Revised 37-page NCLEX Complete Study Guide

1. ABCs (Airway, Breathing, Circulation) 2. When in distress DO NOT ASSESS! Unless 2nd hand information is received. 3. Scenario  Expected outcome with Disease Process o Continue to monitor o Document finding  Unexpected finding with Disease Process o Nursing intervention that must make a difference o Call HCP 4. Mini Maslow’s 1) ABCs (& Pain unrelieved by meds) 2) Safety 3) Comfort (Pain) 4) Psychological 5) Social 6) Spiritual 5. STAT words → Pick the answer that failing to do so will kill or cause great harm ● Highest Priority ● Most Important ● Immediate Action 6. *Least Invasive First* 7. Secondhand Info → Any time you have 2nd hand info, the right answer is assess ∙ UAP ∙ Family ∙ Labs ∙ EMR ∙ EKG ∙ BP machine 8. Never ever take away the coping mechanism a patient uses during a crisis, except if the mechanism puts the patient or others @ risk 9. Eliminate answer choices & DNR 10. Never withhold Tx! If you’re left with two answer choices and the options are to Tx, or watch the patient, Pick Tx! 11. Anytime there’s a reversal from the norm, you must worry! Ex: rebound tenderness (pain after you relieve pressure) 12. Stable Patients ∙ UAP ∙ LPN ∙ New nurse ∙ Graduate Nurse ∙ Float Nurse ∙ Travel nurse 13. Anytime you see excessive findings, That’s not normal! 14. Always empower your patient 15. If a question has “ ”, pick an answer that has what they’re feeling & not what they’re saying 16. 3 R’s of Psych 1) Reality – Functional psych patient 2) Reassure – Delirium 3) Redirect – Dementia