is fixating 292. What is ideas of When they think everything is about
on and that they are expressing reference? them. (Everyone is talking about me)
inappropriately, and you get
293. Type I diabetes Insulin dependant
them to express it appropriately
(IJK)? Juvenile onset
280. For patients with OCD, Negotiate a balance Ketosis prone ( makes ketones)
you
294. Type II diabetes? Non insulin dependant
281. If a patient has No reality. Won't get dressed Adult onset
psychotic depression because they believe they are a Non ketosis prone
prisoner in Iran.
295. Diabetes S/S? Polyuria, Polydypsia and polyphagia
282. What do you do if a Acknowledge their feelings (hunger)
patient with psychosis of Redirect them.
296. What is diabetes An error in glucose metabolism
dementia is having a DON'T Challenge them.
mellitus ?
hallucination or illusion?
297. What is diabetes Not enough ADH, pituitary gland
Insipidus?
298. How do you treat type I Diet 3 322. As a rule in shock Anything that is a
diabetes? (DIE) Insulin 1 pressure goes
Exercise 2 down
Anything that is a
299. How do you treat type II Diet 1
RATE goes up
diabetes? (DOA) Oral hypoglycemic 3
Activity 2 (Obesity 323. When a client is sick what does it do It increases d/t
Reduction) to there blood sugar? stress
300. In a tonsellectomy, what days are Days 6-8, biggest risk 324. Teach diabetics who are sick to? Take insulin,
most important post op? for bleeding. Stay hydrated
Stay as active as
301. Diabetes is also what? Dehydration
possible.
302. AC Before Meals
325. What are the 4 types of insulin? Humalog (log rolls
303. TID 3 times a day down hill FAST)
304. QD Every day/daily Regular, (RN, R
then N)
305. OD Once a day
NPH
306. QOD Every other day (iNNNtermediate)
307. QID/QDS 4 times daily Lantus/Levemir
(glargine) L for
308. SIADH is fluid overload. (crackles, LOONG
Edema, etc.)
DO: Fluid restrictions + 326. Regular insulins all have what in R
sodium supplements them?

309. Type II diabetics need how many 1,200-1,800 327. Regular insulin onset? 1 hour
calories a day? 328. Regular insulin peak? 2 hours
310. #1 Priority in Type 1 diabetes Medication (insulin) 329. Regular insulin duration? 4 hours
311. #1 Priority in type 2 = Diet + Exercise 330. NPH insulin all have a what in them? N
(NEED TO LOSE
331. NPH onset? 6 hours
WEIGHT)
332. NPH peak? 8-10 hours
312. Type II diabetics need how many 6 small meals
feedings a day? 333. NPH duration? 12 hours

313. Type 2 diabetes will do what Go to type 1 and need 334. NPH is not so fast and ...not in the bag
when in acute illness? insulin (IV)

