Some tips for NCLEX

[patri]

• Least Invasive First
  
• Pain never killed anyone
  
• Never release traction UNLESS you have an order from the MD to do so
  
• Polyuria--Think shock first
  
• If you have never heard of it.... Don't pick it!
  
• Anytime you see fluid retention... Think heart problems first
  
• Stay away from restraints as long as you can... Remember the NCLEX is a perfect world.
  
• Do not pick an answer that delays care or treatment.
  
• Never pick an answer that does not allow your patient to speak.
  
• Select a "patient focused" answer.
  
• With priority questions... Remember you can only send one message to the NCLEX lady... so you must pick the "killer" answer
  
• ADH--Think H2O
  
• Aldosterone--Think sodium AND water
  
• With SIADH--TOO many letters TOO much WATER
  
• More Volume--More Pressure
  
• Less Volume--Less Pressure
  
• Anytime you see the words "assessment" or "evaluation" think pertinent signs and symptoms
  
• There will not be a test questions unless there is something to WORRY about...
  
• Assume the WORST
  
• If there is something you can do about the problem first... do that before calling the doctor
  
• Hypoxia may be the first sign of respiratory acidosis
  
• With restless patient... think hypoxia first
  
• Limit protein in kidney patients EXCEPT with Nephrotic syndrome
  
• Like illness can be put in the same room together
  
• If there are any long term consequences to your patient with the answer you pick, you should not pick that answer.
  
• Assess before implementing
  
• If you have a fluid problem you have a Na problem too
  
• If you have a fluid problem... you will do I&O and daily weights
  
• "Always" and "whenever" are TOO definite
  
• Read the questions.... Then decide what you are WORRIED about... then pick an answer that you can do to SOLVE the problem
  
• If you see words like "assessment" or "evaluation" in the stem of the question.... Think pertainate signs and symptoms. The presents or absence of the signs or symptoms.
  
• You can't use medical dx in a nursing diagnosis
  
• You will report something "new" or different" or "possible" to the next shift nurse.
  
• If you can narrow the answers down to 2 answers... pick the more life threatening answer.
  
• Anytime you have a magnesium or calcium question... think muscles first.
  
• Digoxin + hypokalemia= toxicity
  
• You elevate veins and dangle arteries.
  
• Always worry if the rate decreased with a pacemaker
  
• Never pick an answer that puts your work off on anyone else
  
• Never pick an answer that does not allow your patient to speak
  
• Never pick an answer that ignores or brushes off the patient's compliant.
  
• If the answer is not applicable to the situation... don't pick it.
  

[katzzie]

Thank you..:)

[dankney]

Thats really awesome.

[nurseprnRN, BSN, RN]

know your physiology. if you recognize why it isn't working, that's half the battle of figuring out what to do with it. nobody comes to the hospital with perfect physiology.

[jpinay28]

Thank u..

[Yownyown, BSN, RN]

thank you!