LPN MARK KLIMEK EXAM GUIDE
QUESTIONS AND ANSWERS
Do not read into the question - Answer-never assume anything that has not been
specifically mentioned and do not add extra meaning or history to the question
NCLEX land is set at Utopian General Hospital - Answer-you have all the time,
resources, and staff you need
least invasive to most invasive - Answer-least restrictive to most restrictive-restraints
rarely a good option
Assess first before implementing - Answer-assess unless in distress
Priority goes to assessment on patient nad not with - Answer-equipment
auscultate FHR before checking monitor
First time doing something for patient - Answer-nurse does it-including VS
If a patient is an adult - Answer-family options can be ruled out
unless patient is incompetent
Asked about the FIRST option, think - Answer-If i can only do one action and then I
have to go home, what would the outcome be?
Therapeutic communication - Answer-reflect feelings and provide correct information
Do not say why or that you - Answer-understand
An answer that delays care is usually wrong - Answer-reassess in 15 mins, monitor for
symptoms continuing
Interventions for wellness - Answer-healthy nutrition, regular exercise, proper weight,
rest, avoiding harmful chemicals such as nicotine and risk taking behaviors-no seatbelt
If two answers are the exact opposite, - Answer-one is usually the answer
If two or three answers are similar - Answer-none are correct
always look for the umbrella option - Answer-broad universal statement
If you have never heard of an answer, do not eliminate it - Answer-work around it
if you can safely eliminate all the other answers, that is the answer. If you are down to
two answers and you know the other answer is right, do that one.
,Actual problems before - Answer-potential
DO NOT LEAVE THE PATIENT - Answer-think safety
DO NOT do something - Answer-you always have to do something
If the question is about endorsement - Answer-always report anything new or different
to the next shift
One select document if - Answer-the assessment is normal
Put patients with the same or similar diagnosis in the same room - Answer-clean vs dirty
Never increase patients to - Answer-catch up
Answer SATA as - Answer-T or F for each one
Rephrase the question in your own words - Answer-understand what it is asking
If you cannot determine the topic of the question, - Answer-read all the answer choices
to help you understand the problem
look for patterns
Try not to determine the answer before - Answer-reading the answer
NCLEX uses answers that scream pick me but are wrong
More often than not, - Answer-pain will not be your answer except with compartment
syndrome
Try to focus on the - Answer-here and now as much as possible
Positioning questions - Answer-you are trying to prevent or promote-think of the
outcome
Questions that say ESSENTIAL - Answer-think safety
If you don't know a word, - Answer-break it down in medical terms
Make an educated guess - Answer-choose answer with most information
When in doubt, think - Answer-safety
systemic before local - Answer-Life before limb
acute before - Answer-chronic
,actual before - Answer-potential
Maslow's-physiological before - Answer-psychological
Recognizes trends of - Answer-deterioration
Airborne MTV - Answer-M - Measles
T - TB
V - Varicella
private room, negative pressure with 6-12 pressure air exchanges/hr, mask, N95 for TB
Contact
Mrs. Wee - Answer--MRSA
-VRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies,
and staphylococcus)
-Wound infections
-Enteric infections (Clostridium difficile)
-Eye infections (conjunctivitis)
Management: gown, gloves, goggles, private room
Nurse with localized herpes zoster can care for patients who are not
immunocompromised and lesions are covered.
DROPLET: "SPIDERMAn" - 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 or meningeal pneumonia
An - Adenovirus
Private Room or cohort
Mask (door open, 3ft distance)
Skin Infections VCHIPS - Answer-V - varicella zoster
C - cutaneous diphtheria
, H - herpez simplex
I - impetigo
P - pediculosis
S - scabies
Impetigo - Answer-caused by staph or strep
untreated can cause acute glomerulonephritis
Periorbital edema indicates poststreptococcal glomerulonephritis
Order of PPE donning - Answer-gown, mask, goggles, gloves
Order of PPE doffing - Answer-gloves, goggles, gown, mask
Avian influenza - Answer-start O2 therapy-initial action
SOB, diarrhea, abdominal pain, epistaxis
Institute airborne and contact precautions
catheters the most common - Answer-health care acquired infection
remove asap
Nurse working with infants but be - Answer-immunized against pertussis
Ventilator bundle - Answer-HOB 30-45
daily assessment for extubation
daily oral care with chlorhexadine solution
Chlohexadine used to prevent - Answer-CLABSI-central line associated bloodstream
infections
No pee, no k - Answer-Do not give potassium without adequate urine output
Elevate - Answer-veins
Dangle - Answer-Arteries
IV push to be given over - Answer-2 minutes
1 ounce - Answer-30 mL
1 cup - Answer-8 oz
1lb - Answer-16oz
C to F - Answer-(C x 1.8) + 32
QUESTIONS AND ANSWERS
Do not read into the question - Answer-never assume anything that has not been
specifically mentioned and do not add extra meaning or history to the question
NCLEX land is set at Utopian General Hospital - Answer-you have all the time,
resources, and staff you need
least invasive to most invasive - Answer-least restrictive to most restrictive-restraints
rarely a good option
Assess first before implementing - Answer-assess unless in distress
Priority goes to assessment on patient nad not with - Answer-equipment
auscultate FHR before checking monitor
First time doing something for patient - Answer-nurse does it-including VS
If a patient is an adult - Answer-family options can be ruled out
unless patient is incompetent
Asked about the FIRST option, think - Answer-If i can only do one action and then I
have to go home, what would the outcome be?
