NCLEX study from Mark Klimek Test Questions and Answers
Rated A
Hyperthyroidism is also called - - Grave's 48 hours hypocalcemia leading to tetany
disease or hypermetabolism
Risks post op for sub total thyroidectomy - -
Tip to remember Grave's disease s/s's - - airway, hemorrage for 1st 12 hours then for 12-
"Run yourself into the Grave" - everything is up 48 hours thyroid storm
... diarrhea, thin, hot, high BP, high HR, cold
tolerance, hot intolerance
Hypothyroidism is also called - -
Myxedema or hypometabolism
Treatment for Grave's disease - -
Radioactive Iodine, PTU (put thyroid under),
surgically remove S/S of mydexema - - everything is down,
constipation, heat tolerance, cold intolerance
Total thyroidectomy ... totals get - - tetany,
need lifelong hormone replacement Treatment for mydexema - - give thyroid
medications
After thyroidectomy patients are at risk for -
- hypocalcemia, remember hypocalcemia Where to put the 5 ice packs to cool a thyroid
is opposite of the prefix and anything to BP so storm patient - - neck pits groin
tetany, parasthesia
If you cool a patient too fast what might happen?
parathesia - - numbness and tingling, first - - Heart arrythmias
sign of electrolyte imbalance
Never hold the hormone for what patient? -
Subtotal thyroidectomy ... subs get - - - patient who is NPO with mydexema
storm
Addison's disease easy way to remember -
S/S of thyroid storm - - Extremely high vital - Add a Sone (sone = steroid)
signs, hyperpyrexia, psychotic delerium
Adrenal Cortex diseases easy way to remember -
How to treat thyroid storm - - give o2, - A in Adrenal stands for Addison's
lower temp to spare brain C in Cortex stands for Cushing's
Risks post op for total thyroidectomy - - Addison's disease is - - undersecretion of
airway, hemorrhage for 1st 12 hours then for 12- adrenal cortex, not enough hormone,
,NCLEX study from Mark Klimek Test Questions and Answers
Rated A
BRONZE/tan, go into shock very easily. STRESS
can trigger.
Preschoolers (3-6) work on - - fine motor,
balance (tumbling, dance, tricycle), cooperative
Addison's disease treatment - - give a play, pretend
steroid, chronic steroid therapy
School age (7-11) work on - - creative,
Cushing's syndrome - - Over secretion of collect, competitive
adrenal cortex, too much hormone, too much
steroid.
Best default order for click and drag order
questions? - - Hold ..... med
S/S of Cushing's syndrome - - same as Assess ..... what med does
steroid use ... moon face, think cushman "I'm Prepare ...... the correction
mad I have an infection", high blood sugar, losing Call ..... or notify
Potassium,
Rarely if ever answer ... - - call Doctor,
Treatment for Cushing's syndrome - - NCLEX wants you to think critically
Surgery, bi or uni lateral adrenalectomy (bilateral
is worse)
Creatinine lab values - - same as lithium
0.6-1.2 Not a huge worry, not a dangerous lab to
Donning PPE's order - - Gown, Mask, worry about
Goggles, Gloves
INR lab values - - 2-3, critical value if off,
Removing PPE's order - - alphabetically potential for patient to bleed. Use default order
inside the room for order ?'s (hold all coumadin, assess for
bleeding, prepare Vit K (antidote for Coumadin),
Call or notify
For airborne precautions the mask is removed
where? - - outside of the room
Potassium lab values - - 3.5-5.3 If low it is
a critical lab to worry about assess the heart and
Avoid answers with what words for children 9 then prepare to give K
mths and younger? - - build, sort, stack, if high, hold all K, assess heart (EKG), give D5W
construct, make and reg insulin, call
if really high, hold, assess, prepare, call STAT
Get someone else involved! Dangerous!!
