NCLEX study from Mark Klimek Exam
Questions and Answers 100% Pass
Hyperthyroidism is also called - ✔✔Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - ✔✔"Run yourself into the Grave" -
everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot
intolerance
Treatment for Grave's disease - ✔✔Radioactive Iodine, PTU (put thyroid
under), surgically remove
Total thyroidectomy ... totals get - ✔✔tetany, need lifelong hormone
replacement
After thyroidectomy patients are at risk for - ✔✔hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany,
parasthesia
1
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,parathesia - ✔✔numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - ✔✔storm
S/S of thyroid storm - ✔✔Extremely high vital signs, hyperpyrexia,
psychotic delerium
How to treat thyroid storm - ✔✔give o2, lower temp to spare brain
Risks post op for total thyroidectomy - ✔✔airway, hemorrhage for 1st 12
hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - ✔✔airway, hemorrage for 1st 12
hours then for 12-48 hours thyroid storm
Hypothyroidism is also called - ✔✔Myxedema or hypometabolism
S/S of mydexema - ✔✔everything is down, constipation, heat tolerance,
cold intolerance
Treatment for mydexema - ✔✔give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - ✔✔neck pits
groin
2
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,If you cool a patient too fast what might happen? - ✔✔Heart arrythmias
Never hold the hormone for what patient? - ✔✔patient who is NPO with
mydexema
Addison's disease easy way to remember - ✔✔Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - ✔✔A in Adrenal stands
for Addison's
C in Cortex stands for Cushing's
Addison's disease is - ✔✔undersecretion of adrenal cortex, not enough
hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - ✔✔give a steroid, chronic steroid therapy
Cushing's syndrome - ✔✔Over secretion of adrenal cortex, too much
hormone, too much steroid.
S/S of Cushing's syndrome - ✔✔same as steroid use ... moon face, think
cushman "I'm mad I have an infection", high blood sugar, losing Potassium,
3
100% Pass Guarantee Katelyn Whitman, All Rights
, Treatment for Cushing's syndrome - ✔✔Surgery, bi or uni lateral
adrenalectomy (bilateral is worse)
Donning PPE's order - ✔✔Gown, Mask, Goggles, Gloves
Removing PPE's order - ✔✔alphabetically inside the room
For airborne precautions the mask is removed where? - ✔✔outside of the
room
Avoid answers with what words for children 9 mths and younger? -
✔✔build, sort, stack, construct, make
Toddlers (1-3) work on - ✔✔their gross motor skills (jump, hop, throw),
NO fine motor, parallel play
Preschoolers (3-6) work on - ✔✔fine motor, balance (tumbling, dance,
tricycle), cooperative play, pretend
School age (7-11) work on - ✔✔creative, collect, competitive
Best default order for click and drag order questions? - ✔✔Hold ..... med
Assess ..... what med does
4
100% Pass Guarantee Katelyn Whitman, All Rights
Questions and Answers 100% Pass
Hyperthyroidism is also called - ✔✔Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - ✔✔"Run yourself into the Grave" -
everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot
intolerance
Treatment for Grave's disease - ✔✔Radioactive Iodine, PTU (put thyroid
under), surgically remove
Total thyroidectomy ... totals get - ✔✔tetany, need lifelong hormone
replacement
After thyroidectomy patients are at risk for - ✔✔hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany,
parasthesia
1
100% Pass Guarantee Katelyn Whitman, All Rights
,parathesia - ✔✔numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - ✔✔storm
S/S of thyroid storm - ✔✔Extremely high vital signs, hyperpyrexia,
psychotic delerium
How to treat thyroid storm - ✔✔give o2, lower temp to spare brain
Risks post op for total thyroidectomy - ✔✔airway, hemorrhage for 1st 12
hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - ✔✔airway, hemorrage for 1st 12
hours then for 12-48 hours thyroid storm
Hypothyroidism is also called - ✔✔Myxedema or hypometabolism
S/S of mydexema - ✔✔everything is down, constipation, heat tolerance,
cold intolerance
Treatment for mydexema - ✔✔give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - ✔✔neck pits
groin
2
100% Pass Guarantee Katelyn Whitman, All Rights
,If you cool a patient too fast what might happen? - ✔✔Heart arrythmias
Never hold the hormone for what patient? - ✔✔patient who is NPO with
mydexema
Addison's disease easy way to remember - ✔✔Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - ✔✔A in Adrenal stands
for Addison's
C in Cortex stands for Cushing's
Addison's disease is - ✔✔undersecretion of adrenal cortex, not enough
hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - ✔✔give a steroid, chronic steroid therapy
Cushing's syndrome - ✔✔Over secretion of adrenal cortex, too much
hormone, too much steroid.
S/S of Cushing's syndrome - ✔✔same as steroid use ... moon face, think
cushman "I'm mad I have an infection", high blood sugar, losing Potassium,
3
100% Pass Guarantee Katelyn Whitman, All Rights
, Treatment for Cushing's syndrome - ✔✔Surgery, bi or uni lateral
adrenalectomy (bilateral is worse)
Donning PPE's order - ✔✔Gown, Mask, Goggles, Gloves
Removing PPE's order - ✔✔alphabetically inside the room
For airborne precautions the mask is removed where? - ✔✔outside of the
room
Avoid answers with what words for children 9 mths and younger? -
✔✔build, sort, stack, construct, make
Toddlers (1-3) work on - ✔✔their gross motor skills (jump, hop, throw),
NO fine motor, parallel play
Preschoolers (3-6) work on - ✔✔fine motor, balance (tumbling, dance,
tricycle), cooperative play, pretend
School age (7-11) work on - ✔✔creative, collect, competitive
Best default order for click and drag order questions? - ✔✔Hold ..... med
Assess ..... what med does
4
100% Pass Guarantee Katelyn Whitman, All Rights
