NCLEX-RN EXAM REVIEW: A Guide to Common Medications and Their Uses
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - ansNonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - ansSodium
aminoglycosides (mycins) - ans
Angiotensin II in the lungs is a potent? - ansvasodialator
At what pain level should an Opioid Analgesic be considered? - ansPain level of 6 or greater.
Opioids are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - anstoo much fluid in the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - ansE = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - ansTB syringe
HIV Nursing and Collaborative Management includes... - ans- Monitor disease progression and
,immune function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
How do you convert Centigrade to Fahrenheit - ansC+40, multiply 9/5 and subtract 40
How do you convert Fahrenheit to Centigrade - ansF+40, multiply 5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive response? -
ansElicitation: Tapping on the face at a point just anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive response? -
ansElicitation: Inflating a sphygmomanometer cuff above
systolic blood pressure for several minutes
Positive response: Muscular contraction including flexion of the wrist and metacarpophalangeal
joints,
, hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - ansStrict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - ansIt is the opposite of aldosterone, so it causes
excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - ansup to 3 times (every
5 minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs - ansAddress
physiological needs first, followed by safety and security needs, love and belonging needs, self
esteem needs and finally self actualization needs. *When a physiological need is not addressed in
the question, look for the option that addresses safety.
How would you treat fluid volume excess? - ansGive Diuretics (Lasix), fluid restrictions, weigh daily,
monitor K+
If a question is related to the nursing process, read the question to determine the step of the
nursing process. What are the steps in the nursing process and what kind of question might be
related to that step. - ansAssessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information, identify and
communicate nursing diagnoses and determine the health team's ability to meet the pts needs.
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - ansNonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - ansSodium
aminoglycosides (mycins) - ans
Angiotensin II in the lungs is a potent? - ansvasodialator
At what pain level should an Opioid Analgesic be considered? - ansPain level of 6 or greater.
Opioids are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - anstoo much fluid in the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - ansE = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - ansTB syringe
HIV Nursing and Collaborative Management includes... - ans- Monitor disease progression and
,immune function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
How do you convert Centigrade to Fahrenheit - ansC+40, multiply 9/5 and subtract 40
How do you convert Fahrenheit to Centigrade - ansF+40, multiply 5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive response? -
ansElicitation: Tapping on the face at a point just anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive response? -
ansElicitation: Inflating a sphygmomanometer cuff above
systolic blood pressure for several minutes
Positive response: Muscular contraction including flexion of the wrist and metacarpophalangeal
joints,
, hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - ansStrict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - ansIt is the opposite of aldosterone, so it causes
excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - ansup to 3 times (every
5 minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs - ansAddress
physiological needs first, followed by safety and security needs, love and belonging needs, self
esteem needs and finally self actualization needs. *When a physiological need is not addressed in
the question, look for the option that addresses safety.
How would you treat fluid volume excess? - ansGive Diuretics (Lasix), fluid restrictions, weigh daily,
monitor K+
If a question is related to the nursing process, read the question to determine the step of the
nursing process. What are the steps in the nursing process and what kind of question might be
related to that step. - ansAssessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information, identify and
communicate nursing diagnoses and determine the health team's ability to meet the pts needs.
