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• Words of Encouragement
o The Test Beyond the Test – Eld. Mark Callion
You know that you need an NCLEX review, but let’s be honest, most of them are expensive,
overwhelming, and unfortunately boring. This makes studying for NCLEX even more difficult for
repeat testers, international students (ESL) and students with basic test anxiety.
During today’s class we will create a strong foundation and lay the frame work for your studies.
Most live review courses are three to five days long; however, you know it takes a minimum of
four to six weeks to prepare for this test! The real work of studying is done at home.
When you sit for NCLEX it’s not group work, you test by yourself. For this reason, I’ve created
the ReMar NCLEX DVD Self-Study Program and study calendar to give you the complete
comprehensive core-content for NCLEX and a study track for six weeks!
I passed NCLEX with 75 questions on my first try and I was so excited! Since starting ReMar
Review nearly eight years ago I’ve seen the most amazing stories come from the students with
the most difficult circumstances. This is my hope for you. Believe in yourself, because you can
pass NCLEX!
Black Friday is going to be a phenomenal day! I’m excited because we’re going to go over several major
topics from the DVD Self-Study Program which has helped thousands of nurses pass NCLEX. We’ll break
down the core-content in a way that’s easy to understand and will boost your confidence in the process!
I also have an amazing one-time special of $100 OFF the DVD Self-Study Program for you that starts
Thursday @ 8PM until Friday @ 5PM! Take a look at a few of the testimonials below and let’s get started
with our pretest on page 4! FOR our LATEST VIDEO TESTIMONIALS PLEASE VISIT OUR YOUTUBE
CHANNEL AT www.youtube.com/ReMarReview
A. Bumper cars
B. Throwing darts
C. Ferris wheel
D. Eating cotton candy
E. Roller coasters.
2. A nurse is caring for a client with type 1 diabetes. The client is scheduled for a yearly exam.
What is the normal range of a Fasting Glucose test?
A. 60-105 mg/dL
B. 70-110 mg/dL
C. 90-110 mg/dL
D. 100-200 mg/dL
3. After educational instructions have been given to a newly diagnosed type 1 diabetic the nurse
would follow up after the patient makes which of the following statements?
A. If my blood glucose is over 250 mg/dL I will start checking my urine for ketones and
decrease my insulin if the test comes back positive.
B. I will notify my doctor is my blood glucose level is above 200 mg/dL.
C. I may experience polyuria if my blood glucose levels become too high.
D. Shakiness is a sign of hypoglycemia and indicates that I need to eat more.
5. A nurse is working on a cardiac unit. Which patient should she medicate first?
A. The client who needs digoxin who has an apical pulse of 56.
B. The client who needs furosemide with a serum potassium level of 3.3 mEg/L.
C. The client who needs amiodarone with an EKG reading of ventricular fibrillation.
D. The client who needs verapamil with a blood pressure of 120/80.
Age?
Insulin dependent?
Ketone Production?
Treatment?
2. Signs/Symptoms
A. Polyuria
B. Polydypsia
C. Polyphagia
Rapid
Short
“clear”
Intermediate
“Cloudy” NPH
1. Linda, a 16-year-old young woman is admitted to the critical care unit with severe
hyperglycemia caused by new-onset type 1 diabetes mellitus. The nurse notes a
sweet-smelling odor on the client’s exhaled breath. This is a result of:
2. ketoacidosis
3. hunger
4. decreased serum osmolality
5. increased protein metabolism
2. Two days later the client is stabilized and the healthcare provider orders insulin lispro 15
units. When should the licensed practical nurse administer this medication?
1. The type of diabetes that you have needs a fast acting medication like insulin.
2. I understand what you are saying. This question can best be explained with your
diagnosis by the healthcare provider.
3. Insulin cannot come in the pill form as it would be destroyed in the stomach acid.
4. Is there a better way I can teach you about the injections to reduce anxiety?
4. After Linda’s evening insulin administration the nurse finds the client unresponsive. Which
is the initial action of the nurse?
3 main symptoms:
•
•
•
Diet:
Treatment:
Medical-
Surgical- Labyrinthectomy
NCLEX Prep:
interval?
Can you circle each p wave & QRS complex? Can you circle each QRS complex on this ECG strip?
_____________________________________________________– treatment of
choice for NCLEX!!!
Ventricular Tachycardia=
_______________________________________________________________
1. What is the rate? Atrial: Unable to Measure
Ventricular: 100-200
6. What is the length of the QRS Very wide greater than 0.10 sec
complexes
**Treatment: _________________________________________________________________
_____________________________________________________________________________!
1. Defibrillation
2. Cardioversion
Defibrillation/ Cardioversion
1. A nurse is reporting for duty in the emergency room and receives report
on 4 clients. Based on the report who should she see first?
2. A 38-year-old client with a severe nosebleed who states his lower back
hurts when he lies completely flat in the bed.
3. A 83- year-old client with type 2 diabetes mellitus who has a blood
glucose level of 325 mg/dL.
4. A 59-year-old client with a left leg DVT on a heparin drip who complains
of pain when walking.
Do Not Get 1.
Distracted with:
2.
A. Furosemide
B. Amiodarone
C. Aspirin
D. Metoclopramide
5. A nurse is caring for Mr. Read who is prepared for surgery. When reviewing
the chart the nurse finds no consent form. What is the initial action to take?
6. A nurse is caring for a client diagnosed with a deep vein thrombosis of the
right leg and swollen toes. What is the initial action of the nurse?
