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Nursing Exam Cram Sheet for the NCLEX-RN

The final mountain that nursing students must summit before becoming a registered nurse is the NCLEX. Preparing for the NCLEX can be stressful as
taking in colossal amounts of information has never been easy. This is where this cram sheet can help-- it contains condensed facts about the licensure
exam and key nursing information. When exam time comes, you can write and transfer these vital information from your head to a blank sheet of paper
provided by the testing center.

1. Test Information Rephrase the questionputting the 5. ABG Values


Six hoursthe maximum time allotted question into your own words can pluck pH: 7.367.45
for the NCLEX is 6 hours. Take breaks if the unneeded info and reveal the core of HCO3: 2426 mEq/L
you need a time out or need to move the stem. CO2: 3545 mEq/L
around. Make an educated guessif you cant PaO2: 80%100%
75/265the minimum number of make the best answer for a question SaO2: >95%
questions you can answer is 75 and a after carefully reading it, choose the 6. Acid-Base Balance
maximum of 265. answer with the most information. Remember ROME (respiratory
Read the question and answers 2. Vital Signs opposite/metabolic equal) to remember
carefullydo not jump into conclusions Heart rate: 80100 bpm that in respiratory acid/base disorders
or make wild guesses. Respiratory rate: 12-20 rpm the pH is opposite to the other
Look for keywordsAvoid answers with Blood pressure: 110-120/60 mmHg components.
absolutes like always, never, all, every, Temperature: 37 C (98.6 F) Use the Tic-Tac-Toe Method for
only, must, except, none, or no. 3. Hematology values interpreting ABGs. Read more about it
Dont read into the questionNever RBCs: 4.55.0 million here (http://bit.ly/abgtictactoe).
assume anything that has not been WBCs: 5,00010,000 7. Chemistry Values
specifically mentioned and dont add Platelets: 200,000400,000 Glucose: 70110 mg/dL
extra meaning to the question. Hemoglobin (Hgb): 1216 gm (female); Specific Gravity: 1.0101.030
Eliminate answers that are clearly wrong 1418 gm (male). BUN: 7-22 mg/dL
or incorrectto increase your probability Hematocrit (Hct): 3747 (female); 40 Serum creatinine: 0.61.35 mg/dL
of selecting the correct answer! 54 (male) LDH: 100-190 U/L
Watch for grammatical 4. Serum electrolytes Protein: 6.28.1 g/dL
inconsistenciesSubjects and verbs Sodium: 135145 mEq/L Albumin: 3.45.0 g/dL
should agree. If the question is an Potassium: 3.55.5 mEq/L Bilirubin: <1.0 mg/dL
incomplete sentence, the correct answer Calcium: 8.510.9 mEq/L Total Cholesterol: 130200 mg/dL
should complete the question in a Chloride: 95105 mEq/L Triglyceride: 4050 mg/dL
grammatically correct manner. Magnesium: 1.52.5 mEq/L Uric acid: 3.57.5 mg/dL
Phosphorus: 2.54.5 mEq/L CPK: 21-232 U/L

