Brizizle

https://allnurses.com/nclex-discussion-forum/2014-study-guide-946607.html#post8107677 That is the link to the study guide, ENJOY !

Attached is a study guide I promised for the NCLEX. Any questions, please feel free to ask2014 NCLEX study guide Matt Briscese Contact Precautions Before entering: Wash hands THEN don gloves 1st and gown 2nd . Pt. gets private room. Upon leaving: Remove gloves 1st and then gown. Gown worn during transport. Examples: MRSA, RSV (also droplet), C. DIFF, Scabbies Airborne Precautions Same order for don. Wear N95 mask, and remove mask AFTER leaving the pt's room. Keep pt's door closed at all time, private room with neg. air pressure. Mask worn during transport. Examples: Varicella (chicken pox), Measles (Rubeola), TB, Herpes disseminated. Droplet Precautions Private room, and door may be open. Only need surgical mask within 3 feet of patient. Example: Pneumonia, Menicoccal Menigitis, Influenza, RSV, Strept, Scarlet Fever, Pertussis, Rubella, Mumps, H. Influenzae type B. ELECTROLYES/THYROID/GLUCOSE Hypocalcemia: (CATS) - Convulsions, Arrhythmias, Tetany, Spasms. Hypercalcemia: (Moans and Groans) - Fatigue/lethargy, Constipation, stones, muscle weakness Hypokalemia: Anorexia, N/V, Weak Pulses, increased chance of DIG TOXICITY. Hyperkalemia: Vfib, cardiac arrest, muscle twitching, extremity numbness Hyponatremia: N/V, HA, twitching, confusion Hypernatremia: Increased temperature, weakness, thirst, hypotension, tachycardia Hyperglycemia: "Hot and Dry: Sugar High" increased thirst, fatigue, confusion, wt. loss, hot & dry skin. Hypoglycemia: Cold and Clammy: Need some candy. Cold & Clammy skin, trembling, fatigue, blurred vision, Nausea, Fainting. Hyperthyroidism: Hot, thinning of skin, brittle hair, restlessness, hyperactive reflexes Hypothyroidism: Fatigue, wt. gain, cold, hair loss. COMMON PROBLEMS Addison's Dz: Hyponatremia, Hypotension, decreased blood volume, HYPERkalemia, hypoglycemia Cushing's: Hypernatremia, hypertension, increased blood volume, HYPOkalemia, hyperglycemia. Diabetic Ketoacidosis: Body is unable to produce enough insulin, breaks down fats instead which increases ketone bodies. S/S: Kussmaul respirations, fruity breath, excessive thirst, increased voiding, N/V, Ketones in urine. Myasthenia Gravis: Signs/Symptoms start at the top. Facial droop, ptosis, diplopia, and difficulty swallowing - risk for aspiration and choking (BIG DEAL). Avoid excessive heat and alcohol. More prone for infection as well. Improves with rest. MS: Will have numbess and Diplopia. Use steroids, sleep on stomach to avoid contractures, and avoid excessive head. At risk for injuries. Guillain Barre: Body's immune system attacks nervous system (peripheral). Give high doses of immunoglobins. S/S: Resp. Failure, flaccid paralysis, urinary retention. Legionnaires DZ: Severe pneumonia caused by Legionella. NOT contagious (standard precautions). Inhaled directly from source, not by person. Menieres Syndrome: Vertigo, avoid excessive movement while communicating with patient. Decrease patient's head movement in bed. Gastric Ulcers: Not relieved by food intake, pain most noticeable 30-60 minutes post meal. Heroin Withdrawal: Runny nose, yawning, muscle/joint pain, diarrhea. Plebitis: Inflammation of vein. Remove catheter, apply warm moist packs and change IV site. Preeclampsia: Edema, proteinuria, HTN. Give Magnesium Sulfate for uterine relaxation and slow down the preterm labor. Hip Replacement: Can keep pillow between legs, want to avoid ADDuction (displaces). Try to keep abducted, but no more than 60 degrees. Hypoxia: Restlessness and anxiousness most commonly seen. Auscultate lungs. Seen very often with vented patients, and pneumonia/asthma patients. IBS: Muscle contractions of colon. Cramping, bloating, diarrhea, constipation seen. Eliminate gluten, FODMAP (Fructose's, Lactose, etc.). Give FIBER, antidiarheals, anticholinergics, and antidepressants if needed. IBD: Ulcerative Colitis (Attacks Large intestine). Lining of colon becomes inflamed, autoimmune. This causes discomfort/emptying of stomach. Chrons: Attacks any part of the intestine. Same S/S, and is autoimmune. Both are considered as a part of IBD. Diet: Increase Caloric intake as well as protein. Eat only low residue foods: no RAW fruits or foods high in fiber. Pancreatitis: Inflammation of pancreas. Upper and Mid GI pain, N/V, Fever, Increased HR. Keep pt. NPO to decrease work on pancreas. ABSOLUTELY NO ETOH, and LIMITED fats. May be caused by chronic use, or from stones obstructing the pathway of elimination. Diverticulosis: Small pouches in digestive system lining. When INFLAMED it is known as diverticulitis. Antibiotics for infection. Increase fiber and fluids, no seeds, nuts, or