NCLEX-PN Study Guide
1 . What is the mnemonic for what a nurse should NOT delegate?Do NOT delegate what
you can E.A.T.:
E
● -valuate
● A-ssess
● T- each
. What are the signs and symptoms of Addison's disease?"Down, down, down, up, down"
2
(referring to key lab values/vitals):
● yponatremia(low sodium)
H
● Hypotension(low blood pressure)
● Decreased blood volume
● Hyperkalemia(high potassium)
● Hypoglycemia(low blood glucose)
. What are the signs and symptoms of Cushing's syndrome?"Up, up, up, down, up"
3
(referring to key lab values/vitals):
H
● ypernatremia(high sodium)
● Hyper-tension(high blood pressure)
● Increased blood volume
, H
● ypokalemia(low potassium)
● Hyperglycemia(high blood glucose)
. What is a critical rule regarding potassium administration?No Pee, No K+! Do NOT give
4
potassium without adequate urine output.
5. What does the APGAR score stand for?APGAR:
● =Appearance(color: all pink, pink and blue, orblue/pale)
A
● P=Pulse(>100, <100, or absent)
● G=Grimace(response to stimulation: cough, grimace,or no response)
● A=Activity(muscle tone: flexed, flaccid, or limp)
● R=Respirations(respiratory effort: strong cry,weak cry, or absent)
. What are the diseases that require Airborne Precautions?Remember M.T.V. or "My
6
Chicken Hez TB":
● easles
M
● TB (Tuberculosis)
● Va ricella (Chicken Pox) / Herpes Zoster (Shingles)
● Required isolation:Private room with negative pressure,6-12 air exchanges/hour, N95
mask for TB.
7. What diseases require Droplet Precautions?ThinkS.P.I.D.E.R.M.A.N.:
● e
S psis,Scarlet fever,St reptococcal pharyngitis
● Parvovirus B19,Pn eumonia,Pertussis
● In fluenza
● Diphtheria (pharyngeal)
● Epiglottitis
● Ru bella
● Mumps,Me ningitis,Mycoplasma pneumonia
● An-adenovirus
● Required isolation:Private room or cohort, mask.
, 8. What diseases require Contact Precautions?RememberM.R.S. W.E.E.:
● ultidrug-resistant organism (MRSA, VRE)
M
● Re spiratory infection (RSV)
● Sk in infections
● Wo und infections
● Enteric infection (Clostridium difficile)
● Eye infection (Conjunctivitis)
. What are the common skin infections that require contact precautions?Remember
9
V.C.H.I.P.S.:
● a
V ricella zoster
● Cutaneous diphtheria
● Herpes simplex
● Im
petigo
● Pediculosis
● Sc
abies
1 0. What are the signs and symptoms of an air/pulmonary embolism and the
appropriate nursing intervention?S&S:Chest pain,difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom.Intervention:Turn patient to the left side and lower
the head of the bed.
1 1. What is the priority nursing intervention for a woman in labor with an un-reassuring
FHR (late decelerations, decreased variability, fetal bradycardia)?Turn the patient to the
left side (and give O2, stop Pitocin, and increase IV fluids).
1 2. What is the best position for a patient with decreased level of consciousness
receiving a tube feeding?Position the patient on the right side (to promote stomach
emptying) with the HOB elevated (to prevent aspiration).
13. What position should a patient be in during an epidural puncture?Side-lying.
1 . What is the mnemonic for what a nurse should NOT delegate?Do NOT delegate what
you can E.A.T.:
E
● -valuate
● A-ssess
● T- each
. What are the signs and symptoms of Addison's disease?"Down, down, down, up, down"
2
(referring to key lab values/vitals):
● yponatremia(low sodium)
H
● Hypotension(low blood pressure)
● Decreased blood volume
● Hyperkalemia(high potassium)
● Hypoglycemia(low blood glucose)
. What are the signs and symptoms of Cushing's syndrome?"Up, up, up, down, up"
3
(referring to key lab values/vitals):
H
● ypernatremia(high sodium)
● Hyper-tension(high blood pressure)
● Increased blood volume
, H
● ypokalemia(low potassium)
● Hyperglycemia(high blood glucose)
. What is a critical rule regarding potassium administration?No Pee, No K+! Do NOT give
4
potassium without adequate urine output.
5. What does the APGAR score stand for?APGAR:
● =Appearance(color: all pink, pink and blue, orblue/pale)
A
● P=Pulse(>100, <100, or absent)
● G=Grimace(response to stimulation: cough, grimace,or no response)
● A=Activity(muscle tone: flexed, flaccid, or limp)
● R=Respirations(respiratory effort: strong cry,weak cry, or absent)
. What are the diseases that require Airborne Precautions?Remember M.T.V. or "My
6
Chicken Hez TB":
● easles
M
● TB (Tuberculosis)
● Va ricella (Chicken Pox) / Herpes Zoster (Shingles)
● Required isolation:Private room with negative pressure,6-12 air exchanges/hour, N95
mask for TB.
7. What diseases require Droplet Precautions?ThinkS.P.I.D.E.R.M.A.N.:
● e
S psis,Scarlet fever,St reptococcal pharyngitis
● Parvovirus B19,Pn eumonia,Pertussis
● In fluenza
● Diphtheria (pharyngeal)
● Epiglottitis
● Ru bella
● Mumps,Me ningitis,Mycoplasma pneumonia
● An-adenovirus
● Required isolation:Private room or cohort, mask.
, 8. What diseases require Contact Precautions?RememberM.R.S. W.E.E.:
● ultidrug-resistant organism (MRSA, VRE)
M
● Re spiratory infection (RSV)
● Sk in infections
● Wo und infections
● Enteric infection (Clostridium difficile)
● Eye infection (Conjunctivitis)
. What are the common skin infections that require contact precautions?Remember
9
V.C.H.I.P.S.:
● a
V ricella zoster
● Cutaneous diphtheria
● Herpes simplex
● Im
petigo
● Pediculosis
● Sc
abies
1 0. What are the signs and symptoms of an air/pulmonary embolism and the
appropriate nursing intervention?S&S:Chest pain,difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom.Intervention:Turn patient to the left side and lower
the head of the bed.
1 1. What is the priority nursing intervention for a woman in labor with an un-reassuring
FHR (late decelerations, decreased variability, fetal bradycardia)?Turn the patient to the
left side (and give O2, stop Pitocin, and increase IV fluids).
1 2. What is the best position for a patient with decreased level of consciousness
receiving a tube feeding?Position the patient on the right side (to promote stomach
emptying) with the HOB elevated (to prevent aspiration).
13. What position should a patient be in during an epidural puncture?Side-lying.