9. A nurse receives a bag of 10% Dextrose from the pharmacy but the bag is not
labelled. What is the initial action of the nurse?
11. A nurse administers Zithromax IV to a client with nausea. The nurse was
ordered to administer Zofran IV to this client. Which initial action should
the nurse take?
This BLACK FRIDAY, I want to help encourage you on your journey with a one-time special offer for your
DVD Self-Study Program! Beginning Thursday at 8PM EST use the (special link) in your email to place
your order and save $100. This email will go out exactly a 8PM for students that have registered. We’re
expecting a few thousand to join us live this Black Friday so tell a friend who needs this!
Regular price is only $289 + s/h and tax before this discount so I don’t want you to miss this! Even if you
can’t get it now (don’t panic) you will in the near future because even at full price your license is worth far
more than any discount that we could ever provide. Trust me, you are worth it, but since I love to help, if
you miss this sale use the code: ReMarNURSE to place your order as soon as you’re ready for 10% off of
your future order.
Here is what is included in your Self-Study Review, four (4) NCLEX Lecture DVDs and four (4) NCLEX Study
workbooks including the NEW Quick Facts for NCLEX 2019 – 2022 & BONUS NCLEX READY QUESTION
(Bank) BOOK for RN or LPN!
Here is how you’ll use the DVD Self-Study Program to pass NCLEX in six weeks studying 1.5 hrs. – 2 hrs. a
day for 4-5 days each week!
R
f. Compare medication label with MAR and select the proper medication from the unit stock.
A
g. Attach a blunt-ended needle or a small-gauge needle to a syringe. Remove insulin from the
vial (see skill 4.4), remove enough to last the patient 2 to 3 days plus 30 units for priming tubing.
If using prepackaged insulin syringe, remove from packaging.
M
h. When all medication for the patient have been prepared recheck the label with the MAR
E E
before taking them to the patient.
L
i. Lock the medication cart before leaving. Transport medication to the patient’s bedside
R P
carefully, keep the medication in sight at all times.
T
k. Correctly identify the patient.
E
l. Perform hand hygiene. Put on gloves.
M
m. Remove the cap from the syringe or insulin cartridge. Attach sterile tubing to syringe or
A E
insulin cartridge. Open the pump and place the syringe or cartridge in the compartment
according to the manufacturer’s directions. Close the pump.
S H
n. Initiate priming of the tubing. Check for any bubbles in the tubing.
S
o. Place the needle between prongs of the insertion device with the sharp edge facing out. Push
K
insertion set down until a click is heard.
p. Cleanse area around injection site with antimicrobial swab. Use firm circular motion while
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moving outward from insertion site.
q. Remove paper from adhesive backing. Remove the needle guard. Pinch skin at insertion site,
O
press insertion device on site. Press release button to insert needle.
r. Apply sterile occlusive dressing over insertion site, if not part of insertion device. Attach the
W
pump to patient’s clothing, as desired.
s. Assist the patient to a patient of comfort. Discard the needle and syringe in the appropriate
receptacle.
t. Remove gloves and additional PPE if used. Perform hand hygiene.
u. Document the administration of the medication immediately after administration.
R
9. A client is admitted with a blood glucose level of 305 mg/dL. The healthcare provider confirms a
diagnosis of ketoacidosis. Which of the following nursing diagnosis is the top priority?
A
1. Risk for electrolyte imbalance
2. Deficient fluid volume
M E
3. Impaired tissue integrity
L
4. Inappropriate nutrition status
10.
R E P T
A nurse is caring for a client who was just notified of a lung cancer diagnosis. The client blames
E
his wife for smoking inside of their family car. Which stage of Kuber-Ross’s five stages of grief
M
would best describe this client?
A HE
S
1. Bargaining
S
2. Denial
3. Depression
K
4. Anger
11.
R
During an interaction with a client the nurse assumes different roles to help the client cope. Which
O
stage of the nurse-client relationship is present?
W
1. Termination
2. Orientation
3. Exploration
4. Maturation
12. Leopold’s maneuvers is a method of assessing which of the following? Select all that apply.
1. Cervical dilation
2. Fetal lie
3. Presentation
4. Position
5. Descent
The nurse is caring for a 25-year-old client who is gravida 2, para 1 is at 41 weeks’
gestation and is in active labor.
A R
Nurse’s Notes
EM E
The client is receiving intravenous oxytocin via the secondary line on an infusion pump. The
L
client is also receiving maintenance intravenous fluid of dextrose water at 80 mL/hr. via an
R P
intravenous pump. The client has a cervical dilatation of 7 cm and a cervical effacement of
T
100%. The fetal heart rate is 160 bpm with moderate variability, and 4 accelerations of 20
E
bpm over baseline in the last 20 seconds. The client is experiencing contractions every 3
M
minutes, which are lasting 70 seconds with moderate intensity via the tocotransducer. The
A E
client states I had postpartum complications with my last vaginal delivery. Medical history
significant for asthma.
S S H
R K
O
Identify the potential steps the nurse should take to perform intrauterine resuscitation to the box
on the right. Choose only the steps that are appropriate.
W
Potential Steps Appropriate Steps
Place the client on the left lateral side to
relieve aorto-caval compression.
Increase the infusion of intravenous
oxytocin.
Decrease the maintenance intravenous
infusion.
Perform fundal massage to decrease
uterine contractility.
Administer 10 L of oxygen via a non-
rebreather mask.