NCLEX

DVD WORKBOOK PREVIEW 1

Remarks from the Author
Each year nursing students from all over the United States prepare to take their NCLEX. It can be
a very frustrating time trying to understand and memorize all of the subjects that are on the
current test plan.

You know that you need an NCLEX review, but let’s be honest, they can be expensive,
overwhelming, and unfortunately boring. This makes studying for NCLEX even more difficult for
repeat testers, international students (ESL) and students with basic test anxiety.

My goal is to help you remove the stress and give you the straight to the point core-content
needed to pass NCLEX. I break the content down for you in way that is easy to understand. We
have found this helps students understand quicker and most importantly it will help you to feel
confident when you sit down for your state boards!

During today’s class we will create a strong foundation and lay the frame work for your studies.
Most live review courses are three to five days long; however, you know it takes a minimum of
four to six weeks to prepare for this test! The real work of studying is done AT HOME by yourself.
When you sit for NCLEX it’s not group work, you test by yourself. For this reason, I’ve created
the ReMar NCLEX DVD Self-Study Program and study calendar to give you the complete
comprehensive core-content for NCLEX and a study track for 6 weeks!

I passed NCLEX with 75 questions on my first try and I was so excited! Since starting ReMar
Review nearly eight years ago I’ve seen the most amazing stories come from the students with
the most difficult circumstances. This is my hope for you. Believe in yourself, because you can
pass NCLEX!

Regina Callion, MSN, RN

You’ve Officially Reached the Starting Line!

NCLEX DVD WORKBOOK PREVIEW 2

WELCOME TO ReMar Review’s

NCLEX DVD LIVE PREVIEW
OUR NEXT TWO DAYS are going to be a phenomenal! I’m so excited because we’re going to go
over several major topics from the DVD Self-Study Program which has helped thousands of nurses
pass NCLEX. We’ll break down the core-content in a way that’s easy to understand and will boost
your confidence in the process!

I have an amazing one-time special offer for you today, but first take a look at some of these
amazing testimonials from our amazing nurses that have passed NCLEX! Every nurse has a story
and one day YOUR story will encourage another future nurse. Take a look and let’s get started
with our pretest on page 3!

AMAZING STUDENT TESTIMONIALS

Hi! My name is Pam Garcia. I graduated from nursing school in 2009 in Puerto Rico. About a year ago I
went to a ReMar meeting and liked the approach of the review. I decided to purchase the DVD Self Study
Guide and give it a try. What I liked of the review is that it is summarized and straightforward. Today I
received the news that I passed NCLEX on my first try and being Spanish my primary language. I strongly
recommend the ReMar Review. Thank you Regina!
Nurse Pam Garcia, USRN

Thanks to the ReMar Review I passed the NCLEX with 85 questions on the first try and my friend did too!
Regina made everything very easy to understand. I wish I had it during nursing school really, but the
workbook and homework made it just like I was in class and made studying that much easier. Thanks
Regina u are the best!
Nurse Schreka Nicholson, LPN

I took my NCLEX-RN twice and thought it was hopeless after doing your review I felt a new confidence. I
walked into that test saying to myself I knew this information. I got to 184 questions had a question about
room precautions for varicella and from your review I knew it was airborne and then the test clicked off and I
walked out of the test knowing I passed. I'm now an RN and I couldn't have done it without ReMar Review!

Nurse Elisabeth Hubbell RN

NCLEX DVD WORKBOOK PREVIEW 3

 LIVE NCLEX REVIEW PRE-TEST
1. A 27 years old male is admitted to the emergency room after a severe motor vehicle accident.
He is showing signs of severe trauma and the doctor would like to place an intracranial pressure
catheter. Which of the following is the best method to obtain consent?
A. Immediately call the patient’s nearest family member to obtain a verbal consent.
B. The charge nurse is able to sign an emergency consent for the client.
C. Two physicians will agree that the procedure is necessary and will both sign the consent in
an emergency situation.
D. The physician will document the emergency and place the catheter without a consent.