corn. Hemolytic Reaction: Hypotension, lower back pain, fever. MOST DANGEROUS. Allergic Reaction: Urticaria (Hives), itching, respiratory distress (Wheezing), epiglottal edema. Give Benadryl. Incentive Spirometer: Have pt. breathe IN and hold for 3 seconds before exhaling. Have patient sit up (fowlers-high fowlers) before proceding. Autonomic Dysreflexia: Most commonly seen from a T6 injury and above. Excessively high BP, pounding head ache, profuse sweating, nasal congestion, Bradycardia. Decrease BP by raising HOB, take off loose clothes. THIS IS A HUGE EMERGENCY (usually top priority on NCLEX). Diabetes Insipidus: ADH is not adequately produced. Increased voiding, and increased thirst. Electrolyte imbalance seen, Hypernatremia. SIADH: ADH is "inappropriately" used. This causes fluid to be retained. Hyponatremia is most commonly seen. NG Tube: Make sure to aspirate to make sure tube is in place. pH should be equal to gastric contents. Irrigate only after positioning is verified. Wet-to-Dry Dressing: Avoid wetting dressing when taking it off so that optimum debris is removed. After removed, place new guaze in saline, squeeze until not dripping, pack into wound and cover dressing with dry pad, then tape. Fetal Heart Rate Patterns: VC EH AO LP V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay, not a problem! L = late decels = placental insufficiency, can't fill Place mother in trendelenbergs for cord compression to remove pressure off of cord, stop pitocin, and give oxygen. For LATE decels, turn mother to side, give O2. Always manually monitor fetal heart tones right after water breaks. RH: Mother is negative, baby is positive. RhoGAM is given for second child. SCANS PET: Empty bladder before test, warm tracer dye is injected through IV. This test allows organs to be seen clearly. Ie. Brain cancer, poor blood flow. MRI: Uses magnetic and radio waves to create pictures. No radiation used. Inform physician if patient has artificial heart valves, clips, pacemakers, ear devices or anything with metal. EMG: Electrodes attached to legs generally - allows for muscles to be monitored. CT: Uses X-rays. Some may require contrast dyes. If dyes are used, no eating for 4-6 hours before test. Increase fluid intake to remove dye and decrease work on the kidneys. IVP: X-ray of kidneys, bladder, ureters, and urinary tract. Used to identify stones, infections, obstructions, and tumors. Contrast material used: IODINE. Check for iodine allergy. Caution with diabetes or kidney problems. Increase fluid intake to remove dye and decrease work on the kidneys. POSITIONING Post AKA and BKA: Avoid adduction, place in prone position often during the first 24 hours. Blood pressures: Hypertension - put HOB up (fowlers, high fowlers). Hypotension - HOB goes down, lay patient supine. Increased ICP - keep in low fowlers. Post Lumbar Puncture & Myelogram: Patient positioned supine to prevent leakage of CSF. Nurse should assess for clear drainage - requires IMMEDIATE attention. Dumping Syndrome: Patient lies flat after meal for 30 minutes. Eat in reclining position. Enema: Side lying position or sims. Shock: Extremities elevated 20 degrees, modified Trendelenbergs. Air/Pulmonary Embolism: Turn pt to left side and lower head of bed. S/S include sudden onset of chest pain, difficulty breathing, sense of impending doom. DELEGATION Nurses are the ones that can assess and teach. For priority questions, any patient that is a new admission, being discharged, just returned from surgery, or needs something taught is given to the RN. TIPS: - Know all lab values, and the effects on the body when they are not in range. - Airway is always the priority. If the patient can't adequately take in oxygen, the rest of the body is USELESS. - Cast care is key! Check for blanching and color changes. Sudden pain may be compartment syndrome. VERY SERIOUS. - Patients with a deteriorating mental status (Decrease in Glasgow) are always given to RN. Decrease in LOC is first sign generally. - Bleeding is usually assessed for during the first 24 hours. Infection doesn't usually occur until around 48-72 hours. - Cane use: the "good goes up" and the "bad comes down". Good foot goes up when walking up stairs, bad foot goes first when walking down. - Give lidocaine for VTACH, and Atropine for anything Brady. - Draw up Regular insulin before N-Insulin. Regular is clear, N is cloudy. - 24 hr. urine collection: discard first void of the morning, then collect in a container for the rest of the day. - Weight doubles by 6 months and triples by 1 year for infants. Babinski's leaves by 1 year. - Do plenty of questions (SATA and Priority) - TB drugs are liver toxic and may turn urine orange. Assess for jaundice. - GOOD LUCK :)

