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NCLEX > NCLEX 4 > Flashcards

NCLEX 4 Flashcards

(52 cards)

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1
Q

frontal lobe?

A

thought process, affective response to situations, primary motor area, reasoning cognition, and concentration, and form of goals

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2
Q

temporal lobe?

A

auditory, wernecke area (language comp), interpret sounds, and complicated memory patterns

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3
Q

parietal lobe?

A

sensory and motor, proprioception, process non verbal expressions, and process taste

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4
Q

occipital lobe?

A

vision, primary visual center (visual association and memories)

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5
Q

deep breaths with periods of apnea

A

biot

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6
Q

varying periods of breaths

A

cheyne-stokes

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7
Q

fast and deep breathing

A

kussmaul resp

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8
Q

antidotes?

A

Tylenol = acetylcysteine
Benzos = flumazenil
Cyanide poison = methylene blue
digitalis = digoxin immune fab
ethylene poison = fomepizole
heparin and enoxaparin = protamine sulfate
iron = deferoxamine
lead = succimer
mag sulfate = Ca+ gluconate
narcotics = naloxone
warfarin = phytonadione (vit. K)

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9
Q

removal of air or fluid from pleural space?

A

thoracentesis

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10
Q

PEDs VS?

A

Preterm: HR = 120-180, RR = 50-70, SBP = 40-60

NB (0-1 mo): HR = 100-160, RR = 35-55, SBP = 50-70

Infant (1mo-1yo): HR = 80-140, RR = 30-40, SBP = 70-100

Toddler (1-3 yo): HR = 80-130, RR = 20-30, SBP = 70-110

Preschool (3-6 yo): HR = 80-110, RR = 20-30, SBP = 80-110

School aged (6-12 yo): HR = 70-100, RR = 18-24, SBP = 80-120

Adolescents (12+ yo): HR = 60-100, RR = 14-22, SBP = 100-120

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11
Q

Suction pressure setting?

A

NB and neonates = 60-80
infants and kids (up to 24 mos) =80-100
kids over 24 mos and teens = 100-120

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12
Q

O2 delivery?

A

nasal cannula: 24-44% FiO2 at 1-6 L/M
simple face mask: 40-60% FiO2 at 5-8 L/M
partial rebreather: 60-75% FiO2 at 6-11 L/M
non-rebreather: 80-95% FiO2 at a L flow high enough to maintain a reservoir bag 2/3 full

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13
Q

Triage?

A

emergent (red): life-threatening (airway obstruction, CVA, or severe hemorrhage)

urgent (yellow): treat w/in 30 M - 2 H (hypoglycemia, disorient, and large wounds)

non-urgent (green): treatment delayed up to 4 H (strains, sprains, simple fractures, or abrasions)

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14
Q

when to log roll a pt?

A

any position change, especially acute spinal cord injury, following any surgery

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15
Q

what does amiodarone treat?

A

V-Fib
A-Fib
V-Tach

monitor TSH levels

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16
Q

typical and atypical clinical feat of a STEMI?

A

typical: substernal chest pain with gradual onset, pain radiates to arm or jaw, chest pain not relieved w/ rest, and diaphoresis and pallor

atypical: N/V, dyspnea, fatigue and epigastric pain (women and ppl w/ DM)

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17
Q

Burns and thickness?

A

deep partial thickness: minimum of 2 weeks to heal

full-thickness: excision and skin graft

superficial partial thickness: 1-2 weeks to heal, minimal scar

superficial burns: heal w/in 1 week

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18
Q

stroke warning signs? “BE FAST”

A

balance (dizzy and HA)
eyes (blurred vision)
face (unilateral facial droop)
arms and legs (weak)
speech
time (seek medical immediately)

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19
Q

drug-disease interactions?

A

Asthma: beta-blockers
Chronic Liver Failure: warfarin
CHF: CCB, NSAIDS, COX-2 inhibitors, steroids
Epilepsy: TCAs, antimalarials, antipsychotics
HTN: NSAIDS
Parkinsons: COX-2 inhibitors
Renal Failure: NSAIDS, COX 2 inhibitors
Resp Failure: neuroleptics

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20
Q

what is the initial med for SVT?

A

adenosine

slows conduction time through AV node and restores normal sinus rhythm

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21
Q

what is atropine used for?

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A

bradycardia/asystole, increases HR

22
Q

what is normal MAP?

