Nclex RN June 2011 lets study together.

diya77 · May 12, 2011

definitely this infor would be very helpful for every1 out there.

thnk u so much...

joe17 · May 13, 2011

hello everyone hope u all doing well wth the review ,well i found out today (vermount)that i need to submit a review course 1. cert of completion 2, over all test.. so i had along chat with my wife and we both feel that kaplan is the choice thou its quite expensive £399(uk)its sounds and look promising (fingers cross)so today is a start of something good...although im working full time senior nursein on an orthopedic ward reviewing at the same time is hard work...so i hope u all do the same keep striving coz we can all do it ( with Gods help we can).. and thanks a million to NEVER STOP SMILING awesome person...who gives us some tips and reminder.....GOd bless everyone...

itk1 · May 13, 2011

Since you mentioned Kaplan course... I can tell for myself it is worth it every penny, I love their Decision tree and Q-bank. Nursing content is well prepared and easy to review. It is organised in step by step manner which makes me less anxious. Create time on your schedule every day or every other day but stick to it consistently till your exam. 3 months are plenty for exam preparation. Believe in yourself!!! Write if you need to believe it.... "I will pass NCLEX_RN EXAM!" Surround yourself with positive thoughts and supportive people!!! May positive energy be with everyone!!!

NEVER STOP SMILING · May 13, 2011

HEY GUYS!!!!!!!!!!!!THANKS A LOT FOR KIND WORDS!!!!!!!!!!!!I'M REALLY TOUCHED. I REMEMBER THE TIME WHEN I WAS IN NURSING SCHOOL HERE, IN USA,( BON REQUIRE SOME CLASSES)IT WAS LIKE A BUM IN MY HEAD. I WAS STRESSED & CONFUSED(MY ENGLISH WASN'T GOOD IN THAT TIME), DEPRESSED(LOST 25 LBS IN 2 WEEKS),KIDS SO LITTLE(PREASCHOOLERS).......IN ONE WORD CRAZY, BUT...WE HAD AN AMAZING , SUPPORTIVE GROUP(REALLY MISSED THEM ALL),& I CAN'T FORGET HOW'S EVERYBODY SUPPORTING ME!!!!!!!!!!!!!AND ONCE I ASKED MY CLASSMATE THAT HOW I CAN THANK HIM, & AND HE ANSWERED:"U WUOLD THANK ME IF ONE DAY U CAN HELP SOMEBODY ELSE WHO WILL NEED HELP. BECAUSE I'VE BEEN HELPED WITH OTHER PEOPLE". AND NOW .......IF MY LITTLE TIPS CAN HELP SOMEBODY, I'TS REALLY BIG WORLD FOR ME. BECAUSE IT'S LIKE A CHANE . WE CAN'T GO FORWARD WITHOUT SUPPORTING AND BEING SUPPORTED. WHAT GOES AROUND , COMES AROUND. GOD BLESS U ALL. BE HAPPY, HEALTHY, AND SUCCSSEFUL...:heartbeat

NEVER STOP SMILING · May 13, 2011

1. rh negative mom gets rhogam if baby rh positive. mom also gets rhogam after aminocentesis, ectopic preganancy, or miscarriages.

[color=dimgray]hodgkins- reed sternberg cells

[color=dimgray]multiple myeloma- benz jones protein (24 hour urine)

[color=dimgray]dic- elevated d dimer, low fibrogen

[color=dimgray]leukemia- thrombocytopenia (low platlets below 150,000)

[color=dimgray]aplastic anemia- pancytopenia (low rbc, low wbc, low platlets)

[color=dimgray]sickle cell- hgb –s

systemic lupus - anti nuclear antibodies

hiv - western blot test

1. side effect of clozaril is extreme salivation

2. when taking cimetidine (tagamet), elderly are at risk for developing confusion, so check for mental status.

