RETAKE EXAM 2025 QUESTIONS AND
ANSWERS
Thyroid storm symptoms - ANS tachycardia, hyperthermia, chest pain, sweating, weakness,
heart failure, anxiety, shortness of breath, disorientation
What is a sign of neuroleptic malignant syndrome related to body temperature? - ANS Very
high fever (102-104 F)
What cardiovascular sign can indicate neuroleptic malignant syndrome? - ANS Irregular pulse
and tachycardia
What respiratory sign is associated with neuroleptic malignant syndrome? - ANS Tachypnea
What muscular symptom is a sign of neuroleptic malignant syndrome? - ANS Muscle rigidity
What mental status change can occur in neuroleptic malignant syndrome? - ANS Altered
mental status
What autonomic nervous system dysfunction can occur in neuroleptic malignant syndrome? -
ANS Hypo/hypertension
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, What is a common symptom of excessive sweating in neuroleptic malignant syndrome? -
ANS Profuse perspiration (excessive sweating)
What organ failures can occur due to neuroleptic malignant syndrome? - ANS Liver or kidney
failure
What electrolyte imbalance is associated with neuroleptic malignant syndrome? -
ANS Abnormally high potassium (hyperkalemia)
What condition involving muscle tissue destruction can occur in neuroleptic malignant
syndrome? - ANS Major destruction of skeletal muscle tissue (rhabdomyolysis)
What vascular complication can arise in neuroleptic malignant syndrome? - ANS Blood clots
in veins and arteries
Signs of Reyes Syndrome - ANS confusion, swelling of the brain, liver damage, hypoglycemia,
elevated ammonia
Signs of encephalitis - ANS Severe headache, stiff neck, lethargy, vomiting, seizures, fever
Order of providing trach care - ANS Remove inner canula
remove soiled dressing
clean stoma
replace trach ties
What do you restrict when taking MAOI's? - ANS Tyramine
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Signs of Lithium Toxicity - ANS severe nausea, diarrhea, vomiting, confusion, drowsiness,
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muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
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, What happens to urine specific gravity with dehydration? - ANS Elevates urine specific
gravity
anerexia nervosa - ANS an eating disorder characterized by extreme weight loss due to self-
starvation
What is Naegel's rule and what is it used for? - ANS way of estimating estimate due date
- add 7 days and then subtract 3 months of LMP
- or add 280 days to the first day of LMP
What is the Romberg test? - ANS Tests the client's equilibrium, client stands with feet
together and arms at sides eyes open and then closed. Client should be able to maintain the
position for 20 secs with minimal or no swaying
Where do you give an obese client an IM injection? - ANS Ventrogluteal site
cystic fibrosis - ANS A genetic disorder that is present at birth and affects both the
respiratory and digestive systems.
Signs and symptoms of cystic fibrosis - ANS - Coughing with large amounts of mucus
- Fatigue
- Frequent occurrences of pneumonia
- Abdominal pain and distention
- Coughing up blood
- Nausea
- Weight loss
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