2. What isolation precaution would you use for HIV?

A. Standard/Universal
B. Droplet
C. Contact
D. Airborne

3. Which of the following symptoms is an adverse effect of Clindamycin and needs to be reported
to the physician immediately?
A. Tinnitus
B. Ataxia
C. Abdominal Pain
D. Yellow halos

4. A nurse reports for duty and receives a report on four clients. Which should she see first?
A. A client 4 years old admitted with tuberculosis and a fever of 104.0
B. A client struck by lightning 48 hours ago complaining of blurry vision.
C. A client complaining of abdominal pain 7 hours after a PEG tube placement.
D. A client 86 years old with an upper respiratory infection but a non productive cough.
2

5. Which blood gas value would the nurse expect in a client with stage 1 brain cancer?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis

6. A nurse is beginning her shift in the emergency room and has to see four clients. Which is the
priority patient?
A. A client with no sensation and no pulse in the right leg.
B. A client with a knife wound to the chest.
C. A client actively bleeding from the nose after head trauma.
D. A client with a gunshot wound to the upper left extremity.

7. Can I really pass NCLEX?

A. Yes, I will pass NCLEX!
B. Yes, because I’m not giving up!

NCLEX DVD WORKBOOK PREVIEW 4

 EKG OVERVIEW






Normal sinus rhythm=
_________________________________________________________________
1. What is the rate?
2. What is the rhythm?

3. Is there a P wave before each QRS?

4. Are the P waves upright and similar?
5. What is the length of the PR
interval?
6. What is the length of the QRS 0.06-0.12
complexes

Rules: Heart rate=_____________________________________________________________

Can you circle each p wave on this ECG strip?

Can you circle each QRS complex on this ECG strip?

NCLEX DVD WORKBOOK PREVIEW 5

 EKG OVERVIEW

Atrial Flutter= Saw-tooth pattern

1. What is the rate? Variable

2. What is the rhythm? Irregular

3. Is there a P wave before each QRS? Normal P waves are absent

4. Are the P waves upright and similar? SAW tooth pattern

5. What is the length of the PR interval? Unable to measure

6. What is the length of the QRS 0.06-0.12

complexes?

NURSING INTERVENTIONS FOR ATRIAL FLUTTER

_____________________________________________________– treatment of
choice for NCLEX!!!

____________________________________________________ to reduce incidence of
thrombus formation.






NCLEX DVD WORKBOOK PREVIEW 6

 EKG OVERVIEW

Ventricular Tachycardia=
_______________________________________________________________
1. What is the rate? Atrial: Unable to Measure

Ventricular: 100-200

2. What is the rhythm? Regular

3. Is there a P wave before each QRS? Absent

4. Are the P waves upright and similar? Absent

5. What is the length of the PR interval? Not measurable

6. What is the length of the QRS Very wide greater than 0.10 sec
complexes

Ask first if it is _________________________________or___________________________________.

What is the difference?

**Treatment: _________________________________________________________________

**Never pick ______________ as a treatment for ventricular tachycardia because it

_____________________________________________________________________________!

NCLEX DVD WORKBOOK PREVIEW 7

 EKG OVERVIEW


What is the difference?

1. Defibrillation

2. Cardioversion

Defibrillation/ Cardioversion

Written CONSENT:

NCLEX DVD WORKBOOK PREVIEW 8

 EKG OVERVIEW

Asystole= ________________________________________________________
Treatment: _______________________________________________________
*If the monitor says asystole but the patient is clearly alive then check for
_________________________________ ____________________________.

Myocardial Infarction EKG Changes

1. ST segment _______________________________
2. T wave ___________________________________
3.

Myocardial Infarction Medications

Medication Purpose

1. M

2. Oxygen Improves Oxygenation

3. N

4. A

NCLEX DVD WORKBOOK PREVIEW 9

STRAIGHT TO THE POINT LIST EKG REVIEW

Rhythm Treatment

1. Ventricular Fibrillation

2.

3. Atrial Fibrillation

Atrial Flutter

4. Asystole

5.Wolff-Parkinson White Adenosine-Never give lidocaine

Syndrome-rapid depolarization of
ventricles leads to tachycardia.

NCLEX DVD WORKBOOK PREVIEW 10

ISOLATION PRECAUTIONS

A.) Universal Precautions Do these things no matter what.

Put disposable items in the room- Blood pressure cuffs , combs, etc.