314. The peak in insulin is a risk for Biggest risk for 335. Regular insulin is ...rapid and runs IV
what? HYPOGLYCEMIA 336. With humalog when do you give it? With meals
315. Which Insulins and peaks for Humalog: 30 minutes 337. Humalog onset? 15 minutes
hypoglycemia? after dose
338. Humalog peak? 30 minutes
Regular: 2 hours after
dose 339. Humalog duration? 3 hours
NPH: 6 hours after dose
340. What is the only insulin safe to give at Lantus/Glargine
316. Freezing insulin does what? De natures it bedtime? Duration 12-24hrs
No peak
317. What two drugs can increase Glucagon and
blood sugar? Epinephrine 341. Which insulin works the fastest? Humalog
318. If client exercises more they Less insulin and a snack 342. What are the three reasons that cause too much insulin
need? low blood sugar in type I diabetes? (#1)
too much exercise
319. Replace the word exercise with? Another shot of insulin
not enough food
320. Best answer for a type 2 Calorie Restriction
343. What is the biggest danger with low Brain damage
diabetic?
blood sugar?
321. If client exercises less they More insulin
need?
344. S/S of low blood sugar are? S/S of shock and being 356. High blood sugar in type II aka Dehydration
drunk... hyperosmolar, hyperglycemic,
clammy, weak, non-ketotic coma (HHNK) is the
slurred speech, poor gait same as?
etc.
357. HHNK S/S? Same as dehydration
345. For Hypoglycemia, Pick signs 1. Cerebral impairment
358. Treatment for HHNK is? Rehydrate but no
and symptoms of (drunk) - slurred speech,
insulin in the bag
judgement changes,
(type II has insulin still)
staggering gait
If it makes you look drunk,
Insulin in the bag with
pick it.
type I diabetes
2. Shock symptom = pale,
d/t burned fat =
cold, rapid + thready
ketones=acidic
pulses, etc.
359. Diabetes complications, in order of 1.Hypoglycemia
346. If ICP is increased Pressure goes UP
priority: 2.DKA
Rate goes DOWN
3.HHNC
(Opposite of
hypoglycemia) 360. If you don't know if a blood Low
glucose is high or low, pick
347. Treatment for low blood sugar Rapidly metabolizable
If you give candy to a
in type I diabetes? carb (Juice, Pop, chewed
hyperglycaemic
candy)
they're condition
or carb and protein/carb
won't change
and starch. (MILK, or jam +
If you give candy to
crackers)
hypoglycaemic you'll
348. If a diabetic is unconscious NPO give Glucagon IM save their life
or
361. What are the two long term Peripheral neuropathy
Dextrose IV.
problems from diabetes? Poor tissue perfusion.
349. Examples of rapidly Juice, hard candy, icing,
362. What lab is the best indicator for HGBA1C (glycosated
metabolizing carbs? honey, syrup
long term blood sugar hemoglobin)
350. Diabetic Ketoacidosis (AKA Too much food maintenance?
high blood sugar in Type I Not enough insulin <7 is an ideal sign of
diabetes) is caused by what 3 Not enough exercise CONTROLLED
things? diabetes
351. What is the #1 cause of DKA? Viral upper respiratory 363. What is the H1AC diagnosis level? Greater to or equal to
infection within last 2 6.5
weeks.
364. Lithium therapeutic level? 0.6-1.2
352. So if you suspect DKA, what Have you had a cold
365. Lithium toxic level? over 2.0
should you ask? lately?
366. Lanoxin (digoxin) therapeutic 1-2
353. DKA S/S? D-ehydration
level?
K-etones in urine/blood,
Kussmauls and K+ 367. Lanoxin (digoxin) toxic level? Over 2.0
A-cidosis, Acetone breath, 368. Aminophylline therapeutic level? 10-20
Anorexia d/t nausea (Antispasmotic)
354. DKA treatment? High IV flow rate (150- 369. Aminophylline toxic level? Over 20
200hr) with insulin R in
370. Dilantin therapeutic level? 10-20
prescribed mixture
371. Dilantin toxic level? Over 20
(Rehydrate and push K 372. Elevated bilirubin level? 10-20 neonate only
back into cell, Oxygenate)
373. Toxic bilirubin level? Over 20 neonate only
355. Treatment for low blood sugar ...
in Type II is the same as Type I 374. Dilantin is an? Anticonvulsant
low blood sugar treatment. 375. Aminophylline is an? Airway antispasmotic
376. Lanoxin(digoxin) is CHF, Atrial arrhythmia 389. Kalemias do the same as the The HR and urine
for? prefix except for the what? output. (opposite)
eg HyperK= BRADY,
377. Lithium Mania
tachypnea, diarrhea
decreases?
HypoK= TACHY,
378. What is When bilirubin is over 20 and in the lethargy, POLYurea, ilius
Kernicterus? CSF(cerebrospinal fluid) and brain
390. Calcemias do the opposite of BP changes
the prefix plus all what? eg: Hypocalcemia FAST
Assessment: hyperextension d/t
everything (Low bp)
menigial irritation
Hypercalcemia: SLOW
379. What is POSITION of hyperextension seen with everything (high BP)
Opisthotonos? kernicterus.
391. So hypocalemia.. pick symptoms UP... Plus BP changes
consistent with what?
ANY EXTENSION, Even slight
extension of the neck! 392. So hypokalemia... pick symptoms Down... and UP HR and
DO: Place on there side if present. consistent with what? UP Urine Output
380. If kernicterus and Turn baby on their side 393. What is Chvosteks sign? Push the cheek and it
opisthotonos are Call doctor spasms
occuring you? Draw bilirubin level (low calcium)
Increase the IV rate and start billirubin
394. What is Trousseaus sign? BP cuff inflated and
lights.
causes a carpal spasm.
381. Hiatal hernia is? Stomach herniates into esophagus (Low calcium)
Gastric contents move in
395. Magnesemias do the opposite of BP changes
WRONG DIRECTION at the
the prefix plus all what? Calcium and Mag have
CORRECT RATE.
inverse relationship
382. Definition of Reguritation of acid into the
396. Calcium below what is a medical 6.0
Hiatal Hernia? esophagus, because upper stomach
emergency? N=8.2-10.3?
herniates upward through the
diaphragm 397. In a tie never pick ___________ ...magnesium
If the symptom involves nerve or ....calcemia.
383. Definition of Post-op gastric surgery complication in
skeletal pick__________ ....potassium.
dumping which gastric contents dump too
For any other symptom
syndrome? quickly into the duodenum
pick___________
384. Dumping Gastric contents moving in the RIGHT
398. What is the rule for Natremias? The one with the E
syndrome is? DIRECTION and the INCORRECT
=dehydration
RATE.
HypErnatremia has s/s
385. S/S of hiatal GERD upon lying after meals of dehydration
hernia are?
the one with the O =
386. S/S of dumping DRUNK + SHOCK + ABD DISTRESS
overload
syndrome are? Acute abdominal distress= gas, ^bs,
HypOnatremia has s/s of
cramping, bloat
fluid overload.
Drunk=staggered gait, slurred speech
Shock= cold, pale, hypotension, tachy 399. Earliest sign of an electrolyte Numbnesss and tingling
overload is? (AKA parasthesia)
387. 3 treatments for High fowlers during and 1hr after meals
hiatal hernia is? Increase fluids with meals 400. Universal s/s of an electrolyte Muscle weakness (AKA
Increased carbs imbalance is? paresis)
388. 3 treatments for Lay flat on side during and 1hr after 401. Nere push what electrolyte? K+
dumping meals
syndrome? Decrease fluids during meals(drink
between meals)
Decrease carbs (aka ^ protein diet)
402. To decrease K+ you D5W with Insulin R 413. With a Total Thyroidectomy Hormone replacement
give? what do they need for life? (Synthroid)
(insulin pulls the K+ from the blood
414. What are you at risk for Hypocalcemia- taking
and pulls it in the cell with glucose.
following a Total parathyroid with sx
this buys time but doesnt solve the
Thyroidectomy? (parathyroid regulates
problem)
calcium)
403. Kayexelate does Gets rid of K+
415. For a Sub-total Thyroid storm
what?
Thyroidectomy you are at risk
slow and late=
for what?
K-exits-late
416. S/S of a Thyroid storm are? The same as graves disease
404. How much K+ can 40 mEq
but incredibly higher. Exp:
you have per liter of If higher, clarify order.
HR 180,
IV fluid?
Temp 108*,
405. In electrolyte Cause & effect questions. WHICH psychotic delirium.
questions, pay one are they asking?
417. Thyroid storm treatment? High flow O2,
attention to:
5 ice packs= 2 under each
406. What two words Agranulocytosis and neutropenia. arm, 2 groin, 1 back of neck.
mean the same OR cooling blanket
thing as
418. First thing to do in thyroid Ice pack
immunosuppresion?
storm is? Then cooling blanket
407. Hyperthyroidism Hypermetabolism
419. Post Op Thyroidectomy risks Hemorrhage and airway.
(AKA graves
1st 12 hrs? After 1st 12hrs assume they
disease) is the same
are stable.
as saying?
420. Never pick infection within 48 hours after surgery
408. Anesthesia (total Paralysis (total loss) is to paresis
loss) is to (partial loss) 421. Get cooling blankets to shut One degree higher than
paresthesia (partial off what the doctor wants
loss) as 422. Post Op thyroidectomy risks Tetany
409. S/S of Same as hypermetabolism... 12-48 hrs for Total ( they are stable at this
Hyperthyroidism? agitated, Thyroidectomy? point so don't pick airway
nervous, or hemorrhage)
diarrhea, 423. Post Op thyroidectomy risks Thyroid storm
heat Intolerant, 12-48 hrs for Sub-total (this can cause brain
^HR, ^BP, Thyroidectomy? damage
thin, hyperactive etc. ..too febrile)
410. Remember RUN ... 424. Hypothyroidism is the same Hypometabolism
yourself in the as saying?
GRAVE
425. Hypothyroidism S/S? Same as hypometabolism
411. Graves disease 1.Radiation with I131 (radioactive ie,
treatment options iodine) tired,
are? (3) (1st 24hrs be alone and flush the sluggish
toilet alot. Urine is very Cold intolerant
dangerous/radioactive) obese
2. PTU(drug- Puts Thyroid Under) decreased hr, p, rr
worry about immunosuppresion.
426. What is the name of the Myexedema
3. Surgical removal.
disease for hypothyroidism?
412. What are the two Total and Sub-total.
427. Treatment for Hormone supplement
types of
hypothyroidism?
Thyroidectomys?
428. If asked a question and your ... 437. CUSHMAN!
patient is critical remember draw him!
to always STAY with the
patient!!
429. Do you sedate a patient with No you could put them into
hypothyroidism? a coma.
430. If a patient with Hormone replacement
hypothyroidism is NPO for medication.
surgery you still give them
what?
431. What is Addison's Disease? Under secretion of the
adrenal hormones
Gaining h20
( Normal- Stress= ^glucose,
Infection
^BP= perfusion
Irritability
Addison's-No adrenaline +
Weak bones
stress= v glucose, v
Wasting, thin extremities
bp=shock)
Bruises Easily
432. S/S of Addison's Disease? Hyperpigmentation Moon Face
Do not adapt to stress. Acne
Also becomes dehydrated Losing K
easily Buffalo Hump
Striae/Stretch Marks
433. Addisons Disease glucocorticoids -
Breasts in Men
treatment? think blood sugar monitoring
Trunkal Obesity
and immunosuppression
Hair on face
434. With Addison's Disease you ADD-A-SONE
438. Cushings Syndrome Adrenalectomy
ADD what?
treatment? Biliateral Adrenectomy is
435. Cushing Syndrome is the The adrenal cortex. always worse
oversecretion of?
439. Hep A Anus to mouth
436. S/S of Cushing's Syndrome? Think of the Cush Man...
440. Hep B Blood
Moon face-steroids
buffalo hump 441. Pts with Adrenal cortex Med alert bracelet
thin legs and bones diseases must have
striae (stretch marks),
442. Symptoms of cushings are SONES.
male breasts,
side effects of what?
hirstusism
high glucose 443. Contact precautions are RSV (babies)
Immunosuppressed/infection used for what 4 types of Herpies zoster,
bruising diseases? Staph infections and
Enteric (bowel) infections
(cdiff, collera)
444. RSV Spread by droplet, but they
are on contact precautions
(Only affect infants)
445. Contact precautions have Private room - door can be
what 5 things? open
Gloves
Gown- if giving direct care
Handwashing
Disposable supplies
Dedicated equipment
446. Droplet precautions are for All meningitis and all 459. What do you use in Soap and water
what 2 diseases? influenza handwashing?
Pertusis, Diptheria,
460. When do you wash Before and after gloves, entering
Mumps, All Meningitis
your hands? and exiting a room and after you
447. Droplet precations have what 6 Private room- door can soil your hands.
things? be open
461. What position are your Elbows below hands.
Gloves
hands in for
Mask- #1 in this group
scrubbing?
Handwashing
Pt wears mask when 462. What is the length for 3-7 minutes
leaving room hand scrubbing?
Disposable/dedicated 463. What do you use for Cleaning agent must have the
equipment hand scrubbing? prefix "chlor"
448. Airborne precautions are for SARS (Severe Acute 464. Can the sink have No
what 4 diseases? Respiratory Syndrome), handles for scrubbing?
TB, Measles and Varicella
465. When do you use Immunosuppresion, surgery,
449. Airborne precautions have Private room-door closed scrubbing? transplant, chemo, HIV
what 9 things? Mask
466. Dry yours hands Cleanest to least clean
Gloves
from...?
Gown
Handwashing 467. You can use alcohol Before and after gloves, entering
Special filter respirator based solution when? and leaving a room
masks 468. how to sterile glove Glove Dominant Hand First
Pt wears a mask when Grasp Outside of the cuff
leaving room Touch only the inside of the glove
Disposable/dedicated surface
supplies Do not roll the cuff
Negative airflow room Fingers inside of the second glove
450. PPE contains? Gloves, gown, gogles and cuff
mask unless told Only touch the outside of the
otherwise. glove with your first gloved hand

