Shakeel - NCLEX Nurse Journey

NCLEX: PNEUMONIA in 5 bullets

1. Priority assessment: Lung sounds + Temp + Sputum color
2. Dangerous sign: Rust-colored sputum + pleuritic pain = Lobar pneumonia
3. Med: Antibiotics. Take with food if GI upset. Finish full course
4. Patient teaching: Incentive spirometer 10x/hr + Hydration 3L/day
5. Isolation: Droplet for flu/strep pneumo. Mask + private room

Save for Resp + Infection Control 🔖

NCLEX: DIGOXIN TOXICITY in 5 bullets

1. Priority assessment: Apical pulse 1 full min + K+ level
2. Dangerous sign: Pulse 2 = Toxic. Antidote = Digibind
4. Risk factor: Low K+ increases toxicity. Check K+ before giving
5. Patient teaching: Check pulse daily before taking. Don’t skip/double dose

Save for Pharm 🔖

NCLEX: PREECLAMPSIA in 5 bullets

1. Priority assessment: BP + Protein in urine + Reflexes + Fetal HR
2. Dangerous sign: BP 160/110 + headache + blurred vision = Severe
3. Med: Magnesium Sulfate → Check RR, urine output >30ml/hr, reflexes
4. Position: Left lateral for better placental perfusion
5. Seizure precaution: Pad bed + suction + O2 ready. Don’t restrain

Save for Maternity 🔖

NCLEX: HYPERKALEMIA K+ >5.5 in 5 bullets

1. Priority assessment: ECG + Muscle strength + Reflexes
2. Dangerous sign: Tall peaked T waves + V-fib = Cardiac arrest risk
3. Med: Kayexalate, Insulin + Glucose, Calcium gluconate for heart protection
4. Diet teaching: NO bananas, oranges, tomatoes, potatoes, salt substitutes
5. Causes: Kidney failure, ACE inhibitors, K+ sparing diuretics

Save for Fluids & Electrolytes 🔖

NCLEX: HEART FAILURE in 5 bullets

1. Priority assessment: Lung sounds + Daily weight
2. Dangerous sign: Crackles + pink frothy sputum = Pulmonary edema
3. Med: Digoxin → Check pulse

Remember these 3 points for NCLEX:

Preeclampsia
1. BP ≥140/90
2. Proteinuria 1+ or 300mg/24hr
3. SEVERE: Headache + Visual changes + RUQ pain

Save this + Follow for daily NGN tips!

Quick poll for nursing students 👇

What’s your biggest NCLEX struggle right now?
A. Delegation + Prioritization
B. Pharm + Med math
C. SATA questions
D. Test anxiety

Vote in comments A/B/C/D. I’ll make posts based on the winner next week!

Follow so you don’t miss it.

Fill in the blank for NCLEX 👇

RN can’t delegate what needs ___________.

LPN/LVN = ___________ patients + procedures
UAP = ADLs + vitals on ___________ pts

Comment your answers! I’ll post correct ones in 1 hour.
Save this = free marks on exam day 💯

Priority Question

4 patients call. Who do you see FIRST?
1. Post-op pt requesting pain med
2. Diabetic pt with BP 80/50, dizzy
3. Pt asking for discharge teaching
4. Stable pt requesting water

Comment 1, 2, 3 or 4 👇
Answer drops in 1 hour.

Save for prioritization practice!

Someone passes at 85 Qs. Someone at 150. Someone studies 2hrs/day. Someone studies 6hrs.

None of it matters if YOU pass.

Run your race.

Save this when comparison anxiety hits 💙
Shakeel - NCLEX Nurse Journey