NCLEX study from Mark Klimek
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Hyperthyroidism is also called - CORRECT ANSWER - Grave's disease or
hypermetabolism
Tip to remember Grave's disease s/s's - CORRECT 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 - CORRECT ANSWER - Radioactive Iodine, PTU (put
thyroid under), surgically remove
Total thyroidectomy ... totals get - CORRECT ANSWER - tetany, need lifelong hormone
replacement
After thyroidectomy patients are at risk for - CORRECT ANSWER - hypocalcemia,
remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - CORRECT ANSWER - numbness and tingling, first sign of electrolyte
imbalance
Subtotal thyroidectomy ... subs get - CORRECT ANSWER - storm
S/S of thyroid storm - CORRECT ANSWER - Extremely high vital signs, hyperpyrexia,
psychotic delerium
How to treat thyroid storm - CORRECT ANSWER - give o2, lower temp to spare brain
,Risks post op for total thyroidectomy - CORRECT ANSWER - airway, hemorrhage for 1st
12 hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - CORRECT ANSWER - airway, hemorrage for
1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called - CORRECT ANSWER - Myxedema or hypometabolism
S/S of mydexema - CORRECT ANSWER - everything is down, constipation, heat
tolerance, cold intolerance
Treatment for mydexema - CORRECT ANSWER - give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - CORRECT ANSWER - neck
pits groin
If you cool a patient too fast what might happen? - CORRECT ANSWER - Heart
arrythmias
Never hold the hormone for what patient? - CORRECT ANSWER - patient who is NPO
with mydexema
Addison's disease easy way to remember - CORRECT ANSWER - Add a Sone (sone =
steroid)
Adrenal Cortex diseases easy way to remember - CORRECT ANSWER - A in Adrenal
stands for Addison's
C in Cortex stands for Cushing's
, Addison's disease is - CORRECT ANSWER - undersecretion of adrenal cortex, not
enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - CORRECT ANSWER - give a steroid, chronic steroid
therapy
Cushing's syndrome - CORRECT ANSWER - Over secretion of adrenal cortex, too much
hormone, too much steroid.
S/S of Cushing's syndrome - CORRECT 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 - CORRECT ANSWER - Surgery, bi or uni lateral
adrenalectomy (bilateral is worse)
Donning PPE's order - CORRECT ANSWER - Gown, Mask, Goggles, Gloves
Removing PPE's order - CORRECT ANSWER - alphabetically inside the room
For airborne precautions the mask is removed where? - CORRECT ANSWER - outside of
the room
Avoid answers with what words for children 9 mths and younger? - CORRECT
ANSWER - build, sort, stack, construct, make
Toddlers (1-3) work on - CORRECT ANSWER - their gross motor skills (jump, hop,
throw), NO fine motor, parallel play
Preschoolers (3-6) work on - CORRECT ANSWER - fine motor, balance (tumbling,
dance, tricycle), cooperative play, pretend
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Hyperthyroidism is also called - CORRECT ANSWER - Grave's disease or
hypermetabolism
Tip to remember Grave's disease s/s's - CORRECT 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 - CORRECT ANSWER - Radioactive Iodine, PTU (put
thyroid under), surgically remove
Total thyroidectomy ... totals get - CORRECT ANSWER - tetany, need lifelong hormone
replacement
After thyroidectomy patients are at risk for - CORRECT ANSWER - hypocalcemia,
remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - CORRECT ANSWER - numbness and tingling, first sign of electrolyte
imbalance
Subtotal thyroidectomy ... subs get - CORRECT ANSWER - storm
S/S of thyroid storm - CORRECT ANSWER - Extremely high vital signs, hyperpyrexia,
psychotic delerium
How to treat thyroid storm - CORRECT ANSWER - give o2, lower temp to spare brain
,Risks post op for total thyroidectomy - CORRECT ANSWER - airway, hemorrhage for 1st
12 hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - CORRECT ANSWER - airway, hemorrage for
1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called - CORRECT ANSWER - Myxedema or hypometabolism
S/S of mydexema - CORRECT ANSWER - everything is down, constipation, heat
tolerance, cold intolerance
Treatment for mydexema - CORRECT ANSWER - give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - CORRECT ANSWER - neck
pits groin
If you cool a patient too fast what might happen? - CORRECT ANSWER - Heart
arrythmias
Never hold the hormone for what patient? - CORRECT ANSWER - patient who is NPO
with mydexema
Addison's disease easy way to remember - CORRECT ANSWER - Add a Sone (sone =
steroid)
Adrenal Cortex diseases easy way to remember - CORRECT ANSWER - A in Adrenal
stands for Addison's
C in Cortex stands for Cushing's
, Addison's disease is - CORRECT ANSWER - undersecretion of adrenal cortex, not
enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - CORRECT ANSWER - give a steroid, chronic steroid
therapy
Cushing's syndrome - CORRECT ANSWER - Over secretion of adrenal cortex, too much
hormone, too much steroid.
S/S of Cushing's syndrome - CORRECT 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 - CORRECT ANSWER - Surgery, bi or uni lateral
adrenalectomy (bilateral is worse)
Donning PPE's order - CORRECT ANSWER - Gown, Mask, Goggles, Gloves
Removing PPE's order - CORRECT ANSWER - alphabetically inside the room
For airborne precautions the mask is removed where? - CORRECT ANSWER - outside of
the room
Avoid answers with what words for children 9 mths and younger? - CORRECT
ANSWER - build, sort, stack, construct, make
Toddlers (1-3) work on - CORRECT ANSWER - their gross motor skills (jump, hop,
throw), NO fine motor, parallel play
Preschoolers (3-6) work on - CORRECT ANSWER - fine motor, balance (tumbling,
dance, tricycle), cooperative play, pretend