451. Proper order for donning PPE? 1. gown 469. Remember with sterile Only touch the OUTSIDE of the
2. mask gloving surface glove
3. goggles Glove to Glove
4. gloves Skin to Skin

452. Where do you remove PPE? In the room. 470. On nclex, when drying Swipe ONE swipe per paper towel
hands then throw it away and get
453. Where do you put on PPE? Outside the room.
another one
454. Proper order for removing 1. gloves
471. What can't children Small toys
PPE? 2. goggles
under four have?
3. gown
4. mask 472. If a child has O2 is use Metal
what type of toys can't
455. In airborne precautions it is ok Mask
be used?
to remove what piece of PPE
outside of the room? 473. Beware of Foamites Nonliving object that harbors
microorganisms
456. What position are your hands Hands below elbow
for handwashing? 474. What is the best toy for Musical mobile (get rid of this at 6
a 0-6 month old? months or when the child is sitting
457. How long do you wash for 15 seconds
up)
handwashing?
475. What toy is good for Action figure. Can't harbor
458. Can the faucet have handles Yes
an immunosuppressed microorganisms
for handwashing?
patient?
476. What three things should you ask Is it safe 492. Allow adolescents to be in each others Contagious
yourself when choosing appropriate Is it appropriate rooms unless? Immunosupressed
toys for kids? Is it feasible Fresh post-op <12
hr
477. Remember: 9 Months in the womb 9 months until
purposeful 493. If you're being questioned over a drag ...
activity and drop and you're given an option
that would require a doctors order
478. What is the 2nd best toy for a 0-6 month Anything soft
assume that you have that order. But if
old? and large
an option is to call the doctor, you call
479. What is the best toy for a 6-9 month Cover/uncover first then give.
old? toy
494. Best indicator of kidney function? Creatnine
eg. jack in box
495. Creatinine norm? 0.6-1.2
480. What is the second best toy for a 6-9 Anything large
month old? that they can't 496. INR monitors? Coumadin/Warafin
swallow. therapy
481. What is the best toy for a 9-12 month Talking toy. 497. INR therapeutic level? 2-3
old?
498. If the INR is over 4 you? Hold all
482. What is the second best toy for a 9-12 Anything that is Coumadin/Warafin
month old? purposeful (play Assess bleeding
with blocks) Prepare to give K+
Call doctor
483. What 5 words should you avoid when Build
answering a question about toys for a Make 499. Potassium norm? 3.5-5.3
child under 9 months old? Construct
500. If the potassium is below 3.5 you? Assess the heart
Sort
Prepare to give
Stack
potassium
484. What is the best toy for a toddler (1-3 Push/pull toy Call the doctor
yr.)? wagon, stroller
501. If the potassium is high (5.4-5.9 high Hold potassium if
485. What should you work on with a toddler Gross motor but still within the 5's) you? in the IV
(1-3 yr.) ? eg. run, jump Assess the heart
NOT finger Prepare to give
dexterity <- fine D5W with insulin
motor Call the doctor
486. What is toddler (1-3 yr.) play Parallel play 502. If the potassium is over 6 you? Stop what you're
characterized by? (with another doing and assess
child but alone) If negative effects
present you call
487. What two things should you work on Fine motor
rapid response.
with a preschooler (3-6 yr.) ? (fingers)
If no negative
Balance (dance,
effects you do the
gymnastics)
same as "high but
488. What sort of play do preschoolers (3-6 Pretend play within the 5's)
yr.) prefer?
503. pH norm? 7.35-7.45
489. What is preschooler (3-6 yr.) play Co-operative
504. If the pH is under 6 you? Assess vital signs
characterized by? play (together)
Call the doctor
Everybody wins
ASAP
490. School age (7-11 yr.) is characterized by Creative (no
505. BUN norm? 8-30
the 3 C's, what are they? coloring book,
use blank paper) 506. If the BUN is elevated check for? Dehydration
Collecting
Competitive
491. Adolescents (12-18 yr.) "play" is? Peer associated
507. How should you Which level will do the most harm 530. Absolute neutrophil count 500
prioritize labs? to the body and NOT the disease (ANC) norm?
it's associated with.
531. CD4 norm? >200
508. If you have a lab thats Dehydration (below that=aids)
high and you don't
532. If the WBC count is high this Leukocytosis
know why pick?
is called?
509. Hgb norm? 12-18
533. If the WBC is low it is called? Leukopenia
510. Hgb under 8 you? Assess bleeding Neutropenia
Prepare blood Agranulocytosis
Call doctor Immunosupression
Bone marrow supression
511. Elevated Hemoglobin? Dehydration
534. If the WBC is low you should? Follow strict handwashing
512. Bicarb (HCO3) norm? 22-26
Shower BID with
513. CO2 norm? 35-45 antimicrobial soap
514. CO2 is the 50's you? Assess respiratory status Avoid crowds
Do pursed lip breathing Private room
^ exhale time No fresh flowers or potted
DON't give O2 if the above isn't plants
working call the doctor! Low bacteria diet- no raw
fruits/veggies, no
515. Severe Acidosis means Hyperkalemia! Biggest priority
undercooked meat.
what?
No water drinking if its
516. CO2 in the 60's Assess respiratory status been sitting for longer then
(respiratory failure) Do pursed lip breathing 15 minutes.
you? Prepare for intubation Vitals Q4H
Call respiratory therapy Check WBC daily
Call the doctor Avoid reusable
517. Hct norm? 36-54 plates/silverware etc,

