NCLEX PN Notes 2

Question 1

• NMS is like S&M;
• you get hot (hyperpyrexia)
• stiff (increased muscle tone)
• sweaty (diaphoresis)
• BP, pulse, and respirations go up &
• you start to drool

Answer 1

Neuroleptic malignant syndrome (NMS):

Question 2

I kept forgetting which was dangerous when you’re pregnant; regular measles (rubeola), or German measles (rubella), so remember:

Answer 2

-never get pregnant with a German (rubella)

Question 3

When drawing up regular insulin & NPH together, remember:

Answer 3

-RN (regular comes before NPH)

Question 4

Tetralogy of fallot; remember HOPS

Answer 4

Think DROP(child drops to floor or squats) or POSH

• Defect, septal
• Right Ventricular hypertrophy
• Overriding aorts
• Pulmonary stenosis

Question 5

MAOI’s that are used as antidepressants: weird way to remember, I know. pirates say arrrr, so think; pirates take MAOI’s when they’re depressed.

Answer 5

• explanation;
  MAOI’s used for depression all have an arrr sound in the middle (Parnate, Marplan, Nardil)

easy way to remember MAOI’S! think of PANAMA! PA - parnate
NA - nardil
MA - marplan

Question 6

Autonomic dysreflexia: potentially life threatening emergency

Answer 6

• elevate head of bed to 90 degree
• loosen constrictive clothing
• assess for bladder distention and bowel impaction (triger)
• Administer antihypertensive meds (may cause stroke, MI, seisure )

Question 7

-check pulse, less than 60 hold, check dig levels and potassium levels.

Answer 7

Digoxin

Question 8

tx of GERD and kidney stones….watch out for contipation.

Answer 8

Amphojel:

Question 9

tx of anxiety and also itching…watch for dry mouth. given preop commonly

Answer 9

Vistaril:

Question 10

given for conscious sedation…watch for resp depression and hypotension

Answer 10

Versed:

Question 11

• prevention of thyroid storm

Answer 11

PTU and Tapazole

Question 12

tx of parkinson…sweat, saliva, urine may turn reddish brown occassionally…causes drowsiness

Answer 12

Sinemet:

Question 13

tx of parkinson..sedative effect also

Answer 13

Artane:

Question 14

tx of parkinson and extrapyramidal effects of other drugs

Answer 14

Cogentin:

Question 15

tx of postop n/v and for nausea associated with gastroenteritis

Answer 15

Tigan:

Question 16

-tx of gluacoma

Answer 16

Timolol (Timoptic)

Question 17

antibiotic..dont take if allergic to sulfa drugs…diarrhea common side effect…drink plenty of fluids

Answer 17

Bactrim:

Question 18

Probenecid (Benemid), Colchicine, Allopurinol (Zyloprim)

Answer 18

Gout Meds:

Question 19

-tx of HTN or CHF, Report flu-like symptoms, rise slowly from sitting/lying position; take with meals.

Answer 19

Apresoline(hydralazine)

Question 20

tx of irritable bowel….assess for anticholinergic side effects.

Answer 20

Bentyl:

Question 21

calcium channel blocker: tx of HTN, angina…assess for constipation

Answer 21

Calan (verapamil):

Question 22

tx of duodenal ulcers..coats the ulcer…so take before meals.

Answer 22

Carafate:

Question 23

tx of asthma or COPD..therap drug level: 10-20

Answer 23

Theophylline:

Question 24

is the antedote to tylenol and is administered orally

Answer 24

Mucomyst

Question 25

tx of glaucoma, high altitude sickness...dont take if allergic to sulfa drugs

Answer 25

Diamox:

Question 26

(nsaid) tx of arthritis (osteo, rhematoid, gouty), bursitis, and tendonitis.

Answer 26

Indocin:

Question 27

tx of hypothyroidism..may take several weeks to take effect...notify doctor of chest pain..take in the AM on empty stomach..could cause hyperthyroidism.

