The final mountain that nursing students must summit before becoming a registered nurse is the NCLEX. Preparing for the NCLEX can be stressful as
taking in colossal amounts of information has never been easy. This is where this cram sheet can help-- it contains condensed facts about the licensure
exam and key nursing information. When exam time comes, you can write and transfer these vital information from your head to a blank sheet of paper
provided by the testing center.
1. Test Information Rephrase the question4putting the 5. ABG Values
Six hours4the maximum time allotted question into your own words can pluck pH: 7.3647.45
for the NCLEX is 6 hours. Take breaks if the unneeded info and reveal the core of HCO3: 24426 mEq/L
you need a time out or need to move the stem. CO2: 35445 mEq/L
around. Make an educated guess4if you can’t PaO2: 80%4100%
75/2654the minimum number of make the best answer for a question SaO2: >95%
questions you can answer is 75 and a after carefully reading it, choose the 6. Acid-Base Balance
maximum of 265. answer with the most information. Remember ROME (respiratory
Read the question and answers 2. Vital Signs opposite/metabolic equal) to remember
carefully4do not jump into conclusions Heart rate: 804100 bpm that in respiratory acid/base disorders
or make wild guesses. Respiratory rate: 12-20 rpm the pH is opposite to the other
Look for keywords4Avoid answers with Blood pressure: 110-120/60 mmHg components.
absolutes like always, never, all, every, Temperature: 37 °C (98.6 °F) Use the Tic-Tac-Toe Method for
only, must, except, none, or no. 3. Hematology values interpreting ABGs. Read more about it
Don’t read into the question4Never RBCs: 4.545.0 million here (http://bit.ly/abgtictactoe).
assume anything that has not been WBCs: 5,000410,000 7. Chemistry Values
specifically mentioned and don’t add Platelets: 200,0004400,000 Glucose: 704110 mg/dL
extra meaning to the question. Hemoglobin (Hgb): 12416 gm (female); Specific Gravity: 1.01041.030
Eliminate answers that are clearly wrong 14418 gm (male). BUN: 7-22 mg/dL
or incorrect4to increase your probability Hematocrit (Hct): 37447 (female); 404 Serum creatinine: 0.641.35 mg/dL
of selecting the correct answer! 54 (male) LDH: 100-190 U/L
Watch for grammatical 4. Serum electrolytes Protein: 6.248.1 g/dL
inconsistencies4Subjects and verbs Sodium: 1354145 mEq/L Albumin: 3.445.0 g/dL
should agree. If the question is an Potassium: 3.545.5 mEq/L Bilirubin: <1.0 mg/dL
incomplete sentence, the correct answer Calcium: 8.5410.9 mEq/L Total Cholesterol: 1304200 mg/dL
should complete the question in a Chloride: 954105 mEq/L Triglyceride: 40450 mg/dL
grammatically correct manner. Magnesium: 1.542.5 mEq/L Uric acid: 3.547.5 mg/dL
Phosphorus: 2.544.5 mEq/L CPK: 21-232 U/L
, 8. Therapeutic Drug Levels 1 gram (g) = 1,000 mg Category C4Risk not ruled out.
Carbamazepine (Tegretol): 4410 1 kilogram (kg) = 2.2 lbs Examples: Rifampicin (Rifampin),
mcg/ml 1 lb = 16 oz Theophylline (Theolair).
Digoxin (Lanoxin): 0.842.0 ng/ml Convert C to F: C+40 multiply by 9/5 and Category D4Positive evidence of risk.
Gentamycin (Garamycin): 5410 mcg/ml subtract 40 Examples: Phenytoin, Tetracycline.
(peak), <2.0 mcg/ml (valley) Convert F to C: F+40 multiply by 5/9 and Category X4Contraindicated in
Lithium (Eskalith): 0.841.5 mEq/L subtract 40 Pregnancy. Examples: Isotretinoin
Phenobarbital (Solfoton): 15440 11. Maternity Normal Values (Accutane), Thalidomide (Immunoprin),
mcg/mL Fetal Heart Rate: 1204160 bpm etc.
Phenytoin (Dilantin): 10420 mcg/dL Variability: 6410 bpm Pregnancy Category N4Not yet
Theophylline (Aminophylline): 10420 Amniotic fluid: 50041200 ml classified
mcg/dL Contractions: 245 minutes apart with 14. Drug Schedules
Tobramycin (Tobrex): 5410 mcg/mL duration of < 90 seconds and intensity Schedule I4no currently accepted
(peak), 0.542.0 mcg/mL (valley) of <100 mmHg. medical use and for research use only
Valproic Acid (Depakene): 504100 APGAR Scoring: Appearance, Pulses, (e.g., heroin, LSD, MDMA).
mcg/ml Grimace, Activity, Reflex Irritability. Done Schedule II4drugs with high potential
Vancomycin (Vancocin): 20440 mcg/ml at 1 and 5 minutes with a score of 0 for for abuse and requires written
(peak), 5 to 15 mcg/ml (trough) absent, 1 for decreased, and 2 for prescription (e.g., Ritalin,
9. Anticoagulant therapy strongly positive. Scores 7 and above hydromorphone (Dilaudid), meperidine
Sodium warfarin (Coumadin) PT: 10412 are generally normal, 4 to 6 fairly low, (Demerol), and fentanyl).
seconds (control). The antidote is and 3 and below are generally regarded Schedule III4requires new prescription
Vitamin K. as critically low. after six months or five refills (e.g.,
INR (Coumadin): 0.941.2 AVA: The umbilical cord has two arteries codeine, testosterone, ketamine).
Heparin PTT: 30445 seconds (control). and one vein. Schedule IV4requires new prescription
The antidote is protamine sulfate. 12. STOP—Treatment for maternal hypotension after six months (e.g., Darvon, Xanax,
APTT: 23.3431.9 seconds after an epidural anesthesia: Soma, and Valium).
Fibrinogen level: 2034377 mg/dL Stop infusion of Pitocin. Schedule V4dispensed as any other
10. Conversions Turn the client on her left side. prescription or without prescription
1 teaspoon (t) = 5 ml Administer oxygen. (e.g., cough preparations, Lomotil,
1 tablespoon (T) = 3 t = 15 ml If hypovolemia is present, push IV fluids. Motofen).
1 oz = 30 ml 13. Pregnancy Category of Drugs 15. Medication Classifications
1 cup = 8 oz Category A4No risk in controlled human Antacids4reduces hydrochloric acid in
1 quart = 2 pints studies the stomach.
1 pint = 2 cups Category B4No risk in other studies. Antianemics4increases blood cell
1 grain (gr) = 60 mg Examples: Amoxicillin, Cefotaxime. production.