April 2008 NCLEX test takers, COME ON IN!

pinksunRN · Apr 12, 2008

its like hey hey hey are you ok?...unresponsive...help! right?

MMARN, BSN, RN · Apr 12, 2008

Does anyone remember with IV lines: the SASH. I'm vaguely remmebering, if u do please help.
S - Saline
A
S - Saline
H - Heparin
Something like that. Someone please help. Thankyou

S: Saline

A: Administer

S: Saline

H: Heparin

Also, when using SASH, we use a "turbulence" motion. This is to administer the saline, med, and heparin evenly and not leave anything on the lumen of the line/vessel.

enoRN · Apr 12, 2008

When I'm overstressed I misread words or miss words, and then i'im just anxious and my mind is runing at 1000 mph

its not only u, it happens to me too, all i do is close the books and look 4 other things to do, my lecturer ones said assimilation is 80% during the first hour, 60% in the second hour like that it reduces as the hours goes on, our problem is just that this exams has no boundaries and thats what kills us

ilovetiggerdear, LPN, LVN · Apr 12, 2008

"Comply with regulations governing controlled substances (e.g., counting narcotics, wasting narcotics"
Can someone who knows information on this, post something on it please. Thank you
source: https://www.ncsbn.org/2007_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
"The nurse is caring for a client who has a prescription for an Intropin (Dopamine) Drip for 5 mcg/kg/min.
The client weighs 200 pounds. The nurse has 400 mg per 500 ml D5W available. How many milliliters
should the nurse administer to the client each hour?
Record your answer using a whole number."
Can someone show your work here please? thanku
34 ml (Key)
source: https://www.ncsbn.org/2007_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
page 42

I solved it this way:

1. We need to to know the TOTAL mcg needed for the weight of the patient. Convert 200 lbs to kg first since the given weight is in lbs. Answer is 91kgs (200 lbs / 2.2). Then multiply that by 5 mcg. So our DESIRED AMOUNT/PRESCRITION is 455 mcg/kg.

2. Then convert the 455 mcg to mg = 0.455 mg ( 1000 mcg = 1 mg ). We need to convert since our STOCK is in mg no mcg.

3. We can now use the D/S x Q formula = 0.455 mg / 400 mg X 500 ml Answer: 0.57ml/min

4. Since we need to look for ml/hour, multiply the above answer by 60 minutes:

0.57ml/min x 60 mins = 34.2 or 34 ML

I hope you this did not make you dizzy like what happened to me. :banghead:

ilovetiggerdear, LPN, LVN · Apr 12, 2008

"Comply with regulations governing controlled substances (e.g., counting narcotics, wasting narcotics"
Can someone who knows information on this, post something on it please. Thank you
source: https://www.ncsbn.org/2007_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
"The nurse is caring for a client who has a prescription for an Intropin (Dopamine) Drip for 5 mcg/kg/min.
The client weighs 200 pounds. The nurse has 400 mg per 500 ml D5W available. How many milliliters
should the nurse administer to the client each hour?
Record your answer using a whole number."
Can someone show your work here please? thanku
34 ml (Key)
source: https://www.ncsbn.org/2007_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
page 42

I solved it this way:

1. We need to to know the TOTAL mcg needed for the weight of the patient. Convert 200 lbs to kg first since the given weight is in lbs. Answer is 91kgs (200 lbs / 2.2). Then multiply that by 5 mcg. So our DESIRED AMOUNT/PRESCRITION is 455 mcg/kg/min

2. Then convert the 455 mcg to mg = 0.455 mg ( 1000 mcg = 1 mg ). We need to convert since our STOCK is in mg not mcg.

3. We can now use the D/S x Q formula = 0.455 mg / 400 mg X 500 ml Answer: 0.57ml/kg/min

4. Since we need to look for ml/hour, multiply the above answer by 60 minutes:

0.57ml/min x 60 mins = 34.2 or 34 ML

I hope you this did not make you dizzy like what happened to me. :banghead: Please check for errors too.

