NCLEX Bullets

Question 1

LPN delegations

Answer 1

Meds xcpt IV
Suture removal
Insertion of NGT
Removal catheter
Wound dressing

Question 2

UAP

Answer 2

Hygiene
Occult blood test
Specimen collection 
Soapsuds enema
Fingerstick geria
Ambulation 
Pulse ox

Question 3

Multigated axial scan (MUGA Scan)

Answer 3

✔️ filling capacity of left ventricle
Persantine stress test
Thallium scan / heart scan
Measure viability of heart walls
X for pts with recent heart attack

Question 4

Durogesic patch
Fentanyl patch
Narcotic patch

Answer 4

For chronic pain that last for 3-7 days
Apply to flat non irritated skin like chest flank upper arm or back
Can be worn during bath
Overdose: DOB
Antidote: naloxone

Question 5

Garamycin S/E

Answer 5

Ototoxicity
Nephrotoxicity
Hypomagnesemia
Muscular paralysis
Hypersensitivity

Question 6

Cleft palate

Answer 6

Large nipple
Stimulate sucking
Swallow
Rest
Burp frequently

Question 7

Bed pan

D&D

Answer 7

Lower the bed
Lift buttocks 
Slide bedpan towards client
Promote privacy
Label specimen

Question 8

Allen’s test

Answer 8

Locate radial and ulnar artery
Close hand
Obstruct blood flow
Open hand and observe for paleness
Release ulnar artery
Observe flushing

Question 9

Blood transfusion reaction

Answer 9

Hemolytic reaction
Allergic reaction
Circulatory overload
Septicemia
Fe overload
Hypocalcemia (give Ca Gluconate)
Disease transmission
Hyperkalemia
Citrate intoxication

Question 10

Cancer rank accdg. to

MORBIDITY

Answer 10

Breast
Prostate
Lung
Colon

Question 11

Disseminated intravascular coagulation

Answer 11

Brusing
Purpura
Occult blood
⬇️fibrinogen
⬇️platelet
⬆️Hct
⬆️ PT/ PTT
Complication: renal failure

Question 12

Airborne precaution

Answer 12

Measles
TB
Varicella (chicken pox)

Question 13

Neutropenic/Protective precaution

Answer 13

Blood dycrasias
Aplastic anemia (pancytopenia - bone marrow ⬇️)
Leukemia
Major burns (>50%)
Organ transplant
AIDS
Multiple Myeloma
Prolonged steroid therapy (>6monrhs) - cushing like symptoms

Question 14

Steroid therapy
(Lone/sone)
IGOTCHA

Answer 14

Insomnia ( give steroid in AM PC)
Immunosuppression 
Gastric upset (r/f PUD)
Osteoporosis (r/f fracture)
Tachycardia
Cushing's
Hirsutusm/ Virilism

Do not abruptly stop
R/f addisonian crisis if not tapered

Question 15

Glaucoma

Answer 15

Blurred vision
Lights with halos
Decreased peripheral vision
Pain (close angled)
Headache
Miotics
Carbonic anhydrase inhibitors
Avoid heavy lifting

DOC
Open: Acetazolamide
Timolol
Close: Miotics