B.) Contact Precautions

Contact Disease: VRE, Shigellosis, Herpes

C.) Droplet Precautions:

Communicable within 3 feet

Droplet Disease: Meningitis,

D.) Airborne Precautions:

Special respirator mask

Negative Air flow with 6 fresh air exchanges per hour

Airborne Disease:
Cohort Tip:



NCLEX DVD WORKBOOK PREVIEW 11

 ISOLATION PRECAUTIONS
Pick the precaution (standard, contact, droplet, airborne) for each disease.
Disease Precaution

AIDS

Vaginal Yeast Infection

Diarrhea

Mononucleosis or Epstein Barr Virus

West Nile Virus-transmitted by mosquitos

Herpes simplex

MRSA- staph infection

C-difficile

Rota virus

Shigellosis

Head Lice

Epiglottitis

Pneumonic Plague

Rubella (German Measles)

Whooping Cough (Pertussis)

Meningitis

Varicella (Chicken Pox)

Monkey Pox

Rubeola (Measles)

Remember cohort patients with same precaution

NCLEX DVD WORKBOOK PREVIEW 12

 DELEGATION

RN

LPN Aide

No:

Post mortem care

Delegation Practice Questions

A. Who would be the most appropriate to feed a confused elderly client who can become combative?
1.) RN
2.) LPN/LVN
3.) Nurse’s Aide
4.) Physical Therapist

B. The licensed practical nurse delegates the task of taking vital signs of all the clients on the medical-surgical unit
to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-
mastectomy client’s blood pressure on the left arm. Later as the PN is making rounds, the nurse finds the blood
pressure cuff on that client’s left arm. Which of these statements is most immediately accurate?

A) The PN has no accountability for this situation.
B) The PN did not delegate appropriately.
C) The UAP is covered by the PN’s license.
D) The UAP is responsible for following instructions.

B. A registered nurse is caring for a bi-polar client with an arterial catheter. The client is prescribed Ativan 1 mg IV
however the client is trying to remove the newly placed arterial catheter. The nurse would like to place a restraint
for safety. Which action should the nurse take first?
1.) Delegate to the licensed practical nurse to apply an appropriate arm restraint.
2.) Initiate an appropriate arm restraint.
3.) Call the physician and get an order to place a restraint.
4.) Ask the nurse manager to place the restraint.






NCLEX DVD WORKBOOK PREVIEW 13

C. Your client is terminally ill and only is expected to live a few hours. The doctor orders comfort care only. The
client requests a bath, what is the best response by the nurse.
1. “I will give you a bath as soon as I pass my morning medications.”
2. “I will have the senior nursing student bath you this morning.”
3. “I am afraid a bath will not be needed today as you have no visitors.”
4. “I will have the LPN bath you and then care for you the rest of the day.”

D. As part of the nurse’s aide daily tasks she should complete the following tasks. Select all that apply
Bath the client ________
Provide assistance with ambulation________
Chart and calculate intake for shift _________
Obtain sputum specimen _________
Assist with feeding ______

PRIORITIZATION

All the answers will seem right but only one is the PRIORITY

A.) Example: A new nurse working in the emergency room department reports for duty. Four
patients arrive at the same time, who should she see first?

1) A 8 months old female with a temperature of 102 and diarrhea.

2) A 55 years old male with severe abdominal pain from a kidney stone.

3) A 32 years old client on a heparin drip for a DVT who needs an aPTT STAT.

4) An 89 years old female with a poor gag reflex.

Don’t let NCLEX distract you with: __________________ or_______________________.

Only think about what is happening:

Look for the patient who is going to:

NCLEX DVD WORKBOOK PREVIEW 14


PRIORITY PRACTICE QUESTIONS

1. You are a nurse working in the emergency department at your local hospital.
Four patients approach the triage desk at the same time. List the order in
which you will assess these patients.

a. A 50 years old female with moderate abdominal pain and occasional
vomiting.
b. A 9 years old irritable female with a nuchal rigidity, petechiae, and a fever.
c. A 22 years old jogger with a twisted ankle, having a pedal pulse and no
bruising.
d. A 19 years old male with a bandaged head wound.

1. __________2. ______________3.___________4.___________

2. A nurse is ending her shift and has to assess her four clients. Which client
should she see first?

A. The client with intestinal bleeding complaining of vomiting.
B. The client with a right lobe brain tumor complaining of vomiting.
C. The client with pancreatic cancer who is receiving chemotherapy
complaining of vomiting.
D. The client with a new left kidney transplant complaining of vomiting.

