MARK KLIMEK NCLEX UPDATED EXAM
QUESTIONS AND ANSWERS SET A+
✔✔
✔✔Addison's S/S - ✔✔HYPERpigmented (tan!) & do NOT adapt to stress (your stress
response is to raise your glucose & BP!) -these people can't do this; glucose & BP goes
down = go into shock! Anything from a tooth filling at the dentist or a minor fender
bender can cause these.. people to stress out & die.. TICKING TIME BOMB!
✔✔Addison's treatment - ✔✔glucocorticoids (steroids; all end in "sone" ex: prednisone,
dexamethasone & hydrocortisone.. Remember: ADDISONS "ADD a SONE"!!
✔✔CUSHINGS - ✔✔OVER secretion of the adrenocortex (cushy = more!)
✔✔Cushings S/S - ✔✔puffy moon face, hirsutism (facial hair), trunkal obesity (big
body), gynecomastia (female breats on men), buffalo hump, skinny arm & legs (muscles
waste away), retain sodium & water; losing potassium, striae (stretch marks), bruising,
("I'm mad; I have an infection"; grouchy/irritable & immunosuppressed) & HIGH glucose
*most important to remember!!* (hyperglycemic!!)!!
✔✔Cushings Treatment - ✔✔HYPERsecreting of the adrenocortex = ADRENALectomy
(bilateral).. can cause Addisons though; so they need steriods; making you look like
CUSHman again
✔✔*KID's TOYS!!!* 3 questions to ALWAYS ask... - ✔✔-Is it SAFE?
-Is it AGE APPROPRIATE?
-Is it FEASIBLE? (possible to do easily or conveniently)
✔✔Safety considerations for toys - ✔✔-NO SMALL TOYS for children UNDER 4 (could
put in mouth/aspirate) -NO METAL (die-cast) TOYS, if OXYGEN is in use.. (sparks!) -
BEWARE of FOMITES (NON-living object that harbors micro-organisms)
✔✔What toys are the worst for FOMITES? - ✔✔stuffed animals
, ✔✔What toy is the best for FOMITES? - ✔✔Hard plastic toys/you can disinfect it!
✔✔*BEST toy for an IMMUNSUPPRESSED child? - ✔✔HARD PLASTIC action figure!
✔✔Infant - ✔✔0m-6m: BEST toy: musical mobile *stimulates motor & sensory*... 2nd
BEST toy: something SOFT & LARGE
✔✔6m-9m - ✔✔*working on object permanance*: they know it's still there even though
they can't see it* ex: you put a toy under a blanket - if they don't have it; they'll cry.. if
they have it: they know to lift the blanket & get it.. At this age, your "play" should be
teaching them that; that is their big task at this time. BEST toy: cover/uncover toy; play
PEEK-a-BOO, the parent putting a blanket over their head and then taking it off, Jack-
in-the-Box, etc... 2nd BEST toy: something large/hard.. WORST toy: musical mobile;
they can sit up/reach up and then can stranglate themselves
✔✔9m-12m - ✔✔*working on vocalization*: BEST toy: speaking toys; ex: "Talking"
Woody (Toy Story!), Tickle Me Elmo, Teddy Ruxpin, See & Say: "the COW says MOO",
etc.. They also need PURPOSEFUL ACTIVITY... NEVER PICK THESE ANSWERS if
the kid is UNDER 9m: build, sort, stack, make, construct - why? PURPOSE words!!
✔✔Toddlers - ✔✔1-3: Best toy: PUSH/PULL.. ex: lawn mower, baby stroller *work on
GROSS MOTOR; running, jumping* NO finger dexterity yet; can't color, use scissors,
etc. "Finger painting", yes, because they can use their HAND! Finger painting = HAND
painting. -They do PARALLEL Play (play along-side, but not with)
✔✔Preschoolers - ✔✔Work on their FINE MOTOR (finger dexterity), work on BALANCE
(tricylces, dance class, iceskates) Characterized by CO-OPERATIVE play (play
together in groups) -They like to PRETEND; highly imaginative!
✔✔School Age - ✔✔Characterized by the 3 C's -Creative (blank paper & colored
pencils) -Collective (collect anything & everything) -Competitive (they don't like being
the loser)
✔✔Adolescents - ✔✔Peer Group Association (hang out with their friends) Question
(pertaining to Nursing): Do you let 5-8 adolescents hang out in a room together? YES!!
UNLESS these 3 things: if anyone is fresh post-op (less than 12 hours out of surgery), if
anyone is immunosuppressed & if anyone has a contagious disease.
✔✔S/S of nerve root compression: 3 P's - ✔✔pain -paresthesia (numbness & tingling) -
paresis (muscle weakness)
✔✔MOST IMPORTANT thing to pay attention in any NEURO question - ✔✔location!!
