NCLEX Tips

The best tips, tricks, study hacks, and test-taking strategies to help nursing students pass the NCLEX!

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Archer Review | NCLEX Prep

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NCLEX Tip: Congenital Heart Defect Terminology

Time to talk about congenital heart defect terminology! Some of the words you see describing these defects might seem complex, but if you break down each of the terms, you’ll be able to get an idea of what the question is asking you! 😉 Knowing your terminology can make the difference when it comes to NCLEX success - save this chart for your NGN studying! 📚

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Nursing Tips to Prevent Med Errors

Every year, the FDA receives more than 100,000 reports of suspected medication errors 🚨 in the U.S. The nurse is often the last line of defense between the client and those medication errors. Here are some medication administration tips to help keep your clients safe!

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Nursing School Clinical Skill: NG Tube Insertion

Here's a sneak peek at a new course coming soon to Archer for Nursing School: ✨CLINICAL SKILLS!✨ Our immersive Nursing Clinical Skills course is designed to teach and show you as a nursing student those essential hands-on skills required for effective client care. What skill do you want to see next? Let us know in the comments! 💬

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Key NCLEX Takeaways: Blood Administration

Key Next Generation NCLEX takeaways about blood administration! Save this for your studying and follow us for more nursing school and NCLEX tips like this!

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NCLEX Tip: Types of Lesions

1️⃣ Primary lesions are initial skin abnormalities that are a direct result of a disease or condition, occurring on previously healthy skin. Examples include papules, pustules, nodules, and vesicles. 2️⃣ Secondary lesions, on the other hand, result from a client's activities or changes in primary lesions due to factors like disease progression or treatments. Examples of secondary lesions include crusts, scales, ulcers, and scars.

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NCLEX Tip: Common Medication Administration Schedules

Here's a list of some common medication administration schedule abbreviations to be familiar with. It's also important to know which abbreviations should not 🚫 be used due to a risk of being misinterpreted. Different facilities may have different rules about using abbreviations - make sure to check which ones are acceptable at your facility! 📌 Save this chart for quick reference during your nursing school and NCLEX studying!

Croup (or laryngotracheobronchitis) is a respiratory condition where there is inflammation of the larynx and/or trachea due to a virus 😷

This inflammation (especially in the larynx) is what causes the symptoms we see! 🧐

One of the key assessment findings in croup is a hoarse, "bark-like" or "seal-like" 🦭 cough due to the inflammation around the vocal cords.

Upper airway swelling can also cause stridor and increased work of breathing. 😮‍💨

When it comes to treating croup, we want to focus on managing symptoms and reducing ⬇️ inflammation and swelling.

It's also important to keep the child calm and decrease anxiety 😧 and crying 😭 which can cause laryngospasm and respiratory distress!

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Croup NCLEX Quick Tips

Croup (or laryngotracheobronchitis) is a respiratory condition where there is inflammation of the larynx and/or trachea due to a virus 😷 This inflammation (especially in the larynx) is what causes the symptoms we see! 🧐 One of the key assessment findings in croup is a hoarse, "bark-like" or "seal-like" 🦭 cough due to the inflammation around the vocal cords. Upper airway swelling can also cause stridor and increased work of breathing. 😮‍💨 When it comes to treating croup, we want to focus on managing symptoms and reducing ⬇️ inflammation and swelling. It's also important to keep the child calm and decrease anxiety 😧 and crying 😭 which can cause laryngospasm and respiratory distress!

NCLEX Tip: Acyanotic Congenital Heart Defects

Acyanotic congenital heart defects don’t typically cause cyanosis (bluish skin) because blood flow still delivers enough oxygen to the body. However, they often involve increased blood flow to the lungs (left-to-right shunt), which can lead to complications over time. There are four main types you need to know: ❤️ Patent ductus arteriosus (PDA) ➡️ failure of the ductus arteriosus to close ❤️ Atrial septal defect (ASD) ➡️ opening between the atria ❤️ Ventricular septal defect (VSD) ➡️ opening between the ventricles ❤️ Atrioventricular canal ➡️ opening between the atria AND the ventricles Save this for your nursing school and Next Generation NCLEX studying and follow @ArcherReview for more NCLEX tips!

Alkalosis occurs when your body’s pH levels rise too high. Here's a quick breakdown:

👉 Metabolic alkalosis: caused by HCO3 overproduction (think antacids 💊 or multiple blood transfusions🩸) or H+ loss (think prolonged vomiting 🤢 or NGT suctioning)

👉 Respiratory alkalosis: caused by CO2 loss, often due to hyperventilation 😮‍💨 or anxiety

Follow @ArcherReview for more Next Gen NCLEX tips like this!

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NCLEX Tip: Causes of Alkalosis

Alkalosis occurs when your body’s pH levels rise too high. Here's a quick breakdown: 👉 Metabolic alkalosis: caused by HCO3 overproduction (think antacids 💊 or multiple blood transfusions🩸) or H+ loss (think prolonged vomiting 🤢 or NGT suctioning) 👉 Respiratory alkalosis: caused by CO2 loss, often due to hyperventilation 😮‍💨 or anxiety Follow @ArcherReview for more Next Gen NCLEX tips like this!

Here's a quick guide to understanding the causes of acidosis!

