NCLEX Mark Klimek (Part 1) Exam
Questions and Answers 100% Pass
"Decide Sickest v.s. Healthiest"
With prioritization, answers will always have these 4 parts: - ✔✔Age-
Irrelevant because all humans are important
Gender- Irrelevant because all humans are important
Diagnosis
Modifying Phrase (*Most important*)
Ex: Of prioritization
Ex: Angina pectoris with unstable BP v.s stable vitals with a myocardial
infarction (Angina pectoris is the highest priority at this time because they
have unstable vitals due to the "modifying phrase". - ✔✔Prioritization
4 Rules to Prioritization - ✔✔acute beats chronic,
1
100% Pass Guarantee Katelyn Whitman, All Rights
,fresh post op 12hrs beats med surg,
unstable beats stable,
tie breaker is which organ
Acute beats chronic "not ABCs"
Which would be your priority?
A person with COPD
A person with Appendicitis
A person with CHF - ✔✔The person with appendicitis would be the
priority and the right answer because it's an acute problem.
Fresh post op- "12 hours" beats medical or other surgical problems
-Doesn't matter how bad or dangerous the surgery is
Which patient would be the priority in this situation?
A person with COPD
A person with Appendicitis
A person with 2 hour post op hysterectomy
2
100% Pass Guarantee Katelyn Whitman, All Rights
,A radial neck dissection
A 48 hour post right frontal craniotomy - ✔✔The 2 hour post hysterectomy
would be the priority because it's a fresh post op.
*Stable vs Unstable On notes - ✔✔
EX: "Severe colic pain with kidney stones" or "mild pain with chest x ray" is
the priority? - ✔✔The mild pain with chest pain is the priority because that
should not happen and they are unstable. With the kidney stones, that is an
expected finding= stable.
Ex: Which would be the priority?
A 16 year old female with meningococcal meningitis who has had a temp
of 103.8 since admission 3 days ago/
A 67 year old male with IBS who spiked a temp of 100.3 this afternoon. -
✔✔The priority in this one would be the IBS patient because the fever is
new and unexpected with IBS and has changed since last assessment. The
meningitis patient has been unchanged and that is an expected finding
with the disease.
3
100% Pass Guarantee Katelyn Whitman, All Rights
, 4 things that are ALWAYS unstable that are the only expectation to these
rules: - ✔✔Hemorrhage
High fevers above 105= seizures
Hypoglycemia= "Ex: 8"
Pulselessness or Breathlessness
When is pulselessness and breathlessness the lowest priority? - ✔✔AT A
SCENE OF AN UNWITNESSED ACCIDENT
IF YOU WITNESS= HIGHEST PRIORITY!!!!
3 THINGS TO THAT RESULT IN A BLACK TAGE OF AN
UNWITNESSED ACCIDENT: - ✔✔Pulselessness
Breathlessness
Fixed & dilated pupils even if still breathing
"The tie-breaker" for Prioritization: The more vital the organ the increase
the priority- "The organ mentioned in the modifying phrase"
4
100% Pass Guarantee Katelyn Whitman, All Rights
Questions and Answers 100% Pass
"Decide Sickest v.s. Healthiest"
With prioritization, answers will always have these 4 parts: - ✔✔Age-
Irrelevant because all humans are important
Gender- Irrelevant because all humans are important
Diagnosis
Modifying Phrase (*Most important*)
Ex: Of prioritization
Ex: Angina pectoris with unstable BP v.s stable vitals with a myocardial
infarction (Angina pectoris is the highest priority at this time because they
have unstable vitals due to the "modifying phrase". - ✔✔Prioritization
4 Rules to Prioritization - ✔✔acute beats chronic,
1
100% Pass Guarantee Katelyn Whitman, All Rights
,fresh post op 12hrs beats med surg,
unstable beats stable,
tie breaker is which organ
Acute beats chronic "not ABCs"
Which would be your priority?
A person with COPD
A person with Appendicitis
A person with CHF - ✔✔The person with appendicitis would be the
priority and the right answer because it's an acute problem.
Fresh post op- "12 hours" beats medical or other surgical problems
-Doesn't matter how bad or dangerous the surgery is
Which patient would be the priority in this situation?
A person with COPD
A person with Appendicitis
A person with 2 hour post op hysterectomy
2
100% Pass Guarantee Katelyn Whitman, All Rights
,A radial neck dissection
A 48 hour post right frontal craniotomy - ✔✔The 2 hour post hysterectomy
would be the priority because it's a fresh post op.
*Stable vs Unstable On notes - ✔✔
EX: "Severe colic pain with kidney stones" or "mild pain with chest x ray" is
the priority? - ✔✔The mild pain with chest pain is the priority because that
should not happen and they are unstable. With the kidney stones, that is an
expected finding= stable.
Ex: Which would be the priority?
A 16 year old female with meningococcal meningitis who has had a temp
of 103.8 since admission 3 days ago/
A 67 year old male with IBS who spiked a temp of 100.3 this afternoon. -
✔✔The priority in this one would be the IBS patient because the fever is
new and unexpected with IBS and has changed since last assessment. The
meningitis patient has been unchanged and that is an expected finding
with the disease.
3
100% Pass Guarantee Katelyn Whitman, All Rights
, 4 things that are ALWAYS unstable that are the only expectation to these
rules: - ✔✔Hemorrhage
High fevers above 105= seizures
Hypoglycemia= "Ex: 8"
Pulselessness or Breathlessness
When is pulselessness and breathlessness the lowest priority? - ✔✔AT A
SCENE OF AN UNWITNESSED ACCIDENT
IF YOU WITNESS= HIGHEST PRIORITY!!!!
3 THINGS TO THAT RESULT IN A BLACK TAGE OF AN
UNWITNESSED ACCIDENT: - ✔✔Pulselessness
Breathlessness
Fixed & dilated pupils even if still breathing
"The tie-breaker" for Prioritization: The more vital the organ the increase
the priority- "The organ mentioned in the modifying phrase"
4
100% Pass Guarantee Katelyn Whitman, All Rights