december2905 · Apr 12, 2008

"Comply with regulations governing controlled substances (e.g., counting narcotics, wasting narcotics"
Can someone who knows information on this, post something on it please. Thank you
source: https://www.ncsbn.org/2007_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
"The nurse is caring for a client who has a prescription for an Intropin (Dopamine) Drip for 5 mcg/kg/min.
The client weighs 200 pounds. The nurse has 400 mg per 500 ml D5W available. How many milliliters
should the nurse administer to the client each hour?
Record your answer using a whole number."
Can someone show your work here please? thanku
34 ml (Key)
source: https://www.ncsbn.org/2007_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
page 42

Hi! I saw that question too and here's how I solved it:

First you have to convert 200 lbs to kg. 1 kg = 2.2 lbs

200 lbs divided by 2.2 = 90.9 kg

Order is 5 mcg/kg/min x 90.9 kg = 454.55 mcg/min

The stock is 400 mg per 500 ml

Convert 400 mg to microgram. 1 mg = 1000 mcg

400 mg to microgram is 400,000 mcg

Use the formula D/S x Q

454.55 mcg/min divided by 400,000 mcg x 500 ml = 0.57 ml/min

The question wants ml/hr so 0.57 ml x 60 mins = 34 ml

Hope that helps you! :)

TeresaB930, BSN, RN · Apr 12, 2008

Hi Mave,

Can I play too? I test form my RN boards 4/22.

Thanks!

Teresa

michaRN, RN · Apr 12, 2008

When I'm overstressed I misread words or miss words, and then i'im just anxious and my mind is runing at 1000 mph

yes i do the sme thing... :nono:

michaRN, RN · Apr 12, 2008

Grrrr. We are about to kill our patient positioning flat? hE he. Like for supratentorial u position them 45 degree head of the bed elevated to decrease ICP. R u sure by positioning flat it's going to lower the ICP? I thought semifowler lowered the ICP :nuke:
Like u know these tentorial surgery (supra and infra are both head surgery ... and they aren't even that further apart, where they do the surgery, I think ... I'm wondering why they would suggest different position for each surgeries. Semifowlder for supratentorial surgery made sense to reduce ICP, left and flat for infratentorial surgery didn't make sense to me.
Hm.... flat position will not bring down ICP init Chichi? Am I missing something? Big thank you :icon_hug:

i would not position the patient flat but rather at least 15 degrees or more but not more than 90 degrees..

MRSLEAN709 · Apr 12, 2008

S: Saline
A: Administer
S: Saline
H: Heparin
Also, when using SASH, we use a "turbulence" motion. This is to administer the saline, med, and heparin evenly and not leave anything on the lumen of the line/vessel.

Hello I thought it was Saline,antibiotic,saline,heparin...Thats how I remembered it:bugeyes: :banghead:

michaRN, RN · Apr 12, 2008

QUOTE=MomenTs;2772797]I'm in the same boat hun, so that makes TWO of us. Mine is 2days before you and I'm still trying to get in as much as I can. Let's keep our fingers crossed and pray to God :)

hi feel the same way for you moments and orca2...and im still studying and getting for information as i can...hope we all do this...and pass...

note: i copied this from the march test takers post..sorry..:bowingpur

MomenTs · Apr 12, 2008

QUOTE=MomenTs;2772797]I'm in the same boat hun, so that makes TWO of us. Mine is 2days before you and I'm still trying to get in as much as I can. Let's keep our fingers crossed and pray to God :)

hi feel the same way for you moments and orca2...and im still studying and getting for information as i can...hope we all do this...and pass...

note: i copied this from the march test takers post..sorry..:bowingpur

Yeah, Micah. :cry: Yesterday, when I looked at that math problem, I saw the stars and today when I saw how it's been done, I know how to do it ... but my brain frozed last night :crying2:

Thank you all for solving the problem and answering other questions. It really helps. God bless :icon_hug: :eek:

And, I keep dreaming of water most nights these days, dunno why :stone