Mark Klimek NCLEX Pharm UPDATED
Exam Questions and CORRECT Answers
Never hold the hormone for what patient? - Correct Answer- patient who is NPO with
mydexema
Addison's disease easy way to remember - Correct Answer- Add a Sone (sone = steroid)
Best default order for click and drag order questions? - Correct Answer- Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Correct Answer- call Doctor, NCLEX wants you to think critically
INR lab values - Correct 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 - Correct 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 - Correct Answer- stop
pit first then LIONpit
Pain meds in labor - Correct 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 - Correct Answer- stop contractions, Brethine causes maternal
tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - Correct Answer- makes labor more intense, Pitocin, Methergine,
Cervidil
OB medications Fetal/Neonatal Lung meds - Correct 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) - Correct Answer- given to baby after baby is born given trastracheal
through the airway develops lungs
Med hints for IM injections - Correct 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 - Correct 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 - Correct Answer- R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - Correct Answer- put air into N then R , NRRN the whole process
If 70/30 insulin it is - Correct 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 - Correct 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 - Correct 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 - Correct Answer- wasting drug plus Diurel
Exam Questions and CORRECT Answers
Never hold the hormone for what patient? - Correct Answer- patient who is NPO with
mydexema
Addison's disease easy way to remember - Correct Answer- Add a Sone (sone = steroid)
Best default order for click and drag order questions? - Correct Answer- Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Correct Answer- call Doctor, NCLEX wants you to think critically
INR lab values - Correct 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 - Correct 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 - Correct Answer- stop
pit first then LIONpit
Pain meds in labor - Correct 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 - Correct Answer- stop contractions, Brethine causes maternal
tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - Correct Answer- makes labor more intense, Pitocin, Methergine,
Cervidil
OB medications Fetal/Neonatal Lung meds - Correct 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) - Correct Answer- given to baby after baby is born given trastracheal
through the airway develops lungs
Med hints for IM injections - Correct 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 - Correct 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 - Correct Answer- R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - Correct Answer- put air into N then R , NRRN the whole process
If 70/30 insulin it is - Correct 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 - Correct 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 - Correct 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 - Correct Answer- wasting drug plus Diurel
