Updated/Latest Mark Klimek NCLEX Gold Lecture Notes 1–12 2025–2026 Comprehensive NCLEX Review Notes for Nursing Examination Preparation Prioritization Delegation Pharmacology Maternity Pediatrics Mental Health and Clinical Judgment Success Resource

Mark Klimek Nclexgold - Lecture notes 1-12
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Nursing Of Adults (Clemson University)
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,GOLD 1


Nothing is impossible- the word itself says “I’m T
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Possible” F T




NCLEX TIPS F T



1) Do not read into the question- never assume anything that has
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not been specifically mentioned (in the question) and do not add
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extra meaning or history to the question—do not make up a story to
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validate choosing an answer
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2) NCLEX land is set at Utopia General Hospital- you have all the time, T
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all the resources, and all the staff you need!
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3) Least invasive to most invasive – least restrictive to most restrictive
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(restraints are rarely a good choice)
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4) Avoid using absolutes- always, never, must, etc. T
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5) Assess the client first before implementing a treatment or action—if there’s
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a choice that pertains to assessment of the patient—it is usually the
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answer – assess unless in distress
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6) Priority goes to assessments and answers that deal with the patient F T F T F T F T F T F T F T F T F T F T



(patient-focused) directly and not with machines/monitors/equipment
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(unless the question is specifically asking about them)
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a. Ex: Auscultate fetal heart rate before checking the monitor T
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7) If it is the FIRST time doing something for or with the patient (such
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as vital signs upon admission to the floor/unit, or when a transfer is
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involved), the NURSE must complete the assessment- including
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vital signs
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8) If patient is an adult, answers with family options can be ruled out
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(unless patient is not competent to make own decisions)
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9) In emergency situations (mass casualty), patients with greater chance to
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live are treated first
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10) If you are asked about the FIRST action you would take in a
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prioritization/discrimination question think: “If I can only do
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one action, and then I must go home, what will the
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outcome be?”
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11) Therapeutic communication- reflect feelings and provide correct T
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information
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12) Do not ask “why” questions (or yes/no) and do not say “I understand”
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13) An answer that delays care or treatment is usually wrong (Ex: reassess
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in 15 minutes, monitor the patient for a continuation of symptoms)
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14) When determining interventions to enhance a client’s wellness,F T F T F T F T F T F T F T



consider options that promote healthy nutrition, regular exercise,
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proper weight maintenance, proper rest, and avoidance of harmful
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chemicals (nicotine) and risk-taking behaviors (not wearing a seat belt)
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15) If two of the answer choices are the exact opposite, one is probably
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the answer (ie. bradycardia, tachycardia)
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,16) If two or three answers are similar, none are correct
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F (*be careful—sometimes answers may seem similar but in fact are
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17) Always look for the UMBRELLA option—one that is a broad universal T
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Fstatement and usually contains the concepts of the other options with
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Fit—often the correct answer
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18) If you have never heard of an answer—do not eliminate it—work around
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Fit…if you can safely eliminate all other answers, that is your answer—if
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Fyou are down to two answers and you know one answer is right, go with
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19) Prioritize actual problems over potential problems F T T
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20) DO NOT leave the patient – think safety
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21) DO NOT “do nothing”- you always have to do something
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22) If the question is about endorsement—always report anything new
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23) Only select “document” if the assessment is normal
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24) Put patients with the same or similar diagnoses in the same room-clean
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25) Never increase a patient’s fluids to “catch up” F T T
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26) Answer SATA questions as true or false for each answer option F T T
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27) Rephrase the question in your own words—this ensures you F T F T F T F T F T F T F T F T



Funderstand what the question is asking—if you cannot rephrase the
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28) If you cannot determine the topic of the question, read all answer choices
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Fto help you understand the problem (look for patterns)
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29) Try not to determine the answer before reading the answer
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Fchoices—NCLEX uses traps and answers that scream “pick me” but
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30) More often than not, pain will not be your answer -- pain is
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31) Try to focus on the here and now as much as possible
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32) With positioning questions- you are trying to prevent or promote
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Fsomething—evaluate the outcome of each option
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33) When the question asks what is ESSENTIAL—think SAFETY F T F T F T F T T
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34) If you do not know what a word means, try to break it down using
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a. Ex: Rhabdomyosarcoma – muscle (myo), tumor (sarcoma) → F T T
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tumor of the muscle tissue F T F T T
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b. Same idea applies to medications- use suffixes and prefixes to T
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recognize classifications F T F T



35) Make an educated guess—if you can’t make the best answer for a
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Finformation
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36) When in doubt, SAFETY T
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, “Keep them breathing, keep them safe”
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Prioritization Techniques T
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● Prioritize systemic vs. local (life before limb) F T T
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● Prioritize acute before chronic F T T
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● Prioritize actual before potential future problems T
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● Prioritize according to Maslow’s- physiological needs before psychosocial F T F T F T F T F T T
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(acute safety can take priority- ATI)
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● Recognize and respond to trends vs. transient findings (recognizing a T
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gradual deterioration)F T F T



● Recognize signs of emergencies and complications vs. “expected client T
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findings” F T



● Apply clinical knowledge to procedural standards to determine the priority
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action- recognizing that the timing of administration of antidiabetic and
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antimicrobial medications is more important than administration of
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some other medicationsF T F T F T




How to tackle- WHO DO YOU SEE FIRST- questions:
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● Who is your most stable patient? ELIMINATE ANSWER
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● Who is your most stable patient (of the 3 remaining)? ELIMINATE
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ANSWER F T



● Who is your most unstable patient (of the 2 remaining)? Airway?
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Breathing? Circulation? SELECT ANSWER
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Transmission-Based Precautions T
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AIRBORNE
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MTV
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T- TB
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V- Varicella (chicken pox), varicella zoster (disseminated shingles)
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*Private room- negative pressure with 6-12 air exchanges/hr, mask, N95
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Chicken pox can be rapidly transmitted to other clients—should be isolated
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quickly and placed in negative pressure room
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