NCLEX DVD WORKBOOK PREVIEW 15

3. The nurse is caring for a child with hemophilia who falls and cuts his leg.
Which action is essential for the nurse to take

a. Apply direct pressure for 10 minutes

b. Elevate the leg in a chair
c. Apply ice to the leg
d. Massage the leg

4. A nurse is caring for an 8 years old client with salmonella. Which actions
should she take?

A. Place the client in a private room.
B. Place the client under respiratory isolation.
C. Place the client in a room with an 8 years old with cellulitis.
D. Place the client in a room and keep the door closed at all times.



5. Which of the following clients should the LPN be assigned to?

A. A newly diagnosed patient with myasthenic crisis.
B. A client awaiting a cardiac medication.
C. A new admission for a liver transplant.
D. An immediate post-op patient in the surgical room.

NCLEX DVD WORKBOOK PREVIEW 16

6. A nurse is working on a cardiac progressive care unit. She receives report on
four patients who should the nurse see first?

A. The client with secondary hypertension complaining of a headache.
B. The client one day postoperative femoral-popliteal bypass resting with a
pillow behind the knees.
C. The client with an emergency bypass surgery transferred from the
PACU.
D. The client with acute colitis and is being discharged.

7. The nurse is admitting a child who has been diagnosed with viral
meningitis to the pediatric unit. The nurse should implement which type
of isolation?

a. Standard precautions
b. Contact precautions
c. Airborne precautions
d. Droplet precautions

NCLEX DVD WORKBOOK PREVIEW 17

 ANTIBIOTICS


Class Examples How They Help How They Harm

1.Aminoglycosides

Antidote: Calcium
gluconate

2.

3.Tetracyclines Doxycycline Hepatotoxicity

Demecycline

NCLEX DVD WORKBOOK PREVIEW 18

 Total Parenteral Nutrition

What are the nutrients going through?

Who needs TPN?

What labs to monitor?

How often does the nurse change the tubing? _____________________________

What electrolyte imbalances can TPN cause? Hyperkalemia, Hypermagnesemia

What is your emergency substitute for TPN?

How do you stop TPN?

NCLEX DVD WORKBOOK PREVIEW 19


TIPS TO MASTER NCLEX


1

2

3

4

5

6


Test Day Tips
1) Know the location (parking, room, etc.)
2) Pack everything you need the night before
3) Do not study the night before
4) Eat breakfast and dress in layers
5) Do not go in expecting to stop at minimum questions.

NCLEX DVD WORKBOOK PREVIEW 20


TAKING THE NEXT STEPS FOR NCLEX
-TODAY’S SPECIAL OFFER-

How did you feel going through the lessons today? Did you learn something new today or did you
find the content easier to understand then before? The ReMar DVD Self-Study Program is the
absolute best resource for mastering NCLEX core-content. I want to make sure you have all of the
content for NCLEX.

Today, I’d like to help encourage you on your journey with a one-time special offer! You’ve
invested your time with me so I’d like to give you $50 off of our DVD Self Study Program! Here is
what is included in your Self-Study Review, four (4) NCLEX Lecture DVDs and four (4) NCLEX Study
workbooks including Quick Facts for NCLEX! Here is how you’ll use the DVD Self-Study Program
to pass NCLEX in six weeks studying 1.5 hrs. – 3 hrs. a day for 4-5 days each week!

• Watch NCLEX Lecture DVDs daily

• Read DVD Workbook daily
• Read Quick Facts for NCLEX daily
• Write in Homework book daily
• Respond to questions in the NCLEX Activity Book at end
• Respond to questions in the NCLEX Practice Exams at end

NCLEX DVD WORKBOOK PREVIEW 21



NCLEX DVD WORKBOOK PREVIEW 22

 NCLEX STUDY PROFILE [RN / PN]
The content of the NCLEX Test Plan is organized into four major Client Needs categories. Two of the four
categories are divided into subcategories:

Safe and Effective Care Environment

1. Management of Care [RN] & Coordinated Care [PN]

2. Safety and Infection Control
Health Promotion and Maintenance

Psychosocial Integrity

Physiological Integrity

1. „ Basic Care and Comfort

2. „ Pharmacological Therapies
3. „ Reduction of Risk Potential

4. „ Physiological Adaptation

I have also provided the list of ReMar special topics to make sure you understand. Remember the content
CAN be studied and retained.