Toddlers (1-3) work on - - their gross motor
skills (jump, hop, throw), NO fine motor, parallel
play pH lab values - - 7.35-7.45 if pH is in the
, NCLEX study from Mark Klimek Test Questions and Answers
Rated A
6;s VERY dangerous remember as the patient's
pH goes so goes the patient BNP lab value - - less than 100 is normal,
If bad vitals, call rapid response team good indicator of CHF, edema, if elevated assess
s/s of CHF
BUN lab values - - 8-30 check for
dehydration if elevated not a big deal, just be NA lab values - - 135-145, if a change in
concerned LOC then evaluate for fall/safety risk
If a deadly or dangerous lab value is discovered WBC lab values - - 5000-11000 if low
AND they have symptoms call the - - rapid assess for infection
response team!
CD4 count less than 200 equals - - AIDS
HgB lab values - - 12-18 check for
bleeding if low or high, if low prepare for
tranfussion Neutropenic precautions (low WBC) - -
strict handwashing, avoid crowds, private room,
low bacteria diet (no raw or undercooked), no
HCO3 lab values - - 22-26 if it is abnormal water that has been standing longer than 15 min,
so what! vital signs Q4H
CO2 lab values - - 35-45 if in the 50's Platelets lab value - - 150000-400000 if
assess respiratory status and have patient do lower than 90000 bad if lower than 40000
pursed lip breathing, if in 60's considered deadly REALLY bad, if they sneeze they could die.
and respiratory failure, need intubated Called thrombocytopenia
Hct lab values - - 36-54 thickness of blood Bleeding precautions - - no venipuncture,
if abnormal not too big of a deal, assess for injection or IV, if necessary use small guage,
dehydration handle patient gently, use drawsheet, no razor,
no toothbrush, blow nose gently, no aspriin, no
rectal temp, no hard foods
PO2 lab values - - 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 RBC lab values - - 4-6 million abnormal
intubation, call resp therapy and call Dr doesn't really matter
O2 sat lab values - - 93-100 pulse ox, if Reason for laminectomy - - treat nerve root
under 93 assess resp status and give O2 compression
Rated A
Hyperthyroidism is also called - - Grave's 48 hours hypocalcemia leading to tetany
disease or hypermetabolism
Risks post op for sub total thyroidectomy - -
Tip to remember Grave's disease s/s's - - airway, hemorrage for 1st 12 hours then for 12-
"Run yourself into the Grave" - everything is up 48 hours thyroid storm
... diarrhea, thin, hot, high BP, high HR, cold
tolerance, hot intolerance
Hypothyroidism is also called - -
Myxedema or hypometabolism
Treatment for Grave's disease - -
Radioactive Iodine, PTU (put thyroid under),
surgically remove S/S of mydexema - - everything is down,
constipation, heat tolerance, cold intolerance
Total thyroidectomy ... totals get - - tetany,
need lifelong hormone replacement Treatment for mydexema - - give thyroid
medications
After thyroidectomy patients are at risk for -
- hypocalcemia, remember hypocalcemia Where to put the 5 ice packs to cool a thyroid
is opposite of the prefix and anything to BP so storm patient - - neck pits groin
tetany, parasthesia
If you cool a patient too fast what might happen?
parathesia - - numbness and tingling, first - - Heart arrythmias
sign of electrolyte imbalance
Never hold the hormone for what patient? -
Subtotal thyroidectomy ... subs get - - - patient who is NPO with mydexema
storm
Addison's disease easy way to remember -
S/S of thyroid storm - - Extremely high vital - Add a Sone (sone = steroid)
signs, hyperpyrexia, psychotic delerium
Adrenal Cortex diseases easy way to remember -
How to treat thyroid storm - - give o2, - A in Adrenal stands for Addison's
lower temp to spare brain C in Cortex stands for Cushing's
Risks post op for total thyroidectomy - - Addison's disease is - - undersecretion of
airway, hemorrhage for 1st 12 hours then for 12- adrenal cortex, not enough hormone,
,NCLEX study from Mark Klimek Test Questions and Answers
Rated A
BRONZE/tan, go into shock very easily. STRESS
can trigger.
