Mark Klimek NCLEX Pharm exam with
complete solutions 2024/2025
Never hold the hormone for what patient? - ANSWER-patient who is NPO with
myxedema
Addison's disease easy way to remember - ANSWER-Add a Sone (sone = steroid)
Best default order for click and drag order questions? - ANSWER-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANSWER-call Doctor, NCLEX wants you to think
critically
INR lab values - ANSWER-2-3, critical value if off, potential for patient to bleed.
Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare
Vit K (antidote for Coumadin), Call or notify
Potassium lab values - ANSWER-3.5-5.3 If low it is a critical lab to worry about
assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved!
Dangerous!!
, If question says there is pitocin running and there are complications - ANSWER-
stop pit first then LIONpit
Pain meds in labor - ANSWER-know your peaks for IV, IM, PO, Subling. If baby is
likely to be born when the pain med is peaking don't give! Why? Respiratory
depression in baby
OB medications tocolytics - ANSWER-stop contractions, Brethine causes
maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and
headache
OB medications oxytocics - ANSWER-makes labor more intense, Pitocin,
Methergine, Cervidil
OB medications Fetal/Neonatal Lung meds - ANSWER-Betamethasone, speeds
the development of the baby's lungs, given to Mom before baby is born, given IM,
will increase the blood sugar of Mom
Survanta (surfactant) - ANSWER-given to baby after baby is born given
trastracheal through the airway develops lungs
Med hints for IM injections - ANSWER-Look for 1's in both parts (the 1 looks like
an I), guage and length, 21 g, 1 inch means IM
Med hints for SQ injections - ANSWER-look for 5's in both parts (the 5 looks like
an S), guage and length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - ANSWER-R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - ANSWER-put air into N then R , NRRN the whole
process
If 70/30 insulin it is - ANSWER-70% N and 30% R, may have to make your own on
boards, no 70/30 on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - ANSWER-works immediately,
labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21
days, pregnancy: YES (Class C pregnancy drug, use caution)
complete solutions 2024/2025
Never hold the hormone for what patient? - ANSWER-patient who is NPO with
myxedema
Addison's disease easy way to remember - ANSWER-Add a Sone (sone = steroid)
Best default order for click and drag order questions? - ANSWER-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANSWER-call Doctor, NCLEX wants you to think
critically
INR lab values - ANSWER-2-3, critical value if off, potential for patient to bleed.
Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare
Vit K (antidote for Coumadin), Call or notify
Potassium lab values - ANSWER-3.5-5.3 If low it is a critical lab to worry about
assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved!
Dangerous!!
, If question says there is pitocin running and there are complications - ANSWER-
stop pit first then LIONpit
Pain meds in labor - ANSWER-know your peaks for IV, IM, PO, Subling. If baby is
likely to be born when the pain med is peaking don't give! Why? Respiratory
depression in baby
OB medications tocolytics - ANSWER-stop contractions, Brethine causes
maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and
headache
OB medications oxytocics - ANSWER-makes labor more intense, Pitocin,
Methergine, Cervidil
OB medications Fetal/Neonatal Lung meds - ANSWER-Betamethasone, speeds
the development of the baby's lungs, given to Mom before baby is born, given IM,
will increase the blood sugar of Mom
Survanta (surfactant) - ANSWER-given to baby after baby is born given
trastracheal through the airway develops lungs
Med hints for IM injections - ANSWER-Look for 1's in both parts (the 1 looks like
an I), guage and length, 21 g, 1 inch means IM
Med hints for SQ injections - ANSWER-look for 5's in both parts (the 5 looks like
an S), guage and length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - ANSWER-R then N, Draw up R then N, NRRN the whole
process
Pressurizing Insulin rule - ANSWER-put air into N then R , NRRN the whole
process
If 70/30 insulin it is - ANSWER-70% N and 30% R, may have to make your own on
boards, no 70/30 on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - ANSWER-works immediately,
labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21
days, pregnancy: YES (Class C pregnancy drug, use caution)
