NCLEX STUDY FROM MARK KLIMEK
EXAM QUESTIONS WITH COMPLETE
ANSWERS
Hyperthyroidism is also called - Answer-Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - Answer-"Run yourself into the Grave" -
everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance
Treatment for Grave's disease - Answer-Radioactive Iodine, PTU (put thyroid under),
surgically remove
Total thyroidectomy ... totals get - Answer-tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for - Answer-hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - Answer-numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - Answer-storm
S/S of thyroid storm - Answer-Extremely high vital signs, hyperpyrexia, psychotic
delerium
How to treat thyroid storm - Answer-give o2, lower temp to spare brain
Risks post op for total thyroidectomy - Answer-airway, hemorrhage for 1st 12 hours then
for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - Answer-airway, hemorrage for 1st 12 hours
then for 12-48 hours thyroid storm
Hypothyroidism is also called - Answer-Myxedema or hypometabolism
S/S of mydexema - Answer-everything is down, constipation, heat tolerance, cold
intolerance
Treatment for mydexema - Answer-give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - Answer-neck pits groin
If you cool a patient too fast what might happen? - Answer-Heart arrythmias
,Never hold the hormone for what patient? - Answer-patient who is NPO with mydexema
Addison's disease easy way to remember - Answer-Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - Answer-A in Adrenal stands for
Addison's
C in Cortex stands for Cushing's
Addison's disease is - Answer-undersecretion of adrenal cortex, not enough hormone,
BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - Answer-give a steroid, chronic steroid therapy
Cushing's syndrome - Answer-Over secretion of adrenal cortex, too much hormone, too
much steroid.
S/S of Cushing's syndrome - Answer-same as steroid use ... moon face, think cushman
"I'm mad I have an infection", high blood sugar, losing Potassium,
Treatment for Cushing's syndrome - Answer-Surgery, bi or uni lateral adrenalectomy
(bilateral is worse)
Donning PPE's order - Answer-Gown, Mask, Goggles, Gloves
Removing PPE's order - Answer-alphabetically inside the room
For airborne precautions the mask is removed where? - Answer-outside of the room
Avoid answers with what words for children 9 mths and younger? - Answer-build, sort,
stack, construct, make
Toddlers (1-3) work on - Answer-their gross motor skills (jump, hop, throw), NO fine
motor, parallel play
Preschoolers (3-6) work on - Answer-fine motor, balance (tumbling, dance, tricycle),
cooperative play, pretend
School age (7-11) work on - Answer-creative, collect, competitive
Best default order for click and drag order questions? - Answer-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Answer-call Doctor, NCLEX wants you to think critically
, Creatinine lab values - Answer-same as lithium 0.6-1.2 Not a huge worry, not a
dangerous lab to worry about
INR lab values - Answer-2-3, critical value if off, potential for patient to bleed. Use
default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K
(antidote for Coumadin), Call or notify
Potassium lab values - Answer-3.5-5.3 If low it is a critical lab to worry about assess the
heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
pH lab values - Answer-7.35-7.45 if pH is in the 6;s VERY dangerous remember as the
patient's pH goes so goes the patient
If bad vitals, call rapid response team
BUN lab values - Answer-8-30 check for dehydration if elevated not a big deal, just be
concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the -
Answer-rapid response team!
HgB lab values - Answer-12-18 check for bleeding if low or high, if low prepare for
tranfussion
HCO3 lab values - Answer-22-26 if it is abnormal so what!