Answer 27

Synthroid:

Question 28

tx of alcohol w/d...dont take alchol with this...very bad nausea and vomiting can occur.

Answer 28

Librium:

Question 29

tx of leukemia..given IV ONLY

Answer 29

Oncovin (vincristine):

Question 30

tx of scabies and lice...(scabies)apply lotion once and leave on for 8-12 hours...(lice) use the shampoo and leave on for 4 minutes with hair uncovered then rinse with warm water and comb with a fine tooth comb

Answer 30

kwell:

Question 31

tx after menopause estrogen replacement

Answer 31

Premarin:

Question 32

tx of seizures. thera drug level: 10-20

Answer 32

Dilantin:

Question 33

tx of schizophrenia..assess for EPS

Answer 33

Navane:

Question 34

tx of ADHD..assess for heart related side effects report immediately...child may need a drug holiday b/c it stunts growth.

Answer 34

Ritalin:

Question 35

tx of hypotension, shock, low cardiac output, poor perfusion to vital organs...monitor EKG for arrhythmias, monitor BP

Answer 35

dopamine (Intropine):

Question 36

``` Have trouble remembering fhr patterns in OB? Think VEAL CHOP VC EH AO LP ```

Answer 36

``` V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay, not a problem! L = late decels P = placental insufficiency, can't fill ```

Question 37

For cord compression, place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord.

Answer 37

(If her head is down, the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed, cover it with sterile saline gauze to prevent drying of the cord and to minimize infection.

Question 38

For late decels,

Answer 38

turn the mother to her left side, to allow more blood flow to the placenta.

Question 39

For any kind of bad fetal heart rate pattern,

Answer 39

you give O2, often by mask...

Question 40

When doing an epidural

Answer 40

anesthesia hydration before hand is a priority.

Question 41

Hypotension and bradypnea / bradycardia are major risks and emergencies.

Answer 41

NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in NCLEX land. Sometimes it's hard to tell who to check on first, the mother or the baby; it's usually easy to tell the right answer if the mother or baby involves a machine. If you're not sure who to check first, and one of the choices involves the machine, that's the wrong answer.

Question 42

If the baby is a posterior presentation, the sounds are heard at the sides. If the baby is anterior, the sounds are heard closer to midline, between teh umbilicus and where you would listen to a posterior presentation.

Answer 42

If the baby is breech, the sounds are high up in the fundus near the umbilicus. If the baby is vertex, they are a little bit above the symphysis pubis.

Question 43

Also for ventilator alarms | HOLD

Answer 43

- High alarm - Obstruction due to incr. secretions, kink, pt. coughs, gag or bites - Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff, pt. stops spontaneous breathing

Question 44

hot and dry-sugar high

Answer 44

(hyperglycemia)

Question 45

cold and clammy-need some candy

Answer 45

(hypoglycemia)

Question 46

ICP AND SHOCK HAVE OPPOSITE V/S

Answer 46

ICP-increased BP, decreased pulse, decreased resp. shock- decreased BP, increased pulse, increased resp.

Question 47

right sided heart failure caused by left ventricular failure (so pick edema, jvd, if it is a choice.)

Answer 47

cor pulmonae:

Question 48

irratable poor sucking

Answer 48

herion withdrawal neonate:

Question 49

no meat and milk together

Answer 49

Jews:

Question 50

pulse area cpr on an infant.

Answer 50

Brachial pulse:

Question 51

Test child for lead poisioning around

Answer 51

12 months of age

Question 52

Cultures are obtained

Answer 52

before starting IV antibiotics

Question 53

a pt with leukemia may have epitaxis b/c

Answer 53

of low platelets

Question 54

bananas, potatoes, citrus fruits

Answer 54

source of potassium

Question 55

best way to warm a newborn:

Answer 55

skin to skin contact covered with a blanket on mom.

Question 56

when a pt comes in and she is in active labor...nurse first action is

Answer 56

to listen to fetal heart tone/rate

Question 57

phobic disorders...

Answer 57

use systematic desensitiztion.