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A

at least 60 mmHg w/ ideal being 70 mmHg

23
Q

pain in different area of body than where the injury or stimulus actually occurred

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A

referred pain

24
Q

hypokalemia S/S?

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A

lethargy
low/shallow resp
limp muscles
lethal dysrhythmias
leg cramps
lots of U/O

25
IV K+?
continuous heart monitor, admin via pump, patent and assess for patency b4 admin, and admin max 10 peripherally and 40 in central line. NO IV PUSH
26
what do you monitor w/ NGT suctioning?
hyponatremia
27
when do the anterior and posterior fontanels close?
anterior: between 12-18 months posterior: around 2-3 months
28
what is the abnormal protrusion of the eyes that occurs in Grave's disease (hyperthyroidism)?
exophthalmos
29
skin and ms structures, sharp, local gnawing, crushing, or throbbing pain
somatic pain
30
organs and linings of body cavities, poorly local, diffused, deep cramp/pressure
visceral pain
31
squeeze, crushing, often bc of lack of blood flow or O2 to tissues (ex: MI)
ischemic pain
32
PNS or CNS abnormal pain, poorly local, shooting, burning, numb, tingling, or shock like pain
neuropathic pain
33
SBP in the leg?
increased by up to 10-40 mmHg, DBP usually the same
34
pancreatitis s/s?
cullens sign hypoactive BS
35
what electrolyte is abnormal with a subarachnoid hemorrhage?
hyponatremia
36
hypocalcemia occurs in what thyroid problem? hyperkalemia occurs in what adrenal problem?
thyroid: cushing's or hypoparathyroidism adrenal: addison's
37
12 cranial nerves?
1 - olfactory 2 - optic 3 - oculomotor 4 - trochlear 5 - trigeminal 6 - abduccsis 7 - facial 8 - vestibulocochlear 9 - glossopharyrigeal 10 - vagus 11 - accessory 12 - hypoglossal
38
dopamine therapeutic goal?
increase heart output and admin through CVC
39
Pulm embolism S/S?
restlessness (hypoxia) = ominous sign pleuritic chest pain dyspnea arises from untreated DVT
40
normal PP findings?
U/O = up to 3000 mL/day diaphoresis increased WBC (up to 30,000) hct normal 4-6 weeks 1st stool 2-3 days 10-13 lbs dropped and additional 5-8 lb dropped
41
what does Na+, bicard, chloride, and Ca+ do in the body?
Na+: control and manage of circulating blood volume bicarb: reg of body acid base balance chloride: reg body acid base and extracellular balance Ca+: blood clot, teeth/bone form, nerve impulse transmission, and control muscular CTX
42
very small underdeveloped L atrium, ventricle, and aorta
HLHS
43
normal duct in fetal circulation that allows O2 blood to shunt from the pulm artery to aorta and bypass pulm circulation
PDA
44
pulm artery and aorta switched, 2 separate loops for blood circulation
TGA
45
what is important to know about thyroid storm?
tachycardia, fever, HTN, and restless treatment: IV corticosteroids, IV antithyroid, and IV propranolol care: airway, cool blanket, and heart monitor
46
hypoparathyroidism electrolyte imbalance?
hypocalemia
47
schizophrenia S/S?
negative: decreased emotional range (flat affect), interest, and initiative positive: hallucinations, delusions, disorganized speech, and bizarre behavior
48
what position for removal of CVC?
trendelenburg
49
causes of hypokalemia?
drugs inadequate K+ intake too much H2O cushing's heavy fluid loss
50
blood flow through the heart?
superior/inferior vena cava -- R atrium -- tricuspid valve -- R ventricle -- pulm valve -- pulm artery -- lungs -- pulm veins -- L atrium -- mitral valve -- L ventricles -- aortic valve -- aorta -- systemic circulation
51
Cushing's Triad?
set of signs that indicate increased ICP or pressure in brain widened pulse pressure (increase in Systolic pressure and decrease in Diastolic pressure) bradycardia irregular resp: cheyne-stokes
52
Rule of 9's?
head = 9% chest = 9% upper back = 9% abd = 9% lower back = 9 % R arm = 4.5% L arm = 4.5% front R leg = 9 % front L leg = 9% back R leg = 9 % back L leg = 9 % groin = 1%

NCLEX (4 decks)

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