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8. Therapeutic Drug Levels 1 gram (g) = 1,000 mg Category CRisk not ruled out.
Carbamazepine (Tegretol): 410 1 kilogram (kg) = 2.2 lbs Examples: Rifampicin (Rifampin),
mcg/ml 1 lb = 16 oz Theophylline (Theolair).
Digoxin (Lanoxin): 0.82.0 ng/ml Convert C to F: C+40 multiply by 9/5 and Category DPositive evidence of risk.
Gentamycin (Garamycin): 510 mcg/ml subtract 40 Examples: Phenytoin, Tetracycline.
(peak), <2.0 mcg/ml (valley) Convert F to C: F+40 multiply by 5/9 and Category XContraindicated in
Lithium (Eskalith): 0.81.5 mEq/L subtract 40 Pregnancy. Examples: Isotretinoin
Phenobarbital (Solfoton): 1540 11. Maternity Normal Values (Accutane), Thalidomide (Immunoprin),
mcg/mL Fetal Heart Rate: 120160 bpm etc.
Phenytoin (Dilantin): 1020 mcg/dL Variability: 610 bpm Pregnancy Category NNot yet
Theophylline (Aminophylline): 1020 Amniotic fluid: 5001200 ml classified
mcg/dL Contractions: 25 minutes apart with 14. Drug Schedules
Tobramycin (Tobrex): 510 mcg/mL duration of < 90 seconds and intensity Schedule Ino currently accepted
(peak), 0.52.0 mcg/mL (valley) of <100 mmHg. medical use and for research use only
Valproic Acid (Depakene): 50100 APGAR Scoring: Appearance, Pulses, (e.g., heroin, LSD, MDMA).
mcg/ml Grimace, Activity, Reflex Irritability. Done Schedule IIdrugs with high potential
Vancomycin (Vancocin): 2040 mcg/ml at 1 and 5 minutes with a score of 0 for for abuse and requires written
(peak), 5 to 15 mcg/ml (trough) absent, 1 for decreased, and 2 for prescription (e.g., Ritalin,
9. Anticoagulant therapy strongly positive. Scores 7 and above hydromorphone (Dilaudid), meperidine
Sodium warfarin (Coumadin) PT: 1012 are generally normal, 4 to 6 fairly low, (Demerol), and fentanyl).
seconds (control). The antidote is and 3 and below are generally regarded Schedule IIIrequires new prescription
Vitamin K. as critically low. after six months or five refills (e.g.,
INR (Coumadin): 0.91.2 AVA: The umbilical cord has two arteries codeine, testosterone, ketamine).
Heparin PTT: 3045 seconds (control). and one vein. Schedule IVrequires new prescription
The antidote is protamine sulfate. 12. STOPTreatment for maternal hypotension after six months (e.g., Darvon, Xanax,
APTT: 23.331.9 seconds after an epidural anesthesia: Soma, and Valium).
Fibrinogen level: 203377 mg/dL Stop infusion of Pitocin. Schedule Vdispensed as any other
10. Conversions Turn the client on her left side. prescription or without prescription
1 teaspoon (t) = 5 ml Administer oxygen. (e.g., cough preparations, Lomotil,
1 tablespoon (T) = 3 t = 15 ml If hypovolemia is present, push IV fluids. Motofen).
1 oz = 30 ml 13. Pregnancy Category of Drugs 15. Medication Classifications
1 cup = 8 oz Category ANo risk in controlled human Antacidsreduces hydrochloric acid in
1 quart = 2 pints studies the stomach.
1 pint = 2 cups Category BNo risk in other studies. Antianemicsincreases blood cell
1 grain (gr) = 60 mg Examples: Amoxicillin, Cefotaxime. production.