3. side effects of lidocane are bradycardia, heart block, cardiovascular collapse, and cardiac arrest. this drug should never be admisnistered without continous ekg monitoring.

q1:how is congenital hypothyroidism diagnosed?

a1:newborn screening revealing low t4 and high tsh.

q2:what are the symptoms of congenital hypothyroidism in early infancy?

a2:large protruding tongue,coorifice hair,lethargy,sleepiness and constipation.

q3:what are the metabolic effects of pku?

a3:cns damage,mental retardation and decreased melanin

q4:if u wave is most prominent,what condition might then suspects?

a4:hypokalemia

q5:what is the initial sign of gerd?

a5:forceful vomiting

high risk for cholelitiasis: 5f's>female, fertile,forty,fat,fair

high risk for pancreatitis: 5m's>male,middle age,mephenol,meal heavy,midnight or early mornin attack

aspirin-for tia.purpose:to inhibit platelet aggregation

aricept-donepezil>newer drug for alzheimers

decadron(dexamethasone)-s/e occult blood in the stool

note:for tb patient taking anti tb drug,question the order decadron-

reactivates old tb lesions and precipitates hemoptysis

on wounds:

if its wet, then dry it (apply dry dressing)

if its dry, then wet it (apply wet dressing)

drugs for bradycardia and decrease bp

isoproterenol

dopamine

epinephrine

atropine

prostate problems are no fun

f[color=sandybrown]requency

u[color=sandybrown]rgency

n[color=sandybrown]octuria

who needs dialysis? aeiou the vowels do

acid base problems

elecrolyte problems

intoxications

overload of fluids

uremic symptoms

hyperosmolar hyperglycemic nonketotic syndrome (hhns):

– severe ↑ glucose, almost exclusively in type 2 diabetics

– similar to dka but usually have much higher glucose (>600) and no acidosis or ketonuria/ketonemia

– treat with [color=#3366ff]fluids and [color=#3366ff]low dose insulin infusion

– an important distinction is that dka usually occurs in type 1 diabetics, while hhns most often occurs in type 2 diabetics. remember this as it is a common question in the nclex world.

NEVER STOP SMILING · May 13, 2011

reasons for high alarm-

. increased secretions in airway, think suction

endotracheal tube (ett) is displaced/dislodged
ventilator tube obstructed because of a kink or water (condensation)
client coughs, gags or bites ett
client in anxious or fights the ventilator

reasons for low alarm-

disconnection or leak in ventilator
client stops spontaneous breathing

bottlefed neonate's first feed is with sterile water than formula

multiple myeloma- condition in which neoplastic plasma cells infiltrate the bone marrow resulting in osteoporosis, high risk for fractures so we need to install precautions with position changes

with cardiac tamponade, venous pressure rises and neck veins become distended

for chest physiotherapy, percussion should only be done in the area of the rib cage

evaluation of htn is a key assessment in the course acute glomerulonephritis

recommended age for switiching from formula to whole milk is 12 months to prevent allergies and lactose intolerance

chronic, under treated asthma can lead to lung remodeling and permanent changes in lung function

priority care/triage

emergent priority (1st): requires immediate attention and continuous evaluation yet have a high survival rate

-trauma

-chest pain

-severe respiratory deficits

-chemical splashes to the eyes

urgent priority (2nd): injuries non life threatening..treated within 1-2 hours and are evaluated every 30 to 60 minutes thereafter.

-simple fracture

-asthma without respiratory distress

-fever

-hypertension

-abdominal pain

-renal stone

nonurgent priority (3rd): clients can wait several hours before being seen and require 1-2 hours of evaluated thereafter.

-minor laceration

-sprain

-cold symptoms

so if someone came in with a chest pain because they ate something wrong and another person that came in with a high blood pressure, do pick the chest pain first.

delegations

cnas

-skin care, feeding, toileting, vital signs (not initials), height, weight, ios, rom exercises, ambulation, transporting, grooming, and hygiene meaures of stable clients.

lpns/lvns

-physiologically stable clients with predictable outcomes

-dressings, suctionings,urinary catheterization,med admin(only oral, subcutaneous,and intramuscular),no rectal or iv meds

rn associated:

-care for individual in a structured health care environment

rn bsn:

-care for individuals, families, groups, and communities in both structured and unstructured health settings.

rn (all):

-assessment/planning care, initiating teaching, iv meds

rn can not delegate these tasks:

-initial assessments of clients

-evaluation of client data

-nursing judgement

-client/family educatoin/evaluation

-nsg diagnosis

addison's (hyposecretion of adrenal cortex hormone)

6 a's of addison

1. avoid stress

2. avoisd strenous activity

3.avoid individuals with infection

4.avoid otc meds

5.a lifelong glucocorticoids therapy

6.always wear medic alert bracelet

cushing's (hypersecretion of adrenal cortex)

check vital signs esp bp

urinary output and weight monitoring

stress management

high chon diet

infection precaution

na restriction

glucose and electrolytes monitoring

spousal support

drug/food interaction

-synthroid (take on empty stomach--take in the morning)