I will be posting a study guide momentarily :)

She tried starting a stat drip of 10W-30!

I doubted myself the entire time, the test is extremely scary! I continued to use Kaplan questions, and redid the question trainers. Take good notes on key concepts, and be especially sharp on these topics: Precautions: airborne, droplet, contact including don of gown/gloves and mask order for each Diets: Kidney failure, IBS, IBD, etc. Know S/S of hypo/hyper for electrolytes and glu and practice priority, know whats the worst in a situation. Example, someone with spinal damage who starts becoming sweating and becomes hypertenisve - autonomic dysreflexia very serious condition..that's usually the first priority. So it's really important to know the S/S of conditions. You'll do fine! Just take deep breathes and lots of breaks it really does help clear your mind. If you start to think you're getting a bunch wrong in a row, take a break and come back to it. YOU CAN DO IT!

So by the Lord's grace, I passed my NCLEX-RN examination the second time around. As many know, males are the minority in the nursing world, and sometimes are the focus point in class. I was often cracking jokes in class, trying every route to make class as light as possible because of the high level of stress. Our class all graduated, and it was time for the dreaded NCLEX exam. I never studied to the degree of most students, and passed all my classes, so I thought this would be the same concept. I went on numerous beach trips with my friends, had extensive knee surgery (from a long career as a rugby player), and entrapped myself into a vegetative state. I took the Kaplan course, thinking that would just be enough. Boy was I WRONG. The NCLEX is a combination of knowledge as well as test taking skills, I thought my test taking skills and some luck of the draw would render me victorious. This was obviously not the case. All my colleagues were passing, and of course I was a focus point (being 1 out of only 5 males in our entire nursing class)..constant texts and calls asking if I passed. It was embarrassing, and it was obvious my priorities were not in place. The second time around I attempted a new approach, I wrote everything down (previously I would just try and rely on my memory), and relearned how the whole body works. This is tremendously helpful, and if you can relate nursing concepts to your own physiology, it will start to click. Anyways 45 days later I retested and passed! I compiled an NCLEX study guide that I'm going to type up and post in the next couple of days for you future nurses of the World, because ALLNURSES has been such a great resource and support system, I want to give back. Just know that you can do it, just concentrate and really want it. End Rant. Matt

https://allnurses.com/nclex-discussion-forum/pearson-vue-trick-944316.html Just a quick reference

Has this been confirmed yet? Would be interesting to know, I took the NCLEX today and felt pretty good about it but got directed to the CC screen... Wish there was something solidified.

I talked to a few nurses that just recently took the exam in the past 2 weeks saying that it doesn't work anymore, I'm not saying it's true but would be interesting to know

Here's some interesting news: The Pearson Vue site changed their format, so apparently the trick doesn't work anymore? Anyone confirm this?

Hi quick question, I just recently finished taking my nclex, and I am certain that I got the last question correct, and it shut off immediately after. Does that increase my chance of passing? Thanks in advance.