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Anticholinergicsdecreases oral dose. Check digitalis and potassium 18. Developmental Milestones
secretions. levels. 23 months: able to turn head up, and
Anticoagulantsprevents clot Aluminum Hydroxide (Amphojel) can turn side to side. Makes cooing or
formation, Treatment of GERD and kidney stones. gurgling noises and can turn head to
Anticonvulsantsused for management WOF constipation. sound.
of seizures and/or bipolar disorders. Hydroxyzine (Vistaril)Treatment of 45 months: grasps, switch and roll
Antidiarrhealsdecreases gastric anxiety and itching. WOF dry mouth. over tummy to back. Can babble and
motility and reduce water in bowel. Midazolam (Versed)given for can mimic sounds.
Antihistaminesblock the release of conscious sedation. WOF respiratory 67 months: sits at 6 and waves bye-
histamine. depression and hypotension. bye. Can recognize familiar faces and
Antihypertensiveslower blood Amiodarone (Cordarone)WOF knows if someone is a stranger. Passes
pressure and increases blood flow. diaphoresis, dyspnea, lethargy. Take things back and forth between hands.
Anti-infectivesused for the treatment missed dose any time in the day or to 89 months: stands straight at eight,
of infections, skip it entirely. Do not take double dose. has favorite toy, plays peek-a-boo.
Bronchodilatorsdilates large air Warfarin (Coumadin)WOF for signs of 1011 months: belly to butt.
passages in asthma or lung diseases bleeding, diarrhea, fever, or rash. Stress 1213 months: twelve and up, drinks
(e.g., COPD). importance of complying with from a cup. Cries when parents leave,
Diureticsdecreases water/sodium prescribed dosage and follow-up uses furniture to cruise.
from the Loop of Henle. appointments. 19. Cultural Considerations
Laxativespromotes the passage of Methylphenidate (Ritalin)Treatment of African AmericansMay believe that
stool. ADHD. Assess for heart related side- illness is caused by supernatural causes
Mioticsconstricts the pupils. effects and reported immediately. Child and seek advice and remedies form faith
Mydriaticsdilates the pupils. may need a drug holiday because the healers; they are family oriented; have
Narcotics/analgesicsrelieves drug stunts growth. higher incidence of high blood pressure
moderate to severe pain. DopamineTreatment of hypotension, and obesity; high incidence of lactose
16. Rules of nines for calculating Total Body shock, and low cardiac output. Monitor intolerance with difficulty digesting milk
Surface Area (TBSA) for burns ECG for arrhythmias and blood pressure. and milk products.
Head: 9% Rifampicincauses red-orange tears Arab AmericansMay remain silent
Arms: 18% (9% each) and urine. about health problems such as STIs,
Back: 18% Ethambutolcauses problems with substance abuse, and mental illness; a
Legs: 36% (18% each) vision, liver problem. devout Muslim may interpret illness as
Genitalia: 1% Isoniazidcan cause peripheral neuritis, the will of Allah, a test of faith; may rely
17. Medications take vitamin B6 to counter. on ritual cures or alternative therapies
Digoxin (Lanoxin)Assess pulses for a before seeking help from health care
full minute, if less than 60 bpm hold provider; after death, the family may

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want to prepare the body by washing Native AmericansMay turn to a Cirrhosis (stable)normal protein
and wrapping the body in unsewn white medicine man to determine the true Cirrhosis with hepatic insufficiency
cloth; postmortem examinations are cause of an illness; may value the ability restrict protein, fluids, and sodium.
discouraged unless required by law. to endure pain or grief with silent Constipationhigh-fiber, increased
May avoid pork and alcohol if Muslim. stoicism; diet may be deficient in fluids
Islamic patients observe month long vitamin D and calcium because many COPDsoft, high-calorie, low-
fast of Ramadan (begins approximately suffer from lactose intolerance or dont carbohydrate, high-fat, small frequent
mid-October); people suffering from drink milk; obesity and diabetes are feedings
chronic illnesses, pregnant women, major health concerns; may divert eyes Cystic Fibrosisincrease in fluids.
breast-feeding, or menstruating dont to the floor when they are praying or Diarrhealiquid, low-fiber, regular, fluid
fast. Females avoid eye contact with paying attention. and electrolyte replacement
males; use same-sex family members as Western CultureMay value technology Gallbladder diseaseslow-fat, calorie-
interpreters. almost exclusively in the struggle to restricted, regular
Asian AmericansMay value ability to conquer diseases; health is understood Gastritislow-fiber, bland diet
endure pain and grief with silent to be the absence, minimization, or Hepatitisregular, high-calorie, high-
stoicism; typically family oriented; control of disease process; eating protein
extended family should be involved in utensils usually consists of knife, fork, Hyperlipidemiasfat-controlled, calorie-
care of dying patient; believes in hot- and spoon; three daily meals is typical. restricted
cold yin/yang often involved; sodium 20. Common Diets Hypertension, heart failure, CADlow-
intake is generally high because of Acute Renal Diseaseprotein-restricted, sodium, calorie-restricted, fat-controlled
salted and dried foods; may believe high-calorie, fluid-controlled, sodium and Kidney Stonesincreased fluid intake,
prolonged eye contact is rude and an potassium controlled. calcium-controlled, low-oxalate
invasion of privacy; may not without Addisons diseaseincreased sodium, Nephrotic Syndromesodium-restricted,
necessarily understanding; may prefer low potassium diet. high-calorie, high-protein, potassium-
to maintain a comfortable physical ADHD and Bipolarhigh-calorie and restricted.
distance between the patient and the provide finger foods. Obesity, overweightcalorie-restricted,
health care provider. Burnshigh protein, high caloric, high-fiver
Latino AmericansMay view illness as a increase in Vitamin C. Pancreatitislow-fat, regular, small
sign of weakness, punishment for evil Cancerhigh-calorie, high-protein. frequent feedings; tube feeding or total
doing; may consult with a curandero or Celiac Diseasegluten-free diet (no parenteral nutrition.
voodoo priest; family members are BROW: barley, rye, oat, and wheat). Peptic ulcerbland diet
typically involved in all aspects of Chronic Renal Diseaseprotein- Pernicious Anemiaincrease Vitamin
decision making such as terminal restricted, low-sodium, fluid-restricted, B12 (Cobalamin), found in high amounts
illness; may see no reason to submit to potassium-restricted, phosphorus- on shellfish, beef liver, and fish.
mammograms or vaccinations. restricted.

