The nursing process (ADPIE) is the answer key
Exams are written in ADPIE order. If you can name where the question sits, you can eliminate half the options instantly.
Memory trick
ADPIE = Assess, Diagnose, Plan, Implement, Evaluate. Say it as 'A Dumb Person Is Extra' โ rude, but you'll never forget the order.
Baddie rule ๐: you cannot fix what you haven't assessed. Ever.
Maslow, but for test questions
When every option is 'safe,' Maslow breaks the tie. Physiological beats safety beats psychosocial.
Memory trick
Airway โ Breathing โ Circulation โ Safety โ Feelings. If the option is about feelings and someone can't breathe, it's a distractor.
Nobody's processing their divorce at 82% on room air, bestie.
Delegation: RN keeps the thinking
The NCLEX and your fundamentals final both live here. UAPs do stable, predictable, routine.
Memory trick
RN = assess, teach, evaluate, first-time anything, unstable anyone. LPN = stable, expected, ongoing. UAP = ADLs, vitals on stable patients, I&O, ambulation.
If it requires a brain cell of judgment, it stays with you. Sorry, boo.
Vitals that should make you stand up
You need instant pattern recognition, not a chart lookup.
Memory trick
Adult danger zones: HR <50 or >120, RR <10 or >28, SBP <90, SpOโ <90%, temp >38.3ยฐC. Narrowing pulse pressure = trouble brewing.
A 'slightly off' set of vitals on an exam is never slightly off. It's the whole question.
Infection control tiers
Isolation questions are free points if you memorize the bugs, and guaranteed losses if you don't.
Memory trick
Airborne = My Chicken Hez TB (Measles, Chickenpox/varicella, Herpes zoster disseminated, TB) โ N95 + negative pressure. Droplet = private room + surgical mask. Contact = gown + gloves (C. diff needs soap and water, not gel).
Alcohol gel does nothing to C. diff spores. Wash your hands like your license depends on it โ it does.
Positioning saves lives (and points)
Half of fundamentals interventions are 'put the patient in ___.'
Memory trick
Aspirating? High Fowler's. Shock? Supine with legs up. Post-lumbar puncture? Flat. Air embolism? Left side, head down. Unresponsive but breathing? Recovery position.
Sterile vs clean vs medical asepsis
Skills check-off and exam both punish sloppy definitions.
Memory trick
Sterile field rules: 1 inch border is contaminated, below waist is contaminated, out of sight is contaminated, wet is contaminated. Four ways to fail โ memorize all four.
Pain is what the patient says it is
Faculty will bait you with a smiling patient rating 8/10.
Memory trick
Believe the number. Assess with OPQRST, medicate, reassess in 30โ60 min (IV: 15โ30 min).
Your personal opinion on their pain is not a nursing intervention.