NEXT GENERATION NCLEX

CHEAT SHEET
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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
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 NEXT GENERATION NCLEX
CHEAT SHEET
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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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 Main Value Levels
Uncompensated, Partially or Fully Compensated?

Other Values

STEPS TO ANSWER AN ABG QUESTION MADE SIMPLE

Example: A client comes in with the following ABG lab values: pH of 7.31, HCO3: 27, PaCO2 of 65. What
imbalance is the client currently in?

Step 1: Write out the values across the paper like below:

PH: 7.31 HCO3: 27 PaCO2: 65

Step 2: Write arrows to indicate if they are acidic or basic. Remember HCO3 is bicarbonate (basic) and
PACO2 is carbon dioixide (acidic).

PH: 7.31 (acidic) HCO3: 27 NORMAL PaCO2: 65 (acidic)

Step 3: Match the abnormal arrows. If all three are abnormal, match the pH arrow to the HCO3/PaCO2
arrow.

PH: 7.31 (acidic) HCO3: 27 NORMAL PaCO2: 65 (acidic)

Step 4: If PaCo2 then RESPIRATORY, if HCO3 then METABOLIC.

The answer to this question is Respiratory Acidosis.

Step 5: Finally put whether it is uncompensated, partially or fully compensated (see criteria above):

The answer then would be Uncompensated Respiratory Acidosis.

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What is it? BLOOD being administered through an intravenous (IV) line into the bloodstream.

What is an antigen vs. antibodies? An antibody is a PROTECTIVE protein used to destroy an infection. An antigen
is a substance that STIMULATES an immune response and antibody production.

What are the different types of blood transfusions? Whole Blood, Red Blood Cells, Platelets, and Plasma.

COMPATABILITY TYPES OF ADVERSE REACTIONS

AB+ AB+ EVERYONE

AB- AB+, AB- AB-, A-, B-, O-

A+ A+, AB+ A+, A-, O+, O-

A- A+, A-, AB+, AB- A-, O-

B+ B+, AB+ B+, B-, O+, O-

B- B+, B-, AB+, AB- B-, O-

O+ O+, A+, B+, AB+ O+, O-

O- EVERYONE O-
Treatment for Reaction:
1. STOP INFUSION
(-): Negative "people" GIVE off an energy that bring
everyone down (+)(-), but negative people (-) only 2. Maintain IV Line with
RECEIVE hate from people like them (-). Normal Saline Infusion

(+): Positive people GIVE their time to other positive 3. Assess and Stay
people(+), but they RECEIVE invitations to hang out with Client
from EVERYONE (+)(-) because they are so positive. 4. Notify Provider and

Universal Recipient: Universal Donor: Blood Bank

AB+ O- 5. Document

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 Critical Care Cheat Sheet BEAUTIFUL NURSING LLC
Machine that moves air
Ventilators in & out of lungs. Glasgow Coma Scale
MODE WHAT IS IT? Spontaneous........................4
Also known as Continuous Mandatory On command........................3
Assist Control
Ventilation (CMV) that delivers a fixed To pain..................................2
Ventilation (ACV) or
volume of O2 to patient with each EYE Unresponsive........................1
(CMV)
assisted breath.
Oriented.................................5
Synchronized Similar to ACV with a set tidal volume
Confused...............................4
Intermittent-Mandatory but patients can partially breathe on
Inappropriate........................3
Ventilation (SIMV) own.
Incomprehensible.................2
Continuous non-stop positive pressure Unresponsive.........................1
Continous Positive VERBAL
applied throughout respiratory cycle.
Airway Pressure (CPAP)
Ex: COPD Obeys Commands................6
Localizes Pain.......................5
Bilevel Positive Airway Pushes air into lungs and requires a
Pressure (BIPAP) mandatory # of breaths. Withdraws from Pain............4
Abnormal Flexion..................3
Positive airway pressure applied to the
Positive Expiratory End Abnormal Extension..............2
ventilator at the end of each breath to
Pressure (PEEP) MOTOR Unresponsive.........................1
reduce alveoli collapse.

Low = Leaks Score: 15 is the Best Score

NCLEX: LOW 13-14: mild, 9-12: moderate, <8: severe
Assess, reinflate cuff if needed, and
Pressure Alarm
tighten loose or disconnected tubing.
Pupil Scale

NCLEX: HIGH
High = Block
B: Biting Tube, L: Liquid in Tube, O: 3 4 5 6 7 8 9
2mm
Pressure Alarm Obstruction, C: Copious Secretion, K:
Kinked Tubing
Rhythms
CHEST TUBES: used to reestablish
negative pressure in the pleural space.
Normal Sinus Rhythm
AIR LEAK: "bubbling in water seal
chamber" then clamp chest tube.
DISLODGEMENT: cover chest tube site Atrial Fibrillation
with sterile dressing on three sides.
NCLEX: Strict Aseptic Technique for Setup

Vasopressor & Inotropic Meds Atrial Flutter

Med Constrict or Dilate? BP HR
Phenylephrine Vasoconstrict
Vasopressin Vasoconstrict Ventricular Tachycardia
Epinephrine Vasoconstrict SHOCK
Norepinephrine Vasoconstriction
Mild Vasodilation &
Dobutamine Ventricular Fibrillation
Inotrope
Mild Vasodilation & SHOCK
Milirinone -
Inotrope
Asystole: no rhythm. Admin Atropine/Epi
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 DIABETES CHEATSHEET
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Type I Type II
PATHO: Abnormal Resistance & Secretion of Insulin
PATHO: Kills Pancreatic Beta Cells
= NOT ENOUGH INSULIN
= NO INSULIN
CAUSES: Activity or BMI
CAUSES: Kin (Genetics)
ONSET: Adults
ONSET: Kids KETONES: Absent
KETONES: Ketones Present TREATMENT: Activity , Avoid Carbs,
TREATMENT: Keep Insulin Nearby Antidiabetics (Metformin) & Insulin

Complication Complication

DKA: Diabetic Ketoacidosis HHS: Hyperosmolar Hyperglycemic Syndrome

Type I BG > 250 Ketones Type II BG > 600 Ketones Glycosuria
Present Absent

SYMPTOMS:

3 's
Polydipsia
( Thirst)
Polyphagia
( Hunger)
Polyuria
( Urination)

INSULIN: Type Name Onset Peak Duration

Rapid Acting Lispro, Aspart 15 min 30 min 3 hrs

Short Acting Regular 1 hr 2 hrs 4 hrs

Intermediate Acting NPH 6 hrs 8 hrs 12 hrs

BG: 70-100
A1C: < 5.7 Long Acting Glargine, Determir NA NA 12-24 hrs

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 0.45% 0.9% 3%
NS NS NS

hypOtonic Isotonic hypErtonic

Fluid replenishes cells from

fluid losses without

changing shape.

Uses: BAD Situations

Severe Hyponatremia

DKA Burns or Blood Loss Overload of Fluid

Increased Total Fluid Anaphylaxis/Sepsis Cerebral Edema

Gastric Fluid Loss Dehydration Ketosis

Note: Gauge = Needle

GREEN PINK BLUE YELLOW PURPLE

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Medical Abbreviations
Cardiovascular

Respiratory

Infection

Blood

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GI & Sex Hormones

Psyche

PAIN

MISCELLANEOUS

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