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Sickle Cell Anemiaincrease fluids to Air/Pulmonary embolismturn patient abduction by separating thighs with
maintain hydration since sickling to left side and lower HOB. pillows.
increases when patients become Postural DrainageLung segment to be Prolapsed cordknee-chest position or
dehydrated. drained should be in the uppermost Trendelenburg.
Strokemechanical soft, regular, or position to allow gravity to work. Cleft-lipposition on back or in infant
tube-feeding. Post Lumbar puncturepatient should seat to prevent trauma to the suture
Underweighthigh-calorie, high protein lie flat in supine to prevent headache line. While feeding, hold in upright
Vomitingfluid and electrolyte and leaking of CSF. position.
replacement Continuous Bladder Irrigation (CBI) Cleft-palateprone.
21. Positioning Clients catheter should be taped to thigh so Hemorrhoidectomyassist to lateral
Asthmaorthopneic position where legs should be kept straight. position.
patient is sitting up and bent forward After myringotomyposition on the side Hiatal Herniaupright position.
with arms supported on a table or chair of affected ear after surgery (allows Preventing Dumping Syndromeeat in
arms. drainage of secretion). reclining position, lie down after meals
Post Bronchoscopyflat on bed with Post cataract surgerypatient will sleep for 20-30 minutes (also restrict fluids
head hyperextended. on unaffected side with a night shield during meals, low fiber diet, and small
Cerebral Aneurysmhigh Fowlers. for 1-4 weeks. frequent meals).
Hemorrhagic Stroke: HOV elevated 30 Detached retinaarea of detachment Enema Administrationposition patient
degrees to reduce ICP and facilitate should be in the dependent position. in left-side lying (Sims position) with
venous drainage. Post thyroidectomylow or semi- knees flexed.
Ischemic Stroke: HOB flat. Fowlers, support head, neck and Post supratentorial surgery (incision
Cardiac Catheterizationkeep site shoulders. behind hairline)elevate HOB 30-45
extended. Thoracentesissitting on the side of the degrees.
Epistaxislean forward. bed and leaning over the table (during Post infratentorial surgery (incision at
Above Knee Amputationelevate for procedure); affected side up (after nape of neck)position patient flat and
first 24 hours on pillow, position on procedure). lateral on either side.
prone daily for hip extension. Spina Bifida position infant on prone Increased ICPhigh Fowlers.
Below Knee Amputationfoot of bed so that sac does not rupture. Laminectomyback as straight as
elevated for first 24 hours, position Bucks Tractionelevate foot of bed for possible; log roll to move and sand bag
prone daily for hip extension. counter-traction. on sides.
Tube feeding for patients with Post Total Hip Replacementdont Spinal Cord Injuryimmobilize on spine
decreased LOCposition patient on sleep on operated side, dont flex hip board, with head in neutral position.
right side to promote emptying of the more than 45-60 degrees, dont elevate Immobilize head with padded C-collar,
stomach with HOB elevated to prevent HOB more than 45 degrees. Maintain hip maintain traction and alignment of head
aspiration.

