NCLEX-PN CHEAT SHEETS QUESTONS AND ANSWERS WITH SOLUTIONS 2024

NCLEX-PN CHEAT SHEETS QUESTONS
AND ANSWERS WITH SOLUTIONS 2024
PositioningPTechniquesP(F)P-PANSWERPRe-positionPatPleastP1-2PhoursPinPbed.P

EveryP20-30PminsPinPaPchair.

•PClientsPwhoPhavePimpairedPnervousPorPmusculoskeletalPsystemsPbenefitPfromProutinePtherapeuticPpositi
oning.

-PAtPleastPeveryP1PtoP2PhrPinPbed.

-PEveryP20PtoP30PminPifPinPaPchairPtoPpreventPskinPbreakdownPoverPbonyPprominences.

•PToolsPforPrepositioningPclients

-PPillows,PfootPboots.

-PTrochanterProlls,Psandbags.

-PHandProlls.

-PHand-wristPsplints.

-PTrapezePbar.

-PSidePrails

•PAllPsidePrailsPcannotPbePupPorPtheyPwillPbePconsideredPaPrestraint.

-PBedPboards.

-PWedgePpillowP(abductorPpillow).



PositionsP(F)P-PANSWERPHighPFowler's:P90Pdegrees

Fowler's:P45-60Pdegrees

SemiPFowler's:P30-45Pdegrees

Supine:POnPbackPwithPheadPandPshouldersPonPpillow.P

Prone:PFlatPonPabdomenPwithPheadPtoPthePside.PAllowsPdorsiflexionPofPfeet.P

Lateral:PSide-lying.P

Sims':POnPsidePhalfwayPbetweenPlateralPandPprone.P

Trendelenburg:PEntirePbedPisPtiltedPwithPthePheadPofPthePbedPlowerPthanPthePfootPofPthePbed.PPromotesPve
nousPreturn.P

,ReversePTrendelenburg:PEntirePbedPisPtiltedPwithPthePfootPofPthePbedPlowerPthanPthePheadPofPthePbed.PPro
motesPgastricPemptying.



AssistivePDevicesP(F)P-PANSWERPWheelchair.P

Walker:PTakePaPstep,PmovePwalker,PtakePanotherPstep.

Cane:PSinglePlegPorPquad.PKeepPcanePonPstrongerPsidePofPthePbody.PMovePcane,PmovePweakPleg,PmovePstro
ngPleg.P

Crutches:P2.3.4-
pointPgaits.PWhenPascendingPstairs,PgoodPfoodPthenPcrutchesPthenPbadPfood.PWhenPdescendingPstairs,Pcrut
chesPthenPbadPfootPthenPgoodPfoot.



SplintsPandPBracesP(F)P-
PANSWERPPrimaryPNursingPConcern:PAssessmentPandPpreventionPofPneurovascularPdysfunctionPorPcompro

mise.P

AssessPeveryPhourPforPthePfirstP24Phrs.PEveryP2-4PhoursPafterwards.P

ElevatePimmobilizedPextremityPhigherPthanPthePheart.P

ApplyPicePforPthePfirstP24-48PhrsPprnPtoPreducePedema.



CirculatoryPCareP(F)P-
PANSWERPPerformPaPcomprehensivePappraisalPofPperipheralPcirculation:PperipheralPpulses,Pedema,Pcapilla

ryPrefill,Pcolor,Ptemperature.P

MonitorPdegreePofPdiscomfortPorPpain.P

ProtectPthePextremityPfromPinjury.P

PlacePextremityPinPaPdependentPposition.



PeripheralPSensationPManagementP(F)P-
PANSWERPMonitorPforPparesthesia:Pnumbness,Ptingling,Phyperesthesia,Phypoesthesia.P



MonitorPthePfitPofPbracingPdevices,Pprostheses,Pshoes,PandPclothing.P

AdministerPanalgesicsPprn.P

DiscussPorPidentifyPcausesPofPabnormalPsensationsPorPsensationPchanges.