518. PO2 norm? 78-100 535. Platelets norm? 150,000-400,000

519. PO2 70-77 you? Assess respiratory status 536. If platelets are below 90,000 Check for bleeding
Give O2 you? Place on bleeding
precautions (thrombolytic
520. PO2 below 60 you? Assess respiratory status precautions)
Give O2
Prepare for intubation 537. If platelets are below 40,000 Prepare platelet transfusion
Call respiratory therapy you? Call the doctor
Call the doctor 538. RBC norm? 4-6
521. O2 sat norm? 93-100 539. What is a lamina? Vertebral spins process
522. O2 sat below 93 you? Assess respiratory status Reason for laminectomy? (bumpy bones at back of
Give O2 neck)
To treat nerve root
523. BNP norm? <100 compression.
524. BNP is a good CHF 540. 3 P's of nerve root Pain
indicator of what? compression (S/S) ? Paresis= muscle weakness
525. What is the best ANF Parasthesia
indicator of CHF? 541. Knowing the location of a ...
526. ANF and BNP= CHF laminectomy is key to getting
the ? right.
527. Sodium norm? 135-145
542. Cervical = Neck
528. Sodium is ok if Change in LOC
abnormal unless what 543. Thoracic = Upper back
occurs? 544. Lumbar = Lower back
529. WBC norm? 5,000-11,000
545. Pre-op cervical laminectomy's 1st breathing (rate and 559. Discharge teaching for a Don't sit for longer then 30
most important assessment is? rhythm) laminectomy? minutes for 6 weeks
2nd arm and motor Ly flat and log roll for 6 weeks
sensory No driving for 6 weeks
Do not lift more then 5 lb. for 6
546. Pre-op thoracic laminectomy's 1st cough (uses
weeks
most important assessment is? abdominal muscles)
2nd bowel sounds 560. Permanent restrictions Do not lift by bending at the
for a laminectomy? waist
(If you can't contract No crazy activities... jerky rides,
these muscles, you horseback riding
can't cough)
561. For a cervical Lift objects above the head.
547. Pre-op lumbar laminectomy's most 1st voiding ( when was laminectomy they can
important assessment is? last time, can they) never?
2nd leg motor and
562. Nageles rule for 1st day of the last menstrual
sensory.
calculating a due date is? period
548. The rule of ABC"s doesnt work in Neuro Add 7 days
what area of health? Subtract 3 months
549. What is the #1 post-op answer for Log roll the patient 563. Normal weight gain for 28 + or - 3 lb
the NCLEX? pregnancy?
550. Activity requirements/restrictions Do NOT dangle (AKA 564. 1st trimester weight gain? 1 lb a month x 3 months
Q8H after laminectomy surgery? sit on the side of bed)
565. 2nd/3rd trimester weight 1 lb a week x 6 months
May stand, walk and
gain?
lay without restrictions
Don't sit longer than 566. After week 12 you can Week
30 minutes subtract 9 to get 12 = 3 lbs
appropriate weight gain. 13 = 4 lbs
551. What post-op complication do you Pneumonia/Atelectesis
(Think 9months) 14 = 5 lbs
watch for with a cervical (breathing issues)
15 = 6 lbs
laminectomy?
16 = 7 lbs
552. What post-op complication do you Decreased cough= 17 = 8 lbs
watch for with a thoracic Aspiration > eg. week
laminectomy? pneumonia 14-9= 5lbs
Decreased GI= ilius 28-9= 23 lbs
553. What post-op complication do you Urinary retention 567. Fundal height is not 12
watch for with a lumbar palpable until week?
laminectomy?
568. The fundus is palpable at 20-22
554. For a laminectomy what incision Hip site the naval at week?
site is more painful?
569. If the fundus is not above Viable
555. For a laminectomy what incision Hip site the naval the baby is not?
has the most drainage/bleeding?
570. Positive signs of Fetal skeleton on X-ray
556. For a laminectomy what incision 50/50 equal pregnancy? Fetal presence on ultrasound
site has the highest risk for Auscultation of FHR (heart at
infection? week 8, most likely at 10 and
should be heard by 12)
557. If being asked about a surgery 6 weeks
Examiner palpates fetal
and the length of time for
movement
restrictions your default answer
should be? 571. Probable/presumptive All urine and blood tests
signs of pregnancy are?
558. Surgeons are using cadaver from Because they only do
bone banks. Why? one incision 572. What is Chadwicks sign? Cervical change to cyanosis
Quicker heel time (blue hue)
573. What is Goodells sign? Cervical softening
574. What is Hegars sign? Softening moves 591. Station is? This refers to the baby's presenting
from the cervix to part (normally the head) to the
the uterus. mothers ischeal spine.
So if the baby is above the ischeal
575. Good prenatal care = dr apt _______ once a month
spine they are given a - number, if
times a month until week 28
they are below they are given a +
576. Good prenatal care= dr apt ________ a Twice a month number.
month weeks 28-36 + numbers are positive news
577. Good prenatal care= dr apt ______ 4 times a month - numbers are negative news.
times a month weeks 36 to birth 592. Engagement is? Station 0
578. Is it normal to be slightly anemic Yes 593. Lie is? Relationship between the spine of
during pregnancy? the baby and the spine of the mom.
579. Normal Hgb level in women is? 12-16 Vertical (parallel) is ok,
Tranverse (perpindicular) is bad.
580. Hgb level in first trimester? Can fall to 11 and it
is normal. 594. Transverse Lie? C- Section!

581. Hgb level in second trimester? Can fall to 10.5 and 595. Presentation is? The part of the body that enters the
is normal. birth canal first.

582. Hgb level in the third trimester? Can fall to 10 and 596. The first stage of The labor part.
is normal. labor is?

583. How do you treat morning sickness? Dry carb 597. The second stage of Delivery of the baby.
(1st trimester) labor is?