Therapeutic communication - Answer-reflect feelings and provide correct information
Do not say why or that you - Answer-understand
An answer that delays care is usually wrong - Answer-reassess in 15 mins, monitor for
symptoms continuing
Interventions for wellness - Answer-healthy nutrition, regular exercise, proper weight,
rest, avoiding harmful chemicals such as nicotine and risk taking behaviors-no seatbelt
If two answers are the exact opposite, - Answer-one is usually the answer
If two or three answers are similar - Answer-none are correct
always look for the umbrella option - Answer-broad universal statement
If you have never heard of an answer, do not eliminate it - Answer-work around it
if you can safely eliminate all the other answers, that is the answer. If you are down to
two answers and you know the other answer is right, do that one.
,Actual problems before - Answer-potential
DO NOT LEAVE THE PATIENT - Answer-think safety
DO NOT do something - Answer-you always have to do something
If the question is about endorsement - Answer-always report anything new or different
to the next shift
One select document if - Answer-the assessment is normal
Put patients with the same or similar diagnosis in the same room - Answer-clean vs dirty
Never increase patients to - Answer-catch up
Answer SATA as - Answer-T or F for each one
Rephrase the question in your own words - Answer-understand what it is asking
If you cannot determine the topic of the question, - Answer-read all the answer choices
to help you understand the problem
look for patterns
Try not to determine the answer before - Answer-reading the answer
NCLEX uses answers that scream pick me but are wrong
More often than not, - Answer-pain will not be your answer except with compartment
syndrome
Try to focus on the - Answer-here and now as much as possible
Positioning questions - Answer-you are trying to prevent or promote-think of the
outcome
Questions that say ESSENTIAL - Answer-think safety
If you don't know a word, - Answer-break it down in medical terms
Make an educated guess - Answer-choose answer with most information
When in doubt, think - Answer-safety
systemic before local - Answer-Life before limb
acute before - Answer-chronic
,actual before - Answer-potential
Maslow's-physiological before - Answer-psychological
Recognizes trends of - Answer-deterioration
Airborne MTV - Answer-M - Measles
T - TB
V - Varicella
private room, negative pressure with 6-12 pressure air exchanges/hr, mask, N95 for TB
Contact
Mrs. Wee - Answer--MRSA
-VRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies,
and staphylococcus)
-Wound infections
-Enteric infections (Clostridium difficile)
-Eye infections (conjunctivitis)
Management: gown, gloves, goggles, private room
Nurse with localized herpes zoster can care for patients who are not
immunocompromised and lesions are covered.
DROPLET: "SPIDERMAn" - 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 or meningeal pneumonia
An - Adenovirus
Private Room or cohort
Mask (door open, 3ft distance)
Skin Infections VCHIPS - Answer-V - varicella zoster
C - cutaneous diphtheria
, H - herpez simplex
I - impetigo
P - pediculosis
S - scabies
Impetigo - Answer-caused by staph or strep
untreated can cause acute glomerulonephritis
Periorbital edema indicates poststreptococcal glomerulonephritis
Order of PPE donning - Answer-gown, mask, goggles, gloves
Order of PPE doffing - Answer-gloves, goggles, gown, mask
Avian influenza - Answer-start O2 therapy-initial action
SOB, diarrhea, abdominal pain, epistaxis
Institute airborne and contact precautions
catheters the most common - Answer-health care acquired infection
remove asap
Nurse working with infants but be - Answer-immunized against pertussis
Ventilator bundle - Answer-HOB 30-45
daily assessment for extubation
daily oral care with chlorhexadine solution
Chlohexadine used to prevent - Answer-CLABSI-central line associated bloodstream
infections
No pee, no k - Answer-Do not give potassium without adequate urine output
Elevate - Answer-veins
Dangle - Answer-Arteries
IV push to be given over - Answer-2 minutes
1 ounce - Answer-30 mL
1 cup - Answer-8 oz
1lb - Answer-16oz
C to F - Answer-(C x 1.8) + 32