CarePafterPImmobilizerPRemovalP(F)P-PANSWERPMovePextremityPcarefully.P

,SupportPwithPpillowsPorPotherPdevicesPuntilPstrengthPandPmovementPreturn.P

ExercisePslowlyPwithPphysicalPtherapist.P

WearingPsupportPstockingsPorPelasticPbandagesPtoPpreventPswellingPforPlowerPextremities.



Nutrition:POlderPAdultsP(F)P-PANSWERPNeedPthePsamePnutrientsPbutPinPdifferingPamounts.P

NumberPofPcaloriesPneededPisPless.

1500Pmg/dayPofPCalciumP

SmellPandPtastePdecline.P

MayPaddPmorePsaltPtoPenhancePtasteP(teachPaboutPsaltPsubs).

DecreasePvisionPmakesPfoodPprepPmorePdifficult.



FoodsPtoPEatPforPOlderPAdultsP(F)P-PANSWERPFoodsPlowPinPsaturatedPfat.

FoodsPhighPinPfiber,PlikePwhole-grain

breadsPandPcereals.

FruitsPandPvegetables.

ModeratePamountsPofPlow-fatPdairy

products.

ProteinPlikePpoultry,Pfish,Pbeans,Pand

eggs.



FoodsPtoPAvoidPforPOlderPAdultsP(F)P-PANSWERPSweetsPandPotherPfoodsPhighPin

sugar,Pfat,PandPcaloriesPshouldPbe

eatenPsparingly.



DysphagiaP(F)P-PANSWERPOccursPwithPaPstrokePorPotherPneurologicalPconditions.P

AspirationPisPthePfirstPconcern,PfollowedPbyPdehydrationPandPmalnutrition.P

ObservePforPObservePforPaspirationPorPpocketingPofPfoodPinPthePcheeksPorPotherPareasPofPthePmouth.

ObservePforPsignsPofPdysphagia,PsuchPasPcoughing,Pchoking,Pgagging,PandPdroolingPofPfood.

MaintainPthePclientPinPsemi-Fowler'sPpositionPforPatPleastP1PhrPafterPmeals.

, ProvidePoralPhygienePafterPmeals/snacks.

•PDysphagiaPrefersPtoPdifficultyPwhenPswallowing.

•PCausesPofPdysphagia

-PNeurogenic

•PStroke.PCerebralPpalsy.PMultiplePsclerosis.

-PMyogenic

•PMyastheniaPgravis.PAging.PMuscularPdystrophy.

-PObstructivePproblems

•PCandidiasis.PHeadPandPneckPcancer.PInflammatoryPmasses.



PreventingPAspirationP(F)P-PANSWERPPositionPthePclientPinPFowler'sPpositionPorPinPaPchair.

SupportPthePupperPback,Pneck,PandPhead.

HavePthePclientPtuckPherPchinPwhenPswallowingPtoPhelpPpropelPfoodPdownPthePesophagus.



Maslow'sPHierarchyPofPNeedsP(F)P-PANSWERPPhysiologicalP-PSafetyPandPsecurityP-PLovePandPbelongingP-
PSelf-esteemP-PSelf-Actualization.




ClientPIdentificationP(F)P-PANSWERPBeforePclientPcarePthePnursePshould:P

IntroducePherself

VerifyPIDPbyPaskingPclientPtoPstakePhisPnamePandPthenPcheckingPhis/herPIDPband.PAlwaysPverifyP2Pidentifiers
.P

AssessPforPanyPallergiesPbyPcheckingPclientPrecords.



SeizurePPrecautionsP(F)P-PANSWERPPaddedPsidePrails.P

RescuePequipmentPatPbedside:POxygen,PoralPairway,PsuctionPequipment.

RemovePitemsPthatPmayPcausePinjury.P

NeverPputPanythingPinPthePclient'sPmouthPinPthePeventPofPaPseizure.



DuringPaPseizureP(F)P-PANSWERPDoPnotPrestrainPthePclient