✅ Metabolic acidosis happens when there's too much acid (like in DKA, starvation, or toxins) or a loss of bicarbonate (due to things like pancreatitis, kidney failure, diarrhea)

✅ Respiratory acidosis is caused by CO2 retention—think respiratory depression, inadequate chest expansion, or COPD

Save this for your nursing school and Next Gen NCLEX studying!

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NCLEX Tips: Causes of Acidosis

Here's a quick guide to understanding the causes of acidosis! ✅ Metabolic acidosis happens when there's too much acid (like in DKA, starvation, or toxins) or a loss of bicarbonate (due to things like pancreatitis, kidney failure, diarrhea) ✅ Respiratory acidosis is caused by CO2 retention—think respiratory depression, inadequate chest expansion, or COPD Save this for your nursing school and Next Gen NCLEX studying!

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NCLEX Tip: Tet Spells

Tetralogy of Fallot is the most common type of cyanotic 💙 congenital heart defect. This is actually made up of four defects that together cause the right-to-left shunting: 1️⃣ Ventricular septal defect (VSD) 2️⃣ Pulmonary stenosis 3️⃣ Right ventricular hypertrophy 4️⃣ Overriding aorta Any time the pressure in the right side of the heart ⬆️ goes up, deoxygenated blood will be pushed across the ventricular septal defect, and the overriding aorta will send it out to the body. If these babies are upset or 😭 crying, that will increase pressure in the lungs and in the right side of the heart…which means more deoxygenated blood will be sent ➡️ to the body!

The pH scale measures how acidic or basic a substance is:

👉 Acidic (0-6): Think stomach acid, orange juice, or black coffee
👉 Neutral (7): Pure water hits right in the middle!
👉 Basic (8-14): Think baking soda, ammonia, or bleach

Your body works hard to maintain ⚖️ a pH between 7.35-7.45. Arterial blood gases help assess the pH balance in the body to identify acidosis or alkalosis!

Save this chart for your nursing school and NCLEX studying, and follow @ArcherReview for more tips like this!

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NCLEX Tip: pH Scale

The pH scale measures how acidic or basic a substance is: 👉 Acidic (0-6): Think stomach acid, orange juice, or black coffee 👉 Neutral (7): Pure water hits right in the middle! 👉 Basic (8-14): Think baking soda, ammonia, or bleach Your body works hard to maintain ⚖️ a pH between 7.35-7.45. Arterial blood gases help assess the pH balance in the body to identify acidosis or alkalosis! Save this chart for your nursing school and NCLEX studying, and follow @ArcherReview for more tips like this!

Reverse Trendelenburg describes a position where the head of the bed is elevated and the foot of the bed is lowered (an easy way to remember how this differs from Trendelenburg position is Trendelenburg = Toes up!) 😉

Reverse 🔀 Trendelenburg may be used when we want to promote gastric emptying, prevent esophageal reflux, or change positions gradually (such as when a client has been on bedrest and is re-adapting to being in an upright position).

🧠 Send this memory trick to a future nurse who is going to ace all their positioning questions on the Next Gen NCLEX!

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NCLEX Mnemonic: Indications for Reverse Trendelenburg

Reverse Trendelenburg describes a position where the head of the bed is elevated and the foot of the bed is lowered (an easy way to remember how this differs from Trendelenburg position is Trendelenburg = Toes up!) 😉 Reverse 🔀 Trendelenburg may be used when we want to promote gastric emptying, prevent esophageal reflux, or change positions gradually (such as when a client has been on bedrest and is re-adapting to being in an upright position). 🧠 Send this memory trick to a future nurse who is going to ace all their positioning questions on the Next Gen NCLEX!

Let's review some key differences between atrial fibrillation vs. atrial flutter... 💓

AFib 🩺:
⚡ Atria receive chaotic, disorganized impulses
⚡ Atrial rate: >400 beats/min (too fast to count!)
⚡ Irregularly irregular rhythm (R-R intervals vary)
⚡ No visible P waves
⚡ Ventricular response rate varies

AFlutter 🩺:
⚡ Organized electrical activity
⚡ Atrial rate: 200-350 beats/min
⚡ Regular atrial rhythm (AV node conducts every 2-3 impulses)
⚡ No P waves, but look for the saw-tooth flutter pattern

👉 These arrhythmias are different, but equally important to recognize in nursing school and on the Next Gen NCLEX.

📌 Save this chart to study the differences and send it to a study buddy who needs to see it! ✨

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NCLEX Tip: Atrial Fibrillation vs. Atrial Flutter

Let's review some key differences between atrial fibrillation vs. atrial flutter... 💓 AFib 🩺: ⚡ Atria receive chaotic, disorganized impulses ⚡ Atrial rate: >400 beats/min (too fast to count!) ⚡ Irregularly irregular rhythm (R-R intervals vary) ⚡ No visible P waves ⚡ Ventricular response rate varies AFlutter 🩺: ⚡ Organized electrical activity ⚡ Atrial rate: 200-350 beats/min ⚡ Regular atrial rhythm (AV node conducts every 2-3 impulses) ⚡ No P waves, but look for the saw-tooth flutter pattern 👉 These arrhythmias are different, but equally important to recognize in nursing school and on the Next Gen NCLEX. 📌 Save this chart to study the differences and send it to a study buddy who needs to see it! ✨

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