QUESTIONS AND ANSWERS SET A+
✔✔
✔✔Addison's S/S - ✔✔HYPERpigmented (tan!) & do NOT adapt to stress (your stress
response is to raise your glucose & BP!) -these people can't do this; glucose & BP goes
down = go into shock! Anything from a tooth filling at the dentist or a minor fender
bender can cause these.. people to stress out & die.. TICKING TIME BOMB!
✔✔Addison's treatment - ✔✔glucocorticoids (steroids; all end in "sone" ex: prednisone,
dexamethasone & hydrocortisone.. Remember: ADDISONS "ADD a SONE"!!
✔✔CUSHINGS - ✔✔OVER secretion of the adrenocortex (cushy = more!)
✔✔Cushings S/S - ✔✔puffy moon face, hirsutism (facial hair), trunkal obesity (big
body), gynecomastia (female breats on men), buffalo hump, skinny arm & legs (muscles
waste away), retain sodium & water; losing potassium, striae (stretch marks), bruising,
("I'm mad; I have an infection"; grouchy/irritable & immunosuppressed) & HIGH glucose
*most important to remember!!* (hyperglycemic!!)!!
✔✔Cushings Treatment - ✔✔HYPERsecreting of the adrenocortex = ADRENALectomy
(bilateral).. can cause Addisons though; so they need steriods; making you look like
CUSHman again
✔✔*KID's TOYS!!!* 3 questions to ALWAYS ask... - ✔✔-Is it SAFE?
-Is it AGE APPROPRIATE?
-Is it FEASIBLE? (possible to do easily or conveniently)
✔✔Safety considerations for toys - ✔✔-NO SMALL TOYS for children UNDER 4 (could
put in mouth/aspirate) -NO METAL (die-cast) TOYS, if OXYGEN is in use.. (sparks!) -
BEWARE of FOMITES (NON-living object that harbors micro-organisms)
✔✔What toys are the worst for FOMITES? - ✔✔stuffed animals
, ✔✔What toy is the best for FOMITES? - ✔✔Hard plastic toys/you can disinfect it!
✔✔*BEST toy for an IMMUNSUPPRESSED child? - ✔✔HARD PLASTIC action figure!
✔✔Infant - ✔✔0m-6m: BEST toy: musical mobile *stimulates motor & sensory*... 2nd
BEST toy: something SOFT & LARGE
✔✔6m-9m - ✔✔*working on object permanance*: they know it's still there even though
they can't see it* ex: you put a toy under a blanket - if they don't have it; they'll cry.. if
they have it: they know to lift the blanket & get it.. At this age, your "play" should be
teaching them that; that is their big task at this time. BEST toy: cover/uncover toy; play
PEEK-a-BOO, the parent putting a blanket over their head and then taking it off, Jack-
in-the-Box, etc... 2nd BEST toy: something large/hard.. WORST toy: musical mobile;
they can sit up/reach up and then can stranglate themselves
✔✔9m-12m - ✔✔*working on vocalization*: BEST toy: speaking toys; ex: "Talking"
Woody (Toy Story!), Tickle Me Elmo, Teddy Ruxpin, See & Say: "the COW says MOO",
etc.. They also need PURPOSEFUL ACTIVITY... NEVER PICK THESE ANSWERS if
the kid is UNDER 9m: build, sort, stack, make, construct - why? PURPOSE words!!
✔✔Toddlers - ✔✔1-3: Best toy: PUSH/PULL.. ex: lawn mower, baby stroller *work on
GROSS MOTOR; running, jumping* NO finger dexterity yet; can't color, use scissors,
etc. "Finger painting", yes, because they can use their HAND! Finger painting = HAND
painting. -They do PARALLEL Play (play along-side, but not with)
✔✔Preschoolers - ✔✔Work on their FINE MOTOR (finger dexterity), work on BALANCE
(tricylces, dance class, iceskates) Characterized by CO-OPERATIVE play (play
together in groups) -They like to PRETEND; highly imaginative!
✔✔School Age - ✔✔Characterized by the 3 C's -Creative (blank paper & colored
pencils) -Collective (collect anything & everything) -Competitive (they don't like being
the loser)
✔✔Adolescents - ✔✔Peer Group Association (hang out with their friends) Question
(pertaining to Nursing): Do you let 5-8 adolescents hang out in a room together? YES!!
UNLESS these 3 things: if anyone is fresh post-op (less than 12 hours out of surgery), if
anyone is immunosuppressed & if anyone has a contagious disease.
✔✔S/S of nerve root compression: 3 P's - ✔✔pain -paresthesia (numbness & tingling) -
paresis (muscle weakness)
✔✔MOST IMPORTANT thing to pay attention in any NEURO question - ✔✔location!!