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manually. Log roll client and do not Oil-based dyeflat on bed for at Psoas sign (pain from flexing the thigh
allow client to twist or bend. least 6-8 hours to prevent leakage to the hip).
Liver Biopsyright side lying with pillow of CSF. MeningitisKernigs sign (stiffness of
or small towel under puncture site for at Air dyeTrendelenburg. hamstrings causing inability to
least 3 hours. 22. Common Signs and Symptoms straighten the leg when the hip is flexed
Paracentesisflat on bed or sitting. Pulmonary Tuberculosis (PTB)low- to 90 degrees), Brudzinskis sign (forced
Intestinal Tubesplace patient on right grade afternoon fever. flexion of the neck elicits a reflex flexion
side to facilitate passage into Pneumoniarust-colored sputum. of the hips).
duodenum. Asthmawheezing on expiration. Tetanyhypocalcemia, [+] Trousseaus
Nasogastric Tubeselevate HOB 30 Emphysemabarrel chest. sign; Chvostek sign.
degrees to prevent aspiration. Maintain Kawasaki Syndromestrawberry Tetanus Risus sardonicus or rictus
elevation for continuous feeding or tongue. grin.
1hour after intermittent feedings. Pernicious Anemiared beefy tongue. PancreatitisCullens sign (ecchymosis
Pelvic Examlithotomy position. Down syndromeprotruding tongue. of the umbilicus), Grey Turners sign
Rectal Examknee-chest position, Cholerarice-watery stool and washer (bruising of the flank).
Sims, or dorsal recumbent. womans hands (wrinkled hands from Pyloric Stenosisolive like mass.
During internal radiationpatient should dehydration). Patent Ductus Arteriosuswashing
be on bed rest while implant is in place. Malariastepladder like fever with machine-like murmur.
Autonomic Dysreflexiaplace client in chills. Addisons diseasebronzelike skin
sitting position (elevate HOB) first Typhoidrose spots in the abdomen. pigmentation.
before any other implementation. Denguefever, rash, and headache. Cushings syndromemoon face
Shockbed rest with extremities Positive Hermans sign. appearance and buffalo hump.
elevated 20 degrees, knees straight, Diphtheriapseudo membrane Graves Disease (Hyperthyroidism)
head slightly elevated (modified formation. Exophthalmos (bulging of the eye out of
Trendelenburg). MeaslesKopliks spots (clustered the orbit).
Head Injuryelevate HOB 30 degrees to white lesions on buccal mucosa). IntussusceptionSausage-shaped
decrease intracranial pressure. Systemic Lupus Erythematosus mass.
Peritoneal Dialysis when outflow is butterfly rash. Multiple SclerosisCharcots Triad:
inadequateturn patient side to side Leprosyleonine facies (thickened nystagmus, intention tremor, and
before checking for kinks in the tubing. folded facial skin). dysarthria.
Myelogram Bulimiachipmunk facies (parotid gland Myasthenia Gravisdescending muscle
Water-based dyesemi Fowlers swelling). weakness, ptosis (drooping of eyelids).
for at least 8 hours. Appendicitisrebound tenderness at Guillain-Barre Syndromeascending
McBurneys point. Rovsings sign muscles weakness.
(palpation of LLQ elicits pain in RLQ).