Areas To Study ReMar Specific Topics

• Case Management
Management of Care • Client rights-HIPPA,
• informed consent-components that make up
RN
• Do not resuscitate (DNR) order
• Assault
• Battery
Coordinated Care
• False Imprisonment

PN • Communicable Diseases

• Establishing Priority

• Assignment, Delegation, Supervision

• Reporting impaired co-workers

• Organ Donation

NCLEX DVD WORKBOOK PREVIEW 23

 Safety & Infection • Populations at risk for falls
Control
• Position of personnel when ambulating a client

• Assistive devices (cane, walkers, etc and patient

education)

• Seizure precautions

• Use of seclusion room/restraints

• Alternatives to restraints

• How long does an order for a restraint last

• Fire response and RACE

• Client’s allergies/sensitivities (latex, food

• Incident reports for medication errors

• Hand hygiene

• Room assignments

• Verify appropriateness of a written order

• Infection control measures (contact, droplet,

respiratory)

• Surgical Asepsis

• Immunization (schedule, live, reactions)

• Child safety seat/ car seats

• Transmission of pathogens

• Appropriate toys for children

NCLEX DVD WORKBOOK PREVIEW 24

 • Expected changes in aging
Health Promotion &
• Diagnostic Tests
Maintenance
• Levels of intervention (primary, tertiary)

• Neurological Assessment

• Glasgow Coma Scale

• Neuro-Checks

• Phototherapy patient education

• Signs of Pregnancy

• Physical Adaptations and Discomforts of Pregnancy

• Teratogenic Effects on Fetal Development

• Stages of Labor

• Complications During the Postpartum Period

• Substance Abuse and the Newborn

• Congenital Heart Defects

• Erikson's stages of psychosocial development,

• Developmental milestones

• Dietary counseling

• Steps to use a meter induced inhaler

• Hepatitis A, B, C, D transmission

• Hepatitis A, B vaccine administration

NCLEX DVD WORKBOOK PREVIEW 25

 • Eating disorders and treatment

• Schizophrenia
Psychosocial Integrity
• Therapeutic communication

• Psychiatric medication classes, side effects, patient

teaching

• Religious influences on healthcare

• Mental health concepts

• Non-Pharmacological comfort interventions

• Assistive devices
Basic Care & Comfort
• Apply and maintain devices used to promote venous

return antiembolic stockings

• Sequential compression devices

• Assess the client’s need for pain management

• Enema administration

• Z track method IM injection

• What are abnormal assessment findings after a

bronchoscopy?

NCLEX DVD WORKBOOK PREVIEW 26

 • Provide the client with nutrition through continuous or
Pharmacological &
• intermittent tube feedings
Parenteral therapies
• Central line management
(This section is for RN
Students) • Administration of blood/plasma/blood products

• Evaluate the therapeutic effect of medications

• Dosage calculation

• Laboratory values
Reduction of Risk
• Blood gas interpretation
Potential
• Shock

• CPR

• EKG interpretation

• EEG

• Position placement after a liver biopsy?

• Electrolyte imbalance

• Allergic reactions and treatment

Physiological
• Amputation
Adaptation
• Gout

• Systemic Lupus Erythematosus

• Rheumatoid Arthritis vs. Osteoarthritis

• Hepatitis

• Cirrhosis

• Pancreatitis

• Crohn’s Disease and Ulcerative Colitis

• Venous Disorders

NCLEX DVD WORKBOOK PREVIEW 27

 • Transient Ischemic Attacks

• Head Injury

• Laminectomy

• Multiple Sclerosis

• Parkinson’s Disease

• Myasthenia Gravis

• Meniere’s Disease

• Guillain-Barre Syndrome

• Detached Retina

• Cataract

• Glaucoma

• Increased Intracranial Pressure

• Endocrine System Disorders

• Adrenal Gland disorders

• Thyroid Gland disorder

• Hyperthyroid storm signs, treatment

• Parathyroid Gland function

• Asthma

• COPD

Thank you for attending this mini review, take the next step forward to pass your
NCLEX review!

With Love your NCLEX Instructor,

Regina Callion MSN, RN

NCLEX DVD WORKBOOK PREVIEW 28