Next Generation NCLEX

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NEXT GENERATION NCLEX

CHEAT SHEET
BEAUTIFUL NURSING LLC

Extended Select Extended Drag Matrix Style Drop Down Highlighting Bowtie
All That Apply & Drop "Cloze"
A question that Responses that 2-3 columns with Sentence with 1 or Select words or Drag and drop an
can have 1 or can be dragged & multiple rows more drop down phrases that are item in each of the
dropped into
multiple answers. correct answer (answers) to be answers for critical to do or 5 main targets.
space. picked. question. question.

ELECTROLYTES
LAB VALUES Sodium: Dehydration, CHF. High: thirsty, edema
You do not need to know lab value ranges Potassium: Acidosis, Cushings, Vomiting. High: Peaked T waves
Chloride: Acidosis, Addisons. High: dry membranes
for the Next Gen NCLEX.
Magnesium: Alcoholism. High = prolonged PR intervals, calms muscles
BLOOD Calcium: Hyperparathyroidism, Pancreatitis. Low: Trousseau/Chvostek
Hemoglobin: Polycythemia, Anemia Phosphate: Acromegaly, Alcoholism, Anatacids. High: Trousseau/Chvostek
Hematocrit: Burns, Anemia, Hemorrhage
WBCs: Inflammation/Infection COAGULATION ABGs
RENAL PT: Slow Clotting = Bleeding Risk Ph: Vomiting, Diarrhea, DKA
Specific Gravity: = dry, = high fluid PCO2: COPD Anxiety
aPTT: Slow Clotting = Bleeding Risk
Creatinine/BUN: Renal Damage HCO3: Vomiting, Suction
Proteinuria: Nephrotic Syndrome Platelets: Cancer, Chemo PO2: Hyperventilation
Glucose: Diabetes High: 3 P's
HEPATIC
ALT or AST: Cirrhosis
Bilirubin: Cirrhosis. High: Jaundice
Albumin: Liver Failure, Malnutrition Donning: Putting on PPE Doffing: Taking off PPE
CARDIAC
CK, Myoglobin, Troponin: MI SAFETY PRECAUTIONS
Natriuretic Peptides: Heart Failure, MI
Standard: stands for ALL
DELEGATION Use: gloves, mask, gown, goggles, hand hygiene
"Terrific Care Promotes Client Safety" Airborne: MTV = measles, tuberculosis, varicella
RIGHT: Task, Circumstance, Person, Use: n95 mask, negative pressure airflow, private room, door closed
Communication, Supervision
Droplet: PIMP = pertussis, influenza, mumps, pneumonia
RNs should not delegate what they EAT:
Evaluate, Assess, Teach Use: surgical mask, private room, door closed
LPNs can EAT second = re-evaluate, Contact: SEWER = skin infection, enteric, wound infection, eye infection, rotavirus
re-asses, re-educate Use: hand hygiene, gloves, gown, disposable equipment
Fetal HR: 110-160 BPM
PEDIATRICS OB-MATERNITY Fetal HR Patterns: VEAL CHOP
LIONS: Left side lie, IV fluids, Oxygen,
3 months = maintain head upright (+) Pregnancy Sign: Fetal Heartbeat & Skeleton
Notify provider, Stop Oxytocin for Low
4 months = rolls tummy to back 1st Trimester = 1-3 months
FHR or Late Decelerations
6 months = sits upright, food introduced 2nd Trimester = 3-6 months
APGAR: 0-3 = distress, 10 = best
9 months = crawling 3rd Trimester = 6-9 months
Based on Fetal HR, RR, Muscle Tone,
1 year = walking Weight gain: weeks pregnant - 9 = lbs gained Reflex Irritability, and Color
Beautiful Nursing LLC
NEXT GENERATION NCLEX
CHEAT SHEET
BEAUTIFUL NURSING LLC

POSITIONING HOSPITAL DIETS


Fowlers: "Sitting Up" Acute Renal Disease: Calorie, Protein
Uses: Shortness of Breath, Aspiration
Prevention, Increased ICP Burns: Calorie Protein Fluids
Supine "On my Spine" Cancer: Calorie, Protein
Uses: Abdominal or Facial Procedures, Normal: air passing in & out
Post Lumbar Puncture Celiac: No BROW (barley, rye, oat, wheat) Crackles: pneumonia, heart disease
Prone "Away from the Tailbone" Constipation: Fruits, Fiber, Fluids Wheezing: allergies
Uses: Spinal Surgery, Spina Bifida Pleural Friction Rub: pleura inflammation
COPD: Calorie, Fat Rhonchi: COPD
Trendelenburg "Trending Back" Stridor: Croup or Obstructed Airway
Uses: Hypotension, Shock, Prolapsed Cord Hepatitis: Calorie, Protein
SIMS "On Stomach w/ Leg Flexed" Hypertension: DASH ( Salt, Fat, Sugar)
Uses: Perineal Exam, Enema Administration
Pancreatitis: Fat
Lateral "On Side" 1 2
Uses: Rectal Surgery, GI Issues, Ear Irrigation Stroke: Mechanical Soft, Regular, Tube Feed 3
4
5
Antihypertensives: ACE "Pril", ARBs
PHARMACOLOGY "ARTAN", CCB "DIPINE", Beta Blocker "LOL", All Physicians Earn Too Much
Diuretics "IDE" A: Aortic
Rights of Medication Administration:
Tip: Common adverse effect = Hypotension
RIGHT Medication, Patient, Dose, Route, Time P: Pulmonic
Antiplatelet: Clopidogrel
E: Erb's Point
Analgesics: Fentanyl, Morphine, Hydrocodone Tip: Risk for Bleeding
T: Tricuspid
TIP: Respiratory Depression Risk, Antidote: Narcan Antiarrhythmic: Digoxin
M: Mitral
Anticoagulants: Warfarin, Heparin Tip: Antidote: Digoxin Immune Fab, Toxic >2
H2 Antagonists: Famotidine, Ranitidine INSULIN TIMINGS
TIP: Risk of Bleeding, Antidote: Vitamin K
Tip: Do not take antacid within 1-2 hrs Long Acting: "Glargine, Determir" No
Anticonvulsants: Phenytoin, Valproice Acid Onset/Peak, Duration: 12-24 hrs
Nitrates: Nitroglycerin
Tip: Phenytoin toxic >20 Tip: Can take up to 3 doses 5 min apart Intermediate Acting: "NPH" Onset = 6
Antidepressants: Fluoxetine, Sertraline hrs, Peak = 8 hrs, Duration = 12 hrs
Proton Pump Inhibitors: Omeprazole
Short Acting: "Regular" Onset = 1 hr,
Tip: Slow onset of 4-6 wks, Suicide Risk Tip: GERD w/ HOB upright after meals Peak = 2 hrs, Duration = 4 hrs
Antidiabetics: Metformin HIGH ALERT MEDS: HICKOP = Heparin, Rapid Acting: "Aspart, Lispro" Onset = 15
Tip: Lactic Acidosis Risk. Normal lactate <2. Insulin, Chemo, Potassium, Opioids, Pediatric min, Peak = 1 hr, Duration = 3 hrs

EXTRA RESOURCES

FULL NCLEX NOTES 1 HOUR NCLEX REVIEW NEXT GENERATION NCLEX


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