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Deep vein thrombosis (DVT)Homans Syphilispainless chancres Neutropenic patients should not receive
Sign. Chancroidpainful chancres. vaccines, fresh fruits, or flowers.
Anginacrushing, stabbing pain relieved Gonorrheagreen, creamy Nitroglycerine patch is administered up
by NTG. discharges and painful urination. to three times with intervals of five
Myocardial Infarction (MI)crushing, Chlamydiamilky discharge and minutes.
stabbing pain radiating to left shoulder, painful urination. Morphine is contraindicated in
neck, and arms. Unrelieved by NTG. Candidiasiswhite cheesy pancreatitis because it causes spasms
Parkinsons diseasepill-rolling tremors. odorless vaginal discharges. of the Sphincter of Oddi. Demerol should
Cytomegalovirus (CMV) infectionOwls Trichomoniasisyellow, itchy, be given.
eye appearance of cells (huge nucleus frothy, and foul-smelling vaginal Never give potassium (K+) in IV push.
in cells). discharges. Infants born to an HIV-positive mother
Glaucomatunnel vision. 23. Miscellaneous Tips should receive all immunizations of
Retinal Detachmentflashes of light, Delegate sterile skills (e.g., dressing schedule.
shadow with curtain across vision. change) to the RN or LPN. Gravida is the number of pregnancies a
Basilar Skull FractureRaccoon eyes Where non-skilled care is required, woman has had, regardless of outcome.
(periorbital ecchymosis) and Battles delegate the stable client to the nursing Para is the number of pregnancies that
sign (mastoid ecchymosis). assistant. reached viability, regardless of whether
Buergers Diseaseintermittent Assign the most critical client to the RN. the fetus was delivered alive or stillborn.
claudication (pain at buttocks or legs Clients who are being discharged should A fetus is considered viable at 20 weeks
from poor circulation resulting in have final assessments done by the RN. gestation.
impaired walking). The Licensed Practical Nurse (LPN) can Lochia rubra is the vaginal discharge of
Diabetic Ketoacidosisacetone breathe. monitor clients with IV therapy, insert almost pure blood that occurs during
Pregnancy Induced Hypertension urinary catheters, feeding tubes, and the first few days after childbirth.
(PIH)proteinuria, hypertension, edema. apply restraints. Lochia serosa is the serous vaginal
Diabetes Mellituspolydipsia, Assessment, teaching, medication discharge that occurs 4 to 7 days after
polyphagia, polyuria. administration, evaluation, unstable childbirth.
Gastroesophageal Reflux Disease patients cannot be delegated to an Lochia alba is the vaginal discharge of
(GERD)heart burn. unlicensed assistive personnel. decreased blood and increased
Hirschsprungs Disease (Toxic Weight is the best indicator of leukocytes thats the final stage of
Megacolon)ribbon-like stool. dehydration. lochia. It occurs 7 to 10 days after
Sexual Transmitted Infections: When patient is in distress, childbirth.
Herpes Simplex Type IIpainful administration of medication is rarely In the event of fire, the acronym most
vesicles on genitalia the best choice. often used is RACE. (R) Remove the
Genital Wartswarts 1-2 mm in Always check for allergies before patient. (A) Activate the alarm. (C)
diameter. administering antibiotics. Attempt to contain the fire by closing

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the door. (E) Extinguish the fire if it can bologna, Chianti wine, and beer may NCLEX-RN Practice QuestionsOver
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25. NCLEX Books Saunders Q&A Review Cards for the Kaplan NCLEX RN 2013-2014 Edition:
Saunders Comprehensive Review for the NCLEX-RN Examination by Silvestri and Strategies, Practice, and Review
NCLEX-RN by Silvestri, 6th edition Silvestri, 2nd edition (http://amzn.to/171hdQR)
(http://amzn.to/1MhSw3C) (http://amzn.to/1Ahi5yB) Lippincotts NCLEX-RN Questions and
Saunders Q & A Review for the NCLEX- Daviss NCLEX-RN Success by Answers Made Incredibly Easy, 5th
RN Examination by Silvestri, 6th edition Lagerquist, 3rd edition edition (http://amzn.to/1vpd6Et)
(http://amzn.to/1J6gOhO) (http://amzn.to/1zbKboZ) Lippincotts NCLEX-RN Alternate-Format
Saunders 2014-2015 Strategies for Test Mosbys Comprehensive Review of Questions, 5th edition
Success Passing Nursing School and Nursing for the NCLEX-RN Exam by (http://amzn.to/19dEEIz)
the NCLEX Exam by Silvestri, 3rd edition Nugent et al., 20th edition
(http://amzn.to/1F45gJ8) (http://amzn.to/1ytMYIR)

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