MARK KLIMEK NCLEX PHARM EXAM
QUESTIONS WITH VERIFIED ANSWERS
Never hold the hormone for what patient? - Answer-patient who is NPO with mydexema
Addison's disease easy way to remember - Answer-Add a Sone (sone = steroid)
Best default order for click and drag order questions? - Answer-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Answer-call Doctor, NCLEX wants you to think critically
INR lab values - Answer-2-3, critical value if off, potential for patient to bleed. Use
default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K
(antidote for Coumadin), Call or notify
Potassium lab values - Answer-3.5-5.3 If low it is a critical lab to worry about assess the
heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
If question says there is pitocin running and there are complications - Answer-stop pit
first then LIONpit
Pain meds in labor - Answer-know your peaks for IV, IM, PO, Subling. If baby is likely to
be born when the pain med is peaking don't give! Why? Respiratory depression in baby
OB medications tocolytics - Answer-stop contractions, Brethine causes maternal
tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - Answer-makes labor more intense, Pitocin, Methergine,
Cervidil
OB medications Fetal/Neonatal Lung meds - Answer-Betamethasone, speeds the
development of the baby's lungs, given to Mom before baby is born, given IM, will
increase the blood sugar of Mom
Survanta (surfactant) - Answer-given to baby after baby is born given trastracheal
through the airway develops lungs
Med hints for IM injections - Answer-Look for 1's in both parts (the 1 looks like an I),
guage and length, 21 g, 1 inch means IM
, Med hints for SQ injections - Answer-look for 5's in both parts (the 5 looks like an S),
guage and length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - Answer-R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - Answer-put air into N then R , NRRN the whole process
If 70/30 insulin it is - Answer-70% N and 30% R, may have to make your own on
boards, no 70/30 on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - Answer-works immediately, labs
Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days,
pregnancy: YES (Class C pregnancy drug, use caution)
Coumadin is given PO, info re: Coumadin - Answer-takes days to work, labs ONLY PT-
INR, antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)
If a diuretic ends in the letter X it is a potassium - Answer-wasting drug plus Diurel
Baclofen/ Flexoril - Answer-muscle relaxant, think on your back loafin'! makes a patient
drowsy, weak muscles, don't drink, don't drive, don't care of kids under 12
Piaget's stage Sensorimotor age 0-2, totally
When can a child give themselves their own insulin shot? - Answer-7
What 2 parts are always irrelevant in a prioritization question? - Answer-age and gender
(NCLEX is testing discrimination against agism), age only important for peds
All psych drugs cause - Answer-low BP and weight change (usually gain)
Phenothiazines - Answer-all end in 'zine Ex: Thorazine, Compazine, they are major
tranquilizers so think safety
'Zines for the - Answer-Zanny
In large doses Phenothiazines are - Answer-anti-psychotics
In small doses Phenothiazines are - Answer-anti-emetics
Side effects of Phenothiazines - Answer-Anticholinergic (dry mouth), Blurred vision,
Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity,
aGranulocytosis (low WBC's)
#1 problem or concern for patient taking Phenothiazines - Answer-SAFETY
QUESTIONS WITH VERIFIED ANSWERS
Never hold the hormone for what patient? - Answer-patient who is NPO with mydexema
Addison's disease easy way to remember - Answer-Add a Sone (sone = steroid)
Best default order for click and drag order questions? - Answer-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Answer-call Doctor, NCLEX wants you to think critically
INR lab values - Answer-2-3, critical value if off, potential for patient to bleed. Use
default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K
(antidote for Coumadin), Call or notify
Potassium lab values - Answer-3.5-5.3 If low it is a critical lab to worry about assess the
heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
If question says there is pitocin running and there are complications - Answer-stop pit
first then LIONpit
Pain meds in labor - Answer-know your peaks for IV, IM, PO, Subling. If baby is likely to
be born when the pain med is peaking don't give! Why? Respiratory depression in baby
OB medications tocolytics - Answer-stop contractions, Brethine causes maternal
tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - Answer-makes labor more intense, Pitocin, Methergine,
Cervidil
OB medications Fetal/Neonatal Lung meds - Answer-Betamethasone, speeds the
development of the baby's lungs, given to Mom before baby is born, given IM, will
increase the blood sugar of Mom
Survanta (surfactant) - Answer-given to baby after baby is born given trastracheal
through the airway develops lungs
Med hints for IM injections - Answer-Look for 1's in both parts (the 1 looks like an I),
guage and length, 21 g, 1 inch means IM
, Med hints for SQ injections - Answer-look for 5's in both parts (the 5 looks like an S),
guage and length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - Answer-R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - Answer-put air into N then R , NRRN the whole process
If 70/30 insulin it is - Answer-70% N and 30% R, may have to make your own on
boards, no 70/30 on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - Answer-works immediately, labs
Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days,
pregnancy: YES (Class C pregnancy drug, use caution)
Coumadin is given PO, info re: Coumadin - Answer-takes days to work, labs ONLY PT-
INR, antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)
If a diuretic ends in the letter X it is a potassium - Answer-wasting drug plus Diurel
Baclofen/ Flexoril - Answer-muscle relaxant, think on your back loafin'! makes a patient
drowsy, weak muscles, don't drink, don't drive, don't care of kids under 12
Piaget's stage Sensorimotor age 0-2, totally
When can a child give themselves their own insulin shot? - Answer-7
What 2 parts are always irrelevant in a prioritization question? - Answer-age and gender
(NCLEX is testing discrimination against agism), age only important for peds
All psych drugs cause - Answer-low BP and weight change (usually gain)
Phenothiazines - Answer-all end in 'zine Ex: Thorazine, Compazine, they are major
tranquilizers so think safety
'Zines for the - Answer-Zanny
In large doses Phenothiazines are - Answer-anti-psychotics
In small doses Phenothiazines are - Answer-anti-emetics
Side effects of Phenothiazines - Answer-Anticholinergic (dry mouth), Blurred vision,
Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity,
aGranulocytosis (low WBC's)
#1 problem or concern for patient taking Phenothiazines - Answer-SAFETY