CO2 lab values - Answer-35-45 if in the 50's assess respiratory status and have patient
do pursed lip breathing, if in 60's considered deadly and respiratory failure, need
intubated
Hct lab values - Answer-36-54 thickness of blood if abnormal not too big of a deal,
assess for dehydration
PO2 lab values - Answer-78-100 this is only obtained from an ABG if low give O2 but if
really low it is respiratory failure give O2, prepare for intubation, call resp therapy and
call Dr
O2 sat lab values - Answer-93-100 pulse ox, if under 93 assess resp status and give O2
BNP lab value - Answer-less than 100 is normal, good indicator of CHF, edema, if
elevated assess s/s of CHF
NA lab values - Answer-135-145, if a change in LOC then evaluate for fall/safety risk
WBC lab values - Answer-5000-11000 if low assess for infection
EXAM QUESTIONS WITH COMPLETE
ANSWERS
Hyperthyroidism is also called - Answer-Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - Answer-"Run yourself into the Grave" -
everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance
Treatment for Grave's disease - Answer-Radioactive Iodine, PTU (put thyroid under),
surgically remove
Total thyroidectomy ... totals get - Answer-tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for - Answer-hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - Answer-numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - Answer-storm
S/S of thyroid storm - Answer-Extremely high vital signs, hyperpyrexia, psychotic
delerium
How to treat thyroid storm - Answer-give o2, lower temp to spare brain
Risks post op for total thyroidectomy - Answer-airway, hemorrhage for 1st 12 hours then
for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - Answer-airway, hemorrage for 1st 12 hours
then for 12-48 hours thyroid storm
Hypothyroidism is also called - Answer-Myxedema or hypometabolism
S/S of mydexema - Answer-everything is down, constipation, heat tolerance, cold
intolerance
Treatment for mydexema - Answer-give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - Answer-neck pits groin
If you cool a patient too fast what might happen? - Answer-Heart arrythmias
,Never hold the hormone for what patient? - Answer-patient who is NPO with mydexema
Addison's disease easy way to remember - Answer-Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - Answer-A in Adrenal stands for
Addison's
C in Cortex stands for Cushing's
Addison's disease is - Answer-undersecretion of adrenal cortex, not enough hormone,
BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - Answer-give a steroid, chronic steroid therapy
Cushing's syndrome - Answer-Over secretion of adrenal cortex, too much hormone, too
much steroid.
S/S of Cushing's syndrome - Answer-same as steroid use ... moon face, think cushman
"I'm mad I have an infection", high blood sugar, losing Potassium,
Treatment for Cushing's syndrome - Answer-Surgery, bi or uni lateral adrenalectomy
(bilateral is worse)
Donning PPE's order - Answer-Gown, Mask, Goggles, Gloves
Removing PPE's order - Answer-alphabetically inside the room
For airborne precautions the mask is removed where? - Answer-outside of the room
Avoid answers with what words for children 9 mths and younger? - Answer-build, sort,
stack, construct, make
Toddlers (1-3) work on - Answer-their gross motor skills (jump, hop, throw), NO fine
motor, parallel play
Preschoolers (3-6) work on - Answer-fine motor, balance (tumbling, dance, tricycle),
cooperative play, pretend
School age (7-11) work on - Answer-creative, collect, competitive
Best default order for click and drag order questions? - Answer-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - Answer-call Doctor, NCLEX wants you to think critically
, Creatinine lab values - Answer-same as lithium 0.6-1.2 Not a huge worry, not a
dangerous lab to worry about
INR lab values - Answer-2-3, critical value if off, potential for patient to bleed. Use
default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K
(antidote for Coumadin), Call or notify
Potassium lab values - Answer-3.5-5.3 If low it is a critical lab to worry about assess the
heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
pH lab values - Answer-7.35-7.45 if pH is in the 6;s VERY dangerous remember as the
patient's pH goes so goes the patient
If bad vitals, call rapid response team
BUN lab values - Answer-8-30 check for dehydration if elevated not a big deal, just be
concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the -
Answer-rapid response team!
HgB lab values - Answer-12-18 check for bleeding if low or high, if low prepare for
tranfussion
HCO3 lab values - Answer-22-26 if it is abnormal so what!
CO2 lab values - Answer-35-45 if in the 50's assess respiratory status and have patient
do pursed lip breathing, if in 60's considered deadly and respiratory failure, need
intubated
Hct lab values - Answer-36-54 thickness of blood if abnormal not too big of a deal,
assess for dehydration
PO2 lab values - Answer-78-100 this is only obtained from an ABG if low give O2 but if
really low it is respiratory failure give O2, prepare for intubation, call resp therapy and
call Dr
O2 sat lab values - Answer-93-100 pulse ox, if under 93 assess resp status and give O2
BNP lab value - Answer-less than 100 is normal, good indicator of CHF, edema, if
elevated assess s/s of CHF
NA lab values - Answer-135-145, if a change in LOC then evaluate for fall/safety risk
WBC lab values - Answer-5000-11000 if low assess for infection