584. How do you treat urninary Void Q2H 598. The third stage of Delivery of the placenta.
incontinence during pregnancy? (1st labor is?
and 3rd trimester) 599. The fourth stage of Recovery (1st 2 hours after the
585. How do you treat dyspnea during Tri-pod position labor is? placenta is delivered)
pregnancy? (2nd and 3rd trimester) (sit, lean forward, 600. How often do you Q15min until the 2hr mark after
elbows on knees) monitor during placental delivery. Then Q1H.
586. How do you treat back pain in Pelvic tilt exercise labor?
pregnancy? (2nd and 3rd trimester) 601. The first stage of 3
587. Always teach a pregnant women to Q2H labor has how many
pee how often from day of pregnancy phases?
to 6 weeks post partum? 602. What are the three Latent, Active and Transition
588. Truest most valid sign of labor is? Regular phases of labor?
contractions 603. Latent phase is? 0-4 cm dilated
589. Dilation is? Opening of the Contractions are 5-30min apart
cervix (0-10) Lasting 15-30 sec.
They are mild
590. Effacement is? Thinning of the
cervix (0-100%) 604. Active phase is? 5-7 cm dilated
ONLY MEMORIZE Contractions are 3-5 min apart
THIS Lasting 30-60 sec.
(The other phases They are moderate
can be figured out)
605. Transition phase is? 8-10 cm dilated
Contractions are 2-3 min apart
Lasting 60-90 seconds
They are strong
606. Contractions should 90 sec and 2 minutes
be no longer then > = uterine tetany &
____ and no closer hyperstimulation
then_____. =decreased 02 to baby
607. How do you assess frequency of Beginning of one 617. Low baseline variability? (aka heart Bad
contractions? contraction to the rate not changing) LION
beginning of
618. High baseline variability? HR changing a lot.
another.
This is ok.
608. How do you assess duration of a Beginning to end
619. Late decelerations? Bad (placental
contraction? of contraction
insufficiency)
609. How do you assess the intensity of a Palpate with one
contraction? hand over fundus LION
and with the
620. Early decelerations? Head pressed on.
fingertips.
This is ok.
610. How do you treat painful back labor? Knee to chest
621. Variable decelerations? HR up or down, cord
position
compression = VERY
You use your fist
BAD
and press on the
Prolapsed cord= push
patients sacrum.
head up, change
611. How do you treat prolapsed cord? 911!! Push head back in mom position
OB emergency knee-chest
622. ACE of spades answer for OB? Check fetal HR
(hands and knees)
or Trendelenburg 623. If in OB its low or late you? LION
Or elevate hips 624. If variable its? Very bad and you
on pillows push and position.
Don't put the
625. The second stage of labor and Order
patient on their
delivery is all about?
left side.
Cover the cord in 626. So what do you do and in what Deliver the head
moist saline order for the second stage? Suction 1st the mouth
then the nose
612. What interventions do you do for all If Pitosin is
Check for nuchle
other OB complications? (LION) running stop this
cord (cord around
first then
neck)
LION
Deliver shoulders and
L-eft side position
body
I-ncrease IV
ID band
O-2
N-otify doctor 627. During the third stage of labor and Make sure it's intact(
delivery (placental delivery) you do can 1)hemorrhage 2)
613. VEAL CHOP V- Variable C-
what two things? infection)
Cord
Check for three
Comphression
vessels (2 arteries, 1
E- Early Decels
vein)AVA
H- Head
Compression 628. What are the 4 things you do 4 VS- check for S/S of
A- Accelerations times an hour for the 4th stage of shock
O - OK labor? Fundus- if boggy,
L-Late Decels P - massage. If
Placenta displaced,void/cath
Perineal pad-
614. Do not give what type of pain Systemic- AKA IV,
excessive lochia= pad
medication to a women in labor if the IM and oral
saturated Q15min 911
medication is likely to peak when the
Roll on side and
baby is born?
check the pad for
615. Low fetal heart rate is ? Bad bleeding.
LION if hr under
110
616. High fetal heart rate? 160 This is ok
Take mom's temp
629. The uterus should Firm not boggy 647. Nevus/Nevi is? The generic term for a birthmark.
be like what after Fundal height= days postpartum
648. What 2 newborn Cephalohematoma and Caput
delivery? (3days= 3cm below naval)
variations are you Succedaneum
Midline- if not catheterize
most likely to be
630. Lochia color Red- rub it red tested on for the
rubra? NCLEX?
631. Lochia color pink- rose pink 649. Tocolytics do what Stop it
serosa? to labor?
632. Lochia color alba? White- albino white 650. What are the two Trobutaline= increases moms hr
tocolytics? Nifediopine= ccb= decreases hr bp
633. Moderate lochia 4-6 inches on pad in one hour
Magsulfate= decreases hr, bp,
is?
refleces, rr, loc (watch RR and watch
634. Excessive lochia Saturated pad in 15 minutes Reflexes)
is?
651. SE for Terbutaline? Maternal tachycardia
635. Extremity Pulses This drug is not good if a heart issue
assessment post Edema is already present.
partum should S/S of thrombophlebitis- bilateral calf
652. SE of Nifedipine? Headache and Hypotension (H&H)
check? circumference is the best way to
check. If they are equal its ok if not its 653. Oxytocics do what Start it
positive for whichever calf is bigger) to labor?
636. Post partum Uterus 654. What are the two Pitocin=Oxytocin
assessment should Lochia oxytocic's? Cervidil= Prostaglandin
include what? Extremities Methergine
637. Milia is? Distended sebacious glands which 655. Oxytocics used for Pitocin, Methergine
appear as tiny white spots on babys PP Hemorrhage:
face.
656. SE of Pitocin? Can cause hyperstimulation
638. Epsteins pearls Small,white epithelial cysts on babys (contractions longer than 90 sec. and
are? gums. closer then 2 min.)If FHR is less then
110 stop it, if FHR is normal you slow
639. Mongolian spots Bluish/black macules appearing over
it.
are? the buttocks and or thighs of darker
Used also for PP Hemorrhage.
skinned neonates.
657. With an Epidural, Fluid Bolus to combat hypotension
640. Erythema toxicum Red papular rash on babys torso
give what after because they are a FALL RISK
neonatorum is? which is benign and disappears after a
delivery?
few days.
658. Liquid meds in math Round
641. Hemangiomas is? Benign tumor of the capillaries.
calculations
642. Cephalohematoma Swelling caused by bleeding between
659. SE of Cervidil? Effacement which leads to
is? the osteum and periosteum of the
contractions.
skull. This swelling does not cross
suture lines. 660. What are the two Betamethasone
neonatal lung Survanta
643. Caput Edematous swelling on the scalp
medications?
Succedaneum is? caused by pressure during birth. This
swelling may cross suture line. It 661. How do you give To the mom
usually disappears in a few day. Betamethasone? Before delivery
IM
644. Hyperbilirubinemia Normal, physiologic jaundice appears
is? after 24 hours of age and disappears 662. SE of ^ in glucose so monitor blood sugar
at about one week. Betamethasone?
645. Vernix caseosa is? Whitish, cheese like substance which 663. How do you give To the baby
covers the skin on an unborn baby. Survanta? After delivery
By inhalation
646. Acrocyanosis is? Normal cyanosis of the babys hands
and feet which appears intermittently 664. Humulin 70/30 is 70% N insulin (intermediate)
over the 1st 7-10 days. what? 30% R insulin (short rapid)
665. When drawing up RN (regular then N) draw what 687. What should you teach a patient Don't drive/ operate
insulins its? you are RN) taking Baclofen(Lioresil, machinery
Flexeril)? Don't drink alcohol
666. If your are pressurizing Draw what you are backwards.
Don't care for children
for drawing up insulin NR----> RN
under 12
you?
Causes muscle
667. For injections an IM A 1 in both gauge and length. weakness
needle must be? If not, pick the CLOSEST. Causes Drowsiness
668. For injections SUBQ A 5 in both gauge and length. 688. What is the saying that can be When you're on
needles must have? used to help remember Baclofen you're on your
669. What routes can you IV or SUBQ Baclofen(Lioresil,Flexiril)? back loafin.
give Heparin? 689. Pregnancy Categories A- Safe
670. How quickly does ASAP B- Problems in Animals,
Heparin work? Not Humans
C- Caution, if benefits
671. Heparin does not Thin blood/dissolve clots.
outweigh the risks you
It prevents clots from happening
can use it
672. What do you monitor if PTT X- NEVER.
on Heparin?
690. A 0-2 yr old is in what Paiget Sensory motor
673. Antidote for Heparin Protamine Sulfate stage? total present thinking
is? Only teach what you
674. Heparin is what C do, while you do it
pregnancy class? Tell them directly

