NCLEX Study Guide

There was one disease I didnt know, Mernier's Disease...I answered it by looking at all of the choices...
There were 3 answers that were similar so I chose the one that was not similar. I figured that those three couldnt be right because they all meant the same thing, so I just picked the other one... Apparently the average passing nurse gets 50% wrong, so they know you wont know all of the questions. It was really easy to answer a lot of questions once i knew all of the electrolytes...especially what the result was on the body...Also, I had to know what a patients legs would look like with peripheral arterial disease..It was a check all that apply question so I would go over that..Here are some other topics I had: -Torch syndrome on a baby -Thromboguard applications (in the morning, dont need them when asleep) -Burn Patient (remember to think his airway is compromised) -Addisons Disease, and Graves Disease -laryngectomy -toxoplasmosis: immunocompromised are at risk -hepatitis B (dont let patient eat with same utensils) -who is at most risk for Hep A: sanitation workers is the answer -a daycare center prevents infection by: disposing of soiled clothes and putting them in a plastic bag is the answer -a question on the most common side effect of Prozac: I put insomnia? -Tuberculosis standard precaution questions: gown, mask, gloves -Internal Pelvic radiation question -Turners Syndrome -Curlings Ulcer/Peptic Ulcer -umbilical cord w/ 1 artery and 1 vein was the answer for: which one is abnormal -Coumadin nutritional needs: Vitamin K maintenance with green leafy veggies -Heparin: PTT -know about uric acid stones; cholethiasis; strain urine, drink fluids: FIRST ASK ABOUT PAIN!answer -continuous bladder irrigation for BPH: study about the procedure, one question asked if there was an incission, know that they cant do heavy lifting because of risk for hemorrhage -urine specfiic gravity: know when it increases and decreases -know expected findings for acute renal failure -one question asked if you could put a measles and mumps patient in the same room-i wasnt sure and I said no -osteoporosis risk for those over 65: it asked who is at most risk and how to prevent it -water seal chamber: should be continuously bubbling -Myasthenia Gravis -one question asked which is true: the answer was that with a miscarriage the products of conception may still be inside the woman -Pernicious anemia: lack of B12 leads to RBC breakdown and poor development of the new RBCs; give B12 injections long term -which of the following is a sign of true labor -if a patient has right hemiparesis: obviously place items and approach the patietn from the left side! -thats the answer -know the purpose of chelation therapy for lead poisoning -one question of cystic fibrosis: can lead to GI problems related to pancreatic involvment: thats the answer (GI) -know that after liver and lung surgery you place the patient on the side that was operated on: this is because the liver requires pressure to prevent hemorrhage and the lung that was removed is just empty space and needs to fill with fluid to heal correctly -know that clonus: contraction of muscles that is irregular is often due to decreased calcium
levels! -i had one question on the opiod reversal drug: narcan -know what anesthesia impairs parts of the body: i had a question that asked what will happen to the patient after a groin repair: he wouldnt be able to move his legs for a while was the answer -one question on glomerulonephritis: which is a symptom of it: it is often caused by a recent strep infection -thoracentesis: what is the risk; hypovolemia, pneumothroax -know glaucoma and cataracts; they asked me both -COPD: dont give too much Oxygen; they will lose their natural drive to breath -phantom limb pain: know how to position a patient after leg amputation: first elevant stump on pillow, then elevate head of bed, then turn patient prone because it stretches out muscle and prevents contractures -one question on tardive dyskinesia: tongue protrusion and facial movements -treat with benadryl or cogentin -Finally: know your nutrition needs with: 1. renal failure: know acute and then long term 2. chrons disease and ulcerative colitis 3. diabetes 4. kidney stones i hope this helps, it is literally EVERY topic i had...I got my ATT very late on Friday the 16th and ended up taking the test on Sat the 17th at 8 am. so i cant exactly say i studied or was prepared...probably the reason why i got 265 questions..but i still passed...you will do fine if you know this stuff..even if you dont get the same questions they will ask these topics in a different way...

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There was one disease I didnt know, Mernier's Disease...I answered it by looking at all of the choices...

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