NCLEX-PN 2024-2025
DO NOT delegate what you can EAT! - ANSWER E-evaluate
A-assess
T-teach
Addisons - ANSWER hyponatremia, hypotension, decreased blood vol, hyperkalemia,
hypoglycemia
Cushings - ANSWER hypernatremia, hypertension, increased blood vol, hypokalemia,
hyperglycemia
No Pee - ANSWER No K
do not give POTASSIUM without adequate urine output
APGAR - ANSWER A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE - ANSWER MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember .
MTV=Airborne
,Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET - ANSWER think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
*Private Room or cohort*
*Mask*
CONTACT PRECAUTION - ANSWER Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
, E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
SKIN INFECTIONS - ANSWER VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism - ANSWER S&S;chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR - ANSWER late decels, decreased variability, fetal
bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC - ANSWER position patient on the right side ('promote
emptying of the stomach') with HOB elevated ('to prevent aspiration')
During Epidural Puncture - ANSWER side lying
After Lumbar Puncture - ANSWER and also oil myelogram. . .patient lies flat supine ('to
prevent headache and leaking of CSF')
patient with heat stroke - ANSWER lie flat w/legs elevated
during CBI - ANSWER catheter is taped to thigh so leg should be straight. no other
DO NOT delegate what you can EAT! - ANSWER E-evaluate
A-assess
T-teach
Addisons - ANSWER hyponatremia, hypotension, decreased blood vol, hyperkalemia,
hypoglycemia
Cushings - ANSWER hypernatremia, hypertension, increased blood vol, hypokalemia,
hyperglycemia
No Pee - ANSWER No K
do not give POTASSIUM without adequate urine output
APGAR - ANSWER A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE - ANSWER MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember .
MTV=Airborne
,Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET - ANSWER think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
*Private Room or cohort*
*Mask*
CONTACT PRECAUTION - ANSWER Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
, E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
SKIN INFECTIONS - ANSWER VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism - ANSWER S&S;chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR - ANSWER late decels, decreased variability, fetal
bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC - ANSWER position patient on the right side ('promote
emptying of the stomach') with HOB elevated ('to prevent aspiration')
During Epidural Puncture - ANSWER side lying
After Lumbar Puncture - ANSWER and also oil myelogram. . .patient lies flat supine ('to
prevent headache and leaking of CSF')
patient with heat stroke - ANSWER lie flat w/legs elevated
during CBI - ANSWER catheter is taped to thigh so leg should be straight. no other