Preschoolers (3-6) work on - - fine motor,
balance (tumbling, dance, tricycle), cooperative
Addison's disease treatment - - give a play, pretend
steroid, chronic steroid therapy
School age (7-11) work on - - creative,
Cushing's syndrome - - Over secretion of collect, competitive
adrenal cortex, too much hormone, too much
steroid.
Best default order for click and drag order
questions? - - Hold ..... med
S/S of Cushing's syndrome - - same as Assess ..... what med does
steroid use ... moon face, think cushman "I'm Prepare ...... the correction
mad I have an infection", high blood sugar, losing Call ..... or notify
Potassium,
Rarely if ever answer ... - - call Doctor,
Treatment for Cushing's syndrome - - NCLEX wants you to think critically
Surgery, bi or uni lateral adrenalectomy (bilateral
is worse)
Creatinine lab values - - same as lithium
0.6-1.2 Not a huge worry, not a dangerous lab to
Donning PPE's order - - Gown, Mask, worry about
Goggles, Gloves
INR lab values - - 2-3, critical value if off,
Removing PPE's order - - alphabetically potential for patient to bleed. Use default order
inside the room for order ?'s (hold all coumadin, assess for
bleeding, prepare Vit K (antidote for Coumadin),
Call or notify
For airborne precautions the mask is removed
where? - - outside of the room
Potassium lab values - - 3.5-5.3 If low it is
a critical lab to worry about assess the heart and
Avoid answers with what words for children 9 then prepare to give K
mths and younger? - - build, sort, stack, if high, hold all K, assess heart (EKG), give D5W
construct, make and reg insulin, call
if really high, hold, assess, prepare, call STAT
Get someone else involved! Dangerous!!
Toddlers (1-3) work on - - their gross motor
skills (jump, hop, throw), NO fine motor, parallel
play pH lab values - - 7.35-7.45 if pH is in the
, NCLEX study from Mark Klimek Test Questions and Answers
Rated A
6;s VERY dangerous remember as the patient's
pH goes so goes the patient BNP lab value - - less than 100 is normal,
If bad vitals, call rapid response team good indicator of CHF, edema, if elevated assess
s/s of CHF
BUN lab values - - 8-30 check for
dehydration if elevated not a big deal, just be NA lab values - - 135-145, if a change in
concerned LOC then evaluate for fall/safety risk
If a deadly or dangerous lab value is discovered WBC lab values - - 5000-11000 if low
AND they have symptoms call the - - rapid assess for infection
response team!
CD4 count less than 200 equals - - AIDS
HgB lab values - - 12-18 check for
bleeding if low or high, if low prepare for
tranfussion Neutropenic precautions (low WBC) - -
strict handwashing, avoid crowds, private room,
low bacteria diet (no raw or undercooked), no
HCO3 lab values - - 22-26 if it is abnormal water that has been standing longer than 15 min,
so what! vital signs Q4H
CO2 lab values - - 35-45 if in the 50's Platelets lab value - - 150000-400000 if
assess respiratory status and have patient do lower than 90000 bad if lower than 40000
pursed lip breathing, if in 60's considered deadly REALLY bad, if they sneeze they could die.
and respiratory failure, need intubated Called thrombocytopenia
Hct lab values - - 36-54 thickness of blood Bleeding precautions - - no venipuncture,
if abnormal not too big of a deal, assess for injection or IV, if necessary use small guage,
dehydration handle patient gently, use drawsheet, no razor,
no toothbrush, blow nose gently, no aspriin, no
rectal temp, no hard foods
PO2 lab values - - 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 RBC lab values - - 4-6 million abnormal
intubation, call resp therapy and call Dr doesn't really matter
O2 sat lab values - - 93-100 pulse ox, if Reason for laminectomy - - treat nerve root
under 93 assess resp status and give O2 compression