675. How can Coumadin be Oral only 691. A 3-6 yr old is in what Piaget Pre-operational
given? stage? Fantasy based
teach just before
676. For Heparin, Ask: How long have they been on it? (morning of)
677. How long does it take 3-5 days Teach what you are
for Coumadin to work? going to do
Learn through play
678. What do you monitor in Pt-INR(this is only for Coumadin)q
Coumadin? 692. A 7-11 yr old is in what Piaget Concrete operation
stage? (think of a 7-11 with
679. What is the antidote for Vitamin K
concrete around it)
Coumadin?
Rule oriented (can't
680. What pregnancy class X abstract)
is Coumadin? teach days ahead
681. Switching from Heparin Be 14 days after heparin (5 days Teach what to do +skills
to Coumadin must? before coumadin) or there is a risk Be age appropriate,
for DIC. use demonstrations

682. Clot busters end in Ase 693. A 12-15 yr old is in what Piaget Formal operations
what? stage? Can abstract
Can be taught like
683. All K+ wasting diuretics X... If it ends in X its X's out K+ adults
end in? everything else it K+ sparing can manage their own
diuretics. care
684. Generic for Lioresil or Flexeril 694. Piagets sensory motor stage is Present oriented
Baclofen(this will be on -muscle relaxant/antispasmotic characterized by? Only think about what
the NCLEX) they SENSE or are
685. What is Muscle relaxer DOING now.
Baclofen(Lioresil,
Flexeril)?
686. Baclofen(Lioresil, Muscle weakness and drowsiness
Flexeril) SE?
695. As a nurse when, what and how
do you teach a child in
sensorimotor stage?
696. Piagets pre-operational stage
is characterized by?
697. Teaching 0-2 years old?
698. Teaching 3-6 year olds?
699. Teaching, 7-11 year olds?
700. Teaching 12-15 year olds?
701. As a nurse when, what and how
do you teach a child in the pre-
operational stage?
702. Piagets concrete operations
stage is characterized by?
703. As a nurse when, what and how
do you teach a child in the
concrete operations stage?
704. At what Piaget stage can you
teach a skill like how to draw
up insulin?
705. Piagets formal operations
stage can be taught like?
Teach when you're doing 706. Stage 1
it Pressure
What you're doing to Ulcer
them
Do it verbally
Fantasy oriented
Illogical Non Blanching Redness
No rules 707. Stage 2
Teach them as it happens, Pressure
verbally tell them what Ulcer
you're doing as you do it
Teach them the day of,
Don't let them sleep on it. Skin no longer intact, fleshy pink base with a
Tell them what you're break in skin integrity
going to do - future tense. This is where Blistering is
USE PLAY. Picture book,
708. Stage 3
dolls, play with equipment
Pressure
Teach days before. Ulcer
Teach them what you're
going to plus skills (they
can draw up insulin)
Don't use play. Use Age
Appropriate audio + visual
materials
Teach them like an adult!
They can think abstractly. Yellow fatty tissue seen at the base
Teach the day of- to avoid 709. Stage 4
nightmares Pressure
What you're going to do Ulcer
Do this through play
Rule oriented
Live and die by the rules
Cannot abstract
Teach them ahead of time
What you're going to do
Use visual and audio and Bright Red Muscle or Bone is seen
use age appropriate
reading 710. Milia
Concrete operations
An adult
Distended sebaceous glands which appear
as tiny white spots on the baby's face.
NORMAL.
711. Epstein's 715. Cephalohematoma
Pearls

Small, white epithelial cysts on the baby's

spots Swelling caused by bleeding between
the osteum and the periosteum of the
712. Mongolian
skull. This swelling does not cross the
Spots
suture lines.
716. Caput
Succedaneum

Crosses the suture lines

Blue-ish black macules appearing over the
buttocks and/or thighs of darker skinned 717. Hyperbilirubinemia
neonates
713. Erhythema
Toxicum
Neonatorum

Normal, Physiologic Jaundice

718. Vernix Caseosa

Red papular rash on the baby's torso which

is benign and disappears after a few days
714. Hemangiomas

White wax like substance that covers the

skin of an unborn baby

Benign tumor of the capillaries

719. Acrocyanosis 726. For a prioritization Age and gender
question what 2 pieces of
information do not matter?
727. What are the four rules of Acute < chronic
prioritization? Fresh post-op(12hr.) < medical
or other surgical.
Unstable < stable
The more vital the organ the
normal cyanosis of the baby's hands and higher the priority(use only as
feet. Appears intermittently over the first a tie breaker)
7-10 days
728. What is the best rule out of #4
720. Nevus/Nevi all 4 for prioritization?
729. What makes a patient Chronic illness
stable? (7) Over 12 hr post op
Local or regional anesthesia
Unchanged assessment
Phrase "to be discharged"
Lab values A or B
Typical S/S for the disease
they have or what they are
Normal Birthmark receiving treatment for.