-digoxin (take on empty stomach)

-zyvox (limit tyramine food to less than 100mg a day)

-maois (no tyramine)

-tetracycine (no dairy products)

-coumadin (no vit k)

-lithium (no alcohol consumption)

-benzodiazepines-ativan (no grapefruit juice)

-cholesterol meds (no grapefruit juice)

-neostigmine (give to myesthenia gravis clients 45 minutes before meal to help with chewing)

drug/drug interaction

(do not take together meds)

-maois and ssris

-vasopressin (do not med with demeclocycline, epinephrine, lithium)

-atropine (monitor with digoxin because of dig. toxicity)

-atropine (do not give with potassium salts bc it may delay solid potassium passage in the gi tract which could increase risk for ulcers)

special diets with these symptoms/disease/conditions:

-gout (no purine in diet)-eat more cherries

-anemia (too much milk can reduce intake of iron)

-celiac disease: avoid brow (barley, rye, oat, wheat)

-diabetes type 1: eat 3 meals a day

-diabetes type 2: decrease in the calories and fat

-diarrhea: increase protein, increase calories, decrease fiber

-cushing: increase protein, increase calories, increase calcium and vit d

-crohn's: increase protein, increase calories, decrease fat, low residue diet

-ulcer colitis: low fiber diet

-neutropenic conditions: no milk, raw fruit or veggies

-kidney stones: avoid calcium

-calcium oxalate (renal stones): avoid spinach, black tea, rhubarb

-dumping syndrome: increase fat and protien intake, low roughage diet, low carb, no milk, no sweets, no liquid between meals

immunizations....

influenza...allergy to eggs

hepatitis b...allergy to yeast

measles/mumps...allergy to nepmycin

opv/ipv...allergy to streptomycin

varicella...allergy to gelatin/neomycin

agnosia - i don't know what it is (when an object is placed in hand)

apraxia - my practiced skills are lost (can't carry out a purposeful activity)

procainamide - for dysrhythmias unresponsive to lidocaine

ridaura - gold, for arthritis (think shiny, aura)

tessalon - anti-tussive (sounds like tuss)

cognex - for alzheimer's (sounds like cognition)

calcium carbonate has the most calcium of oral types

neupogen - sounds like "generates neutrophill

epogen - sounds like "erythropoetein generator"

flomax - improves urinary flow with bph (urine flows)

dimetane - an antihistimine (dimetapp)

which anti-coagulant is safe in pregnancy? heparin is! it does not cross the placenta, so when it is ordered, give it, and when you do it is sub-q.

joe17 · May 14, 2011

hey guys hope u all doing great,,,,,heres an easy one to remember

ESUPHAGEAL ATRESIA(3CS)

1.Cyanosis

2.Coughing

3.Choking

im doing my night shift but never stop reviewing when i get a time ..lol..glad the ward is not crazy busy

GODbLESS EVERYONE

txmommyof3 · May 15, 2011

Hello everyone. I jus graduated nursing school and plan on taking my NCLEX the middle of June. I am looking forward to having a support group during this process. I start the Kaplan classroom anywhere tomorrow night.

NEVER STOP SMILING · May 15, 2011

Hello everyone. I jus graduated nursing school and plan on taking my NCLEX the middle of June. I am looking forward to having a support group during this process. I start the Kaplan classroom anywhere tomorrow night.

WELCOME:yeah: BEST OF LUCK!

joe17 · May 16, 2011

Hello everyone. I jus graduated nursing school and plan on taking my NCLEX the middle of June. I am looking forward to having a support group during this process. I start the Kaplan classroom anywhere tomorrow night.

hiya welcome to the group...i was also going for Kaplan classroom anywhere,this weeek i heard from lots of nurses that its one of the best reviewer out there........Goodluck and Godbless

txmommyof3 · May 16, 2011

I am glad to hear that Kaplan gets good reviews. I hope I like the online classroom setting versus the in class session but with work and kids online worked better. Good luck to everyone.

joe17 · May 16, 2011

hi. i'll be taking this may 16th. i just wish and pray i pass.. (since it's my birthday next week, i just hope god will give this to me as a birthday present) :redpinkhe:jester::redpinkhe

your big day has arrived goodluck!!and i will pray for your success you can do it.....