QUESTION BANK AND ANSWER KEY 2026
◉ Addison's. Answer: Hypo Na, Hyper K, Hypoglycemia, dark
pigmentation, decreased resistance to stress fx, alopecia, weight
loss. GI stress.
◉ Cushings. Answer: Hyper Na, Hypo K, hyperglycemia, prone to
infection, muscle wasting, weakness, edema, HTN, hirsutism,
moonface/buffalo hump
◉ Addesonian crisis. Answer: N/V confusion, abdominal pain,
extreme weakness, hypoglycemia, dehydration, decreased BP
◉ Pheochromocytoma. Answer: hypersecretion of epi/norepi.
persistent HTN, increased HR, hyperglycemia, diaphoresis, tremor,
pounding HA; avoid stress, frequent bathing and rest breaks, avoid
cold and stimulating foods (surgery to remove tumor)
◉ Tetrology of Fallot. Answer: DROP (Defect, septal, Right
ventricular hypertrophy, Overriding aortas, Pulmonary stenosis)
◉ Autonomic Dysreflexia. Answer: (potentially life threatening
emergency!) HOB elevate 90 degrees, loosen constrictive clothing,
,assess for full bladder or bowel impaction, (trigger) administer
antihypertensives (may cause stroke, MI, seizure)
◉ FHR patterns for OB. Answer: Think VEAL CHOP!
V-variable decels; C- cord compression caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
◉ what to check with pregnancy. Answer: Never check the monitor
or machine as a first action. Always assess the patient first. Ex.. listen
to fetal heart tones with stethoscope.
◉ Position of the baby by fetal heart sounds. Answer: Posterior --
heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
◉ Ventilatory alarms. Answer: HOLD
High alarm--Obstruction due to secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
,◉ ICP and Shock. Answer: ICP- Increased BP, decreased pulse,
decreased resp
Shock--Decreased BP, increased pulse, increased resp
◉ Cor pumonae. Answer: Right sided heart failure caused by left
ventricular failure (edema, jugular vein distention)
◉ Heroin withdrawal neonate. Answer: irritable, poor sucking
◉ brachial pulse. Answer: pulse area on an infant
◉ lead poisoning. Answer: test at 12 months of age
◉ Before starting IV antibiotics. Answer: obtain cultures!
◉ pt with leukemia may have. Answer: epistaxis due to low platelets
◉ when a pt comes in and is in active labor. Answer: first action of
nurse is to listen to fetal heart tones/rate
◉ for phobias. Answer: use systematic desensitization
, ◉ NCLEX answer tips. Answer: choose assessment first! (assess,
collect, auscultate, monitor, palpate) only choose intervention in an
emergency or stress situation. If the answer has an absolute, discard
it. Give priority to the answers that deal with the patient's body, not
machines, or equipment.
◉ ARDS and DIC. Answer: are always secondary to another disease
or trauma
◉ In an emergency. Answer: patients with a greater chance to live
are treated first
◉ Cardinal sign of ARDS. Answer: hypoxemia
◉ Edema is located. Answer: in the interstitial space, not the
cardiovascular space (outside of the circulatory system)
◉ the best indicator of dehydration?. Answer: weight---and skin
turgor
◉ heat/cold. Answer: hot for chronic pain; cold for accute pain
(sprain etc)