721. Pulse Points 730. What makes a patient Acute illness

unstable? (7) Post-op less than 12 hr
General anesthesia
Changed assessment
Phrase "newly admitted" or
"newly diagnosed"
Labs C & D
Unexpected S/S
731. What 4 things are always Hemorrhage
considered unstable? Hypoglycemia
Fevers over 104*
Pulselessness and
breathlessness
732. The more VITAL the The HIGHER the priority
722. If S1 is louder in a It's in the tricuspid
ORGAN
heart sound
733. What are the main 6 1. Brain
723. If S2 is louder is It's Aortic
organs in prioritized 2. Lung
the heart sound
order? 3. Heart
724. For prioritization Age 4. Liver
the question will Gender 5. Kidney
give what 4 Disease 6. Pancreas
pieces of Modifying phrase
734. What do you not delegate Safety responsibilities-" can
information?
to a family member? you watch your dad really fast
725. For a The modifying phrase while I grab something."
prioritization
735. Family can only do what Teach
question the most
you ____ them for the
important
patient?
information is?
736. ONLY RN SCOPE Starting an IV 746. Phenothiazines end in? "zine"
(Don't delegate to LPN) Hanging of mixing IV
747. Large doses of phenothiazines are ? Anti-psychotic
Meds
Evaluating IV Site or 748. Small doses of phenothiazines are? Antiemetics
anything 749. Major doses of phenothiazines are? Tranquilizers..... BIG
Giving IV Push Meds GUNS.
Giving an Blood
750. The SE for phenothiazines are? A-nticholinergic SE
Transfusion
(ABCDEFG) B-lurred vision
Preforming Admission,
C-onstipation
discharge, transfer
D-rowsiness
assessment, or any
E-xtra paramital
UNSTABLE patient
syndrome
Plan of Care
F-otosensitivity
Developing or
aG-granulocytosis
Preforming Teaching
Taking Verbal Orders 751. What do you teach patients taking Report sore throat
from MD phenothiazines? and any signs of
infection.
737. Do not Delegate to an UAP Chart about a Patient
Keep medicating,
(They may document
tell dr of SE
what they DID)
If toxic effect hold
Assessment
drug, tell dr
Meds/IV. They MAY
apply topical 752. What is the #1 nursing diagnosis for a Risk for injury ---
lotions/creams patient taking phenothiazines? Keep pt Safe
Treatments, except for 753. If a drug has the word _____ behind it, Deconoate
Soap Suds Enema it means long IM form for
noncompliance?
You MAY delegate ADLs.
754. Deconoate means? Long IM form given
738. Perfect Glasgow Coma Score? 15 to noncompliant
739. If another staff member is Tell the supervisor. patients.
doing something illegal you? 755. Tranquilizers work? ASAP
740. What do you do if another staff Intervene and take over. 756. Antidepressants work? In 2-4 weeks
member is placing the patient
in physical or psychological 757. Tranquilizers shouldn't be taken? Long
harm? 758. Antidepressants can be taken? Long
741. What do you do if a staff Counsel them later at a 759. What are the four Tricyclic Elavil
members behavior is legal, not better time. antidepressants you need to know? Tofranil
harmful but just inappropriate? Aventyl
742. PSYCH gifts Desyrel
do not receive______ advise 760. Tricyclic SE? (Elavil starts with E so A-nticholinergic
do not give _______ talking they go through E ABCDE) effects
keep the pt ________ about it the feelings of the client B-lured vision
Use _______ when shoes C-onstipation
communicating Don't fucus on words D-rowsiness
Put self in client's _______ said, but feelings E-uphoria (happy)
choose answer that reflects (empathy questions have
761. Tricyclic's do what to the mood? Elevates it
a quote in them)
elavil- elevates
743. All psych medications cause Weight changes and low
762. Benzodiazepines are ? Antianxiety meds.
what? BP.
763. Benzodiazepines are considered Tranquilizers
744. What group of drugs is the Psychotropic
minor __________?
most commonly tested on the
NCLEX? 764. Benzo's have what in the name? "zep"

745. What are phenothiazines? Psychotropic drugs

765. Must not take Benzo's for longer than? 6 weeks 778. Prozac is? An SSRI
766. Benzo's can also be used for what 5 1. Anesthesia 779. Prozac has the same side effects as ABCDE
other reasons? induction Elavil?
2. Muscle
780. Prozac causes what? Insomnia
relaxant
3. Alcohol 781. When should you give Prozac? Before 12 noon.
withdrawal 782. If Prozac is BID give at what times? 6A and 12N
4. Seizures
783. When changing the dose of Prozac for a Suicide
5. Facilitates
young adult you must monitor for?
mechanical
ventilation 784. If you don't know what a drug is and you ALT
are being asked which lab is important.... A
767. Benzo SE? (ABCD) A-nticholinergic
you need to remember? L-iver
effects
T-est
B-lured vision
C-onstipation 785. What is the average dose of Haldol? 5 mg
D-rowsiness 786. Haldol has the SE? ABCDEFG
768. What is the #1 nursing diagnosis for Safety 787. Elderly patients need to take what Half the regular
Benzo's? amount of Haldol? amount.
769. MAOI's treat? Depression 788. If an elderly patient OD's on Haldol what NMS -
770. MAOI's are the? Mar-plan are they at risk for? Neuroleptic
Nar-dil Malignant
Par-nate Syndrome
771. MAOI SE? A-nticholinergic 789. Hyperprexia is? Fever- really
effects bad fever
B-lured vision 790. NMS has what associated with it? Hyperprexia
C-onstipation
Drowsiness 791. Clozaril(Clozapine) is what? A second
generation
772. To avoid a severe hypertensive crisis Tyramine tranquilizer
patients taking MAOI's must avoid all
foods with? 792. Most second generation tranquilizers "zap"
have what in them?
773. a list of Tyramine foods AGED &
FERMENTED 793. How often do you have to draw a WBC 1 a week for 1
Cheese for a patient taking a second generation month
Sour cream tranquilizer? 1 a month for 6
Yogart months
Soy sause 1Q6 months for
cured meats life
beer/wine 794. Clozaril(Clozapine) is used to treat? Severe
smoked fish schizophrenia
774. Lithium SE? (The 3 P's) Peeing 795. If a question has a drug with "zap " in it, Infection
Pooping the answer is probably? related
Parasthesia
796. Clozaril(Clozapine) has what SE? Agranulocytosis
775. Lithium toxic SE? Metallic taste
797. Zoloft(Sertraline) is a? SSRI
Severe diarrhea
798. Can Zoloft be taken in the evening? Yes
776. Number 1 intervention for Lithium Keep them
toxicity? hydrated 799. Does Zoloft cause insomnia? Yes
If sweating give 800. Zoloft decreases metabolism and can Toxic drug
sodium as well as cause? levels
fluids
801. What should you monitor with Zoloft Other drugs
777. While on Lithium you must monitor the Sodium use? levels
level as well as what?
802. Patients taking Zoloft should St. John's wort 812. Stages of Talk about it
NOT take what? desensitization Look At Pictures
Be Environment with it
803. St. John's wort and Zoloft use can Serotonin Syndrome
Interact/Experience it
cause?
813. For a phobia, the first Let them avoid it for now.
804. What are the S/S of serotonin S-weating
thing you do is
syndrome? A-pprehension (sense
of doom) 814. Violent Clients Goal is to de-escalate.
D-izziness Walk with a pacing patient. Say "I
H-eadache see you are upset"
Need 5 people to control a
805. If a patient is on drug A for 10 Drug A
person. 1 person charge.
yrs. and the doctor adds drug B
which drug dose needs to be 815. For Empathy Questions Always pick the answer that
lowered? reflects the patient's FEELINGS,
Not Actions, or the nurses
806. Tx Protocol for Depression High Calorie, FIBER
feelings.
FOODS.
Activities that are with 816. Abdomen Organ
others, but not Landmarks
interactive. Like Parallel
Play.
Dangers: Suicide. If
They suggest it, be
direct and ask them if
they have a plan
807. Tx Protocol for Schizophrenia Obvious Foods. They
are suspicious. If they
are on antipsychotics,
think FIBER.
Activity- With people to
reinforce reality
817. Heart Ausculation
Huge homicide/suicide
Landmarks
risk. They are the
biggest risk for other-
direct violence
808. Tx Protocol for Bipolar Mania - Very high
calorie, Finger Foods
(on the go)
Needs Gross Motor
Activity
Let them sleep
whenever they can
Not usually self
destructive
809. Tx Protocol for Anxiety Disorder No special diet, more 818. The ACE of spades Chicken
anxious = more allergies answer for nutrition is to Fish
Activity absorbs anxiety either pick ____ or _____.
Self destructive 819. Never choose _______ as Casserol
behavior is not an issue. a food for children.
810. Hypomania Manic but can function 820. For a toddler pick ______ Finger
811. Manic Can't function in society food.
821. For a preschooler ____ 1
meal a day is ok!!! (they aren't growing as fast)
822. If you know what a Same 839. Never select an answer Based on another answer you
particular drug does pick on a SATA chose. Base it on the QUESTION.
a SE in the ______ body
840. Watch for opposite Correct Concept in the Wrong
system.
answers...The list will Direction.
823. If you have no idea what a PO often contain a __ READ CAREFULLY!
drug is check to see if it is GI concept going in the
___. If it is, pick a _______ SE. ___direction.
824. Ace of Spades answer for Check the FHR. 841. Make sure to decide if Causes the phenomenon or
OB? the question is asking results from it. These are often the
what ___ the totally opposite answer.
825. What is the first thing you L.O.C. = Bob, Bob, Bob are you
phenomenon OR what
assess in a Med-Surg ok????
___ from it.
situation?
842. Rule out Absolutes. Like "Always" or
826. What is the first thing you Airway
"Never"
do in a Med-Surg
situation? 843. If two answers say the Neither is right "tachycardia",
same thing "racing heart"
827. For Peds when in doubt Normal
call it? 844. If two answers are One of them is probably right
opposite
828. For Peds when in doubt The older age.
pick? 845. Pick the answer that is Global. (Umbrella Answer) For
more example, "Initiate suicide
829. For Peds when in doubt Easier task for the child.
precautions" instead of "Remove
pick the?
belt", "medicate", "supervision",
830. In Peds always give? More time ect.
831. Empathy question have? A quote in the question and a 846. Don't be tempted to Ignorance instead Knowledge
quote in the answer. answer a question (if you've never heard of it,
832. In psych choose the Feelings based on your ___ DON'T PICK IT)
answer that reflects the Words instead of your____
_______ and not the _______ 847. If you don't know a Cross it out, ignore it. Look at the
they said. drug in the question... route or other info about it. Like
833. Warfarin, watch for? Bleeding "IVPB" and base your answer on
what you DO know about THAT!
834. When you get a select all What list do I remember?
that apply question, do 848. If you don't know an You do know the answer. Use
NOT ask answer your common sense!

