MARK KLIMEK NCLEX QUIZ
QUESTIONS AND ANSWERS
What are the unexpected H's in patients? - Answer-hemorrhage
high fever of 105
hypoglycemia
has no pulse, breathless
What are neutropenic precautions? - Answer-<1000 WBC, <400 Neutrophils
Strict hand washing
No visitors who are sick
No children
No raw food, no live plants
No free standing water
What are the most concerning labs? - Answer-"6"s
PH: 6
K: 6
Co2: 60
O2: 60
platelet: <40,000
What is the difference between PAD vs PVD? - Answer-Arterial: claudication, hair loss,
gangrene, decrease pulse, cool skin. "Decrease BF"
Venous: varicose veins, warm skin, brown appearance, ulcer on ankle, edema.
What are the causes of alkalosis vs acidosis? Signs? - Answer-Alkalosis: vomit/suction.
SX: irritability, everything up.
Acidosis: everything else. SX: body shutting down.
What are the signs of intoxication and withdrawal of a depressant? - Answer-
Depressant: alcohol, benzo, barb
Intox: slurred speech, unsteady gait, lethargic, impaired judgement.
Withdrawal: Increase HR/BP/RR, n/v, tremors, seizures.
What are signs of intoxication and withdrawal from opioids? - Answer-Intoxicated:
Decreased RR/HR/BP, constricted pupils.
, Withdrawal: panic, diaphoresis, yawning, n/v/d, cills,f ever.
What are drug toxicity levels for?
Lithium, Lanoxin, Theophylline, Dilantin - Answer-Lithium: BPD mania. Level: 0.6-1.2.
Over 2 toxic.
Lanoxin (Digoxin): A Fib/HF. Level: 0.5-2. Toxic over 2
Theophylline: relax airway spasm. Level: 10-20.
Dilantin (Phenytoin): seizures. Level: 10-20
What is an elevated bilirubin? - Answer-10-20 normal. Over 20=bad.
What is tobramycin? - Answer-"A mean old mycin" Aminoglycoside.
SE: mice (ototoxic), HEAR stuff (vertigo, tinnitus) and kidney (nephrotoxic).
What is a calcium cannel blocker? - Answer-"DIPINE" or Cardazem or Verampil.
Valium for the heart.
Treats A's: antihypertensive, antiangina, anti atrial arrhythmias.
Hold if systolic <100. Monitor BP.
What is the difference between Mag Sulfate and Tubuterline? - Answer-Mag sulfate and
tubuterline both slow labor.
Tubuterline: maternal tachycardia SE.
Mag toxicity: decrease HR/BP/RR/reflexes.
What is rapid onset insulin and timing? - Answer-Lispro, Aspart. Timed with meals.
Onset: 15 min
Peak: 30
Duration: 3 hrs.
What is short acting insulin and timing? - Answer-Regular. "Rapid, run IV"
Onset: 1 hr
Peak: 2 hrs
Duration: 4 hrs
What is intermediate acting insulin? - Answer-NPH (not clear and not fast)
Onset: 6 hr
Peak: 8 hrs
QUESTIONS AND ANSWERS
What are the unexpected H's in patients? - Answer-hemorrhage
high fever of 105
hypoglycemia
has no pulse, breathless
What are neutropenic precautions? - Answer-<1000 WBC, <400 Neutrophils
Strict hand washing
No visitors who are sick
No children
No raw food, no live plants
No free standing water
What are the most concerning labs? - Answer-"6"s
PH: 6
K: 6
Co2: 60
O2: 60
platelet: <40,000
What is the difference between PAD vs PVD? - Answer-Arterial: claudication, hair loss,
gangrene, decrease pulse, cool skin. "Decrease BF"
Venous: varicose veins, warm skin, brown appearance, ulcer on ankle, edema.
What are the causes of alkalosis vs acidosis? Signs? - Answer-Alkalosis: vomit/suction.
SX: irritability, everything up.
Acidosis: everything else. SX: body shutting down.
What are the signs of intoxication and withdrawal of a depressant? - Answer-
Depressant: alcohol, benzo, barb
Intox: slurred speech, unsteady gait, lethargic, impaired judgement.
Withdrawal: Increase HR/BP/RR, n/v, tremors, seizures.
What are signs of intoxication and withdrawal from opioids? - Answer-Intoxicated:
Decreased RR/HR/BP, constricted pupils.
, Withdrawal: panic, diaphoresis, yawning, n/v/d, cills,f ever.
What are drug toxicity levels for?
Lithium, Lanoxin, Theophylline, Dilantin - Answer-Lithium: BPD mania. Level: 0.6-1.2.
Over 2 toxic.
Lanoxin (Digoxin): A Fib/HF. Level: 0.5-2. Toxic over 2
Theophylline: relax airway spasm. Level: 10-20.
Dilantin (Phenytoin): seizures. Level: 10-20
What is an elevated bilirubin? - Answer-10-20 normal. Over 20=bad.
What is tobramycin? - Answer-"A mean old mycin" Aminoglycoside.
SE: mice (ototoxic), HEAR stuff (vertigo, tinnitus) and kidney (nephrotoxic).
What is a calcium cannel blocker? - Answer-"DIPINE" or Cardazem or Verampil.
Valium for the heart.
Treats A's: antihypertensive, antiangina, anti atrial arrhythmias.
Hold if systolic <100. Monitor BP.
What is the difference between Mag Sulfate and Tubuterline? - Answer-Mag sulfate and
tubuterline both slow labor.
Tubuterline: maternal tachycardia SE.
Mag toxicity: decrease HR/BP/RR/reflexes.
What is rapid onset insulin and timing? - Answer-Lispro, Aspart. Timed with meals.
Onset: 15 min
Peak: 30
Duration: 3 hrs.
What is short acting insulin and timing? - Answer-Regular. "Rapid, run IV"
Onset: 1 hr
Peak: 2 hrs
Duration: 4 hrs
What is intermediate acting insulin? - Answer-NPH (not clear and not fast)
Onset: 6 hr
Peak: 8 hrs