835. When you get a select all What principle do I know that 849. If an answer seems It probably is. Right answers are
that apply question, ask could guide me to make my right different from wrong answers just
yourself: selection? because they are right!

836. When you get a select-all What does this 850. Only change an answer If you have a rationale and can
that apply question, ask disease/drug/procedure do to answer as to why THAT answer is
yourself: the BODY? superior to one you originally
For example, hypocalcemia chose
makes the body responses go 851. Every psych patient is a Med-surg patient first
UP.
852. In order to pick a psych Stable, Safe, and comfortable
837. Do not use the following Maybe, If, Possibly, Might, answer, the patient
words in your thought Could. must be
process: They lead to
853. Priorities, in Order Physiological,
OVERSELECTION!
Safety,
838. Boards love to make an Right, but in the wrong Comfort(Includes Pain),
answer direction. For example, Psychological,
Hyperkalemia when it should Social,
be HypOkalemia Spiritual
(Maslow's)
854. Boards try to trick you "bile stained " and "vomitus" in 869. Wheezes are heard, what Bronchodilator
with the words acid base. It is NOT from the would you give?
stomach, it is from the intestine,
870. Theophylline Long acting bronchodilator
so it means metabolic acidosis.
871. Should you massage a NO
855. Patients that do NOT Pt with multiple med surg
pressure sore if it won't
need interdisciplinary diagnoses. Not the sickest or the
blanch?
care most unstable people!
872. Lithium toxicity Tremors, Metallic taste,
856. Patients that do need Patients with multidimensional
neuro symptoms besides
interdisciplinary care needs. For example, physical,
parenthesia
intellectual, psychological,
emotional, spiritual. 873. High sodium levels in lithium Decrease the effectiveness

857. Patients who need Needs interdisciplinary Care 874. Low sodium levels in lithium Prolong lithiums half life
rehabilitation Automatically 875. If you don't know the drug, Liver Enzymes
858. Tie breakers when Patient who's current treatment is monitor Then Creatinine
deciding which patient ineffective, or the patient who is Then WBC
needs interdisciplinary preparing for discharge 876. Elderly patients on Haldol Should be 2.5 mg (half of
care more the regular dose of 5)
859. Best indicator of CHF ANF (ANF+BNP=CHF) 877. In a patient with suspected Legs elevated
860. Plague is not longer After 48 hours of treatment shock, how should you
commutable when? position them?

861. Stop beta blockers & Patient had MI or suspected MI 878. Nursing diagnoses must Support the assessment
calcium channel data in the question
blockers if 879. When intervening in daycare, Unsuitable for age group
862. If a diabetic is If in hospital, give dextrose IV look for task that is
unconscious If at home, give Glucagon 880. Low bowel surgery Low residue diet
863. Pt just had gastric Dumping syndrome! Low 881. Ruptured membranes Check for prolapsed cord
surgery...acting drunk everything!
882. Antacids should not be With meals. They interfere
and in shock with
given? with absorption
ABDOMINAL distress...
With other meds. They stop
Think?
other med absorption
864. Pt has chest pain when Hiatal Hernia
883. After an amputation, for the Put the leg under s pillow,
lying down and
first 24 hours, don't might cause contractures
indigestion
884. Whenever a time is Think about the peak times
865. Cushing's patients with A "SONE" because they are more
mentioned after a medication of the medication and if
an adrenalectomy need like an addison's pt now
is given, like "a pt received there are any safety risks
what?
morphine. One half hour involved! Don't ambulate if
866. All adrenal cortex A or C later, the patient wants to a medication is likely to
disorders start with? ambulate" peak!
867. Prolapsed cord / NO! Knee to chest position, 885. In the pre interaction phase Explore his/own feelings
Variable decelerations, tredelenburg, or elevate hips on the nurse will? about...
do you turn them on pillows.
886. If you see the words "During Correct answers should be:
their left side?
the initial interview" Tolerant
Also cover chord in moist saline
"Upon admitting the patient" Accepting
868. Pressurizing insulin Draw up whole dose of air "On admission" Explorative
Put air into N (equal to liquid "At your first few meetings Probing
amount ordered) with" "Nosy"
Put air into R "While assessing" Be warm and fuzzy
Draw up R "On the day of admission" This is the introductory
Draw up N "While FORMULATING phase. You would not set
nursing diagnoses" limits
887. If you see the You are in the working phase, also known 896. Take care of your PATIENT
words as the "therapeutic phase" Not the machine
"During the Do:
therapeutic Be very focused, directive, "tough"
interview" In some ways these answers will seem
"While stern and slightly unfriendly. Enforce
implementing proper communication.
the care plan"
"While working
on the care plan
goals"
"During
treatment
sessions"
"During
therapy"
"In your weekly
session"
"Three days
after admission"
888. Gift giving in Do not gift give
psych in psych
889. What shouldn't Hugs, kisses, compliments, opinions,
you give in holding hands, placing arm around, etc.
psych?
NO ADVICE/recommendations
890. Do you give NO.
advice in
psych?
891. Rule out these "Suggest that"
words in psych "Advise the patient to"
"Tell the patient to"
"If I were you, I would..."
"You should do"
"You ought to"
"You should NOT do"
"Don't do"
"Recommend that"
892. In psych should NO
you give
guarantees?
893. Don't pass the Don't tell a patient "refer patient to" or
buck "have you spoken to your doctor about
this?"
894. The best psych Reflect the feelings the patient feels and
answers not the words they said
Reflect
Are open ended (not yes/no questions )
Don't have "I, me, we, us"
Shortest answers are better
Why questions are not as good
895. This test is not It's about the PATIENT.
about you.