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mnemonics CROUP - S/Sx X - X-ray shows collapse

HYPERNATREMIA SSS
FRIED SALT S - Stridor  PNEUMONIA -  risk factors 
F - Fever (low), flushed skin  S - Subglottic swelling  INSPIRATION 
R - Restless (irritable)  S - Seal-bark cough I - Immunosuppression 
I - Increased fluid retention & increased BP  N - Neoplasia 
E - Edema (peripheral and pitting)  SHORTNESS OF BREATH - Causes S - Secretion retention 
D - Decreased urinary output, dry mouth  AAAA PPPP  P - Pulmonary oedema 
A - Airway obstruction  I - Impaired alveolar macrophages 
SALT  A - Angina  R - RTI (prior) 
S - Skin flushed  A - Anxiety  A - Antibiotics & cytotoxics 
A - Agitation  A - Asthma  T - Tracheal instrumentation 
L - Low-grade fever  P - Pneumonia  I - IV dug abuse 
T - Thirst P - Pneumothorax  O - Other (general debility, immobility) 
P - Pulmonary Edema  N - Neurologic impairment of cough reflex, (eg
HYPERKALEMIA - Signs & Symptoms  P - Pulmonary Embolus NMJ disorders)
MURDER
M - Muscle weakness  CROUP - S/Sx
U - Urine, oliguria, anuria  HYPERNATREMIA SSS
R - Respiratory distress  FRIED SALT S - Stridor 
D - Decreased cardiac contractility  F - Fever (low), flushed skin  S - Subglottic swelling 
E - ECG changes  R - Restless (irritable)  S - Seal-bark cough
R - Reflexes, hyperreflexia, or areflexia (flaccid) I - Increased fluid retention & increased BP 
E - Edema (peripheral and pitting)  SHORTNESS OF BREATH - Causes
HYPERKALEMIA - Causes D - Decreased urinary output, dry mouth  AAAA PPPP 
MACHINE A - Airway obstruction 
M - Medications - ACE inhibitors, NSAIDS  SALT  A - Angina 
A - Acidosis - Metabolic and respiratory  S - Skin flushed  A - Anxiety 
C - Cellular destruction - Burns, traumatic injury  A - Agitation  A - Asthma 
H - Hypoaldosteronism/ hemolysis  L - Low-grade fever  P - Pneumonia 
I - Intake - Excessive  T - Thirst P - Pneumothorax 
N - Nephrons, renal failure  P - Pulmonary Edema 
E - Excretion - Impaired HYPERKALEMIA - Signs & Symptoms  P - Pulmonary Embolus
MURDER
HYPOCALCEMIA  M - Muscle weakness 
CATS U - Urine, oliguria, anuria  s/sx
C - Convulsions  R - Respiratory distress 
A - Arrhythmias  D - Decreased cardiac contractility  1. PTB – low-grade afternoon fever.
T - Tetany  E - ECG changes 
S - Spasms and stridor R - Reflexes, hyperreflexia, or areflexia (flaccid) 02. PNEUMONIA – rusty sputum.
BLEEDING - S/Sx HYPERKALEMIA - Causes 03. ASTHMA – wheezing on
BEEP MACHINE expiration.
B - Bleeding gums  M - Medications - ACE inhibitors, NSAIDS 
E - Ecchymoses (bruises)  A - Acidosis - Metabolic and respiratory 
E - Epistaxis (nosebleed)  04. EMPHYSEMA – barrel chest.
C - Cellular destruction - Burns, traumatic injury 
P - Petechiae (tiny purplish spots) H - Hypoaldosteronism/ hemolysis 
I - Intake - Excessive  05. KAWASAKI SYNDROME –
RESPIRATORY DEPRESSION - inducing N - Nephrons, renal failure  strawberry tongue.
drugs E - Excretion - Impaired
STOP breathing  06. PERNICIOUS ANEMIA – red beefy
S - Sedatives and hypnotics  HYPOCALCEMIA  tongue.
T - Trimethoprim  CATS
O - Opiates  C - Convulsions  07. DOWN SYNDROME – protruding
P - Polymyxins A - Arrhythmias  tongue.
T - Tetany 
PNEUMOTHORAX - S/Sx S - Spasms and stridor 08. CHOLERA – rice watery stool.
P-THORAX
P - Pleuretic pain  BLEEDING - S/Sx 09. MALARIA – stepladder like fever
T - Trachea deviation  BEEP with chills.
H - Hyperresonance  B - Bleeding gums 
O - Onset sudden  E - Ecchymoses (bruises) 
R - Reduced breath sounds (& dypsnea)  10. TYPHOID – rose spots in
E - Epistaxis (nosebleed) 
A - Absent fremitus  abdomen.
P - Petechiae (tiny purplish spots)
X - X-ray shows collapse
RESPIRATORY DEPRESSION - inducing 11. DIPTHERIA – pseudo membrane
PNEUMONIA -  risk factors  drugs formation
INSPIRATION  STOP breathing 
I - Immunosuppression  S - Sedatives and hypnotics  12. MEASLES – koplik’s spots.
N - Neoplasia  T - Trimethoprim 
S - Secretion retention  O - Opiates  13. SLE – butterfly rashes.
P - Pulmonary oedema  P - Polymyxins
I - Impaired alveolar macrophages  14. LIVER CIRRHOSIS – spider like
R - RTI (prior)  PNEUMOTHORAX - S/Sx varices.
A - Antibiotics & cytotoxics  P-THORAX
T - Tracheal instrumentation  P - Pleuretic pain  15. LEPROSY – lioning face.
I - IV dug abuse  T - Trachea deviation 
O - Other (general debility, immobility)  H - Hyperresonance  16. BULIMIA – chipmunk face.
N - Neurologic impairment of cough reflex, (eg O - Onset sudden 
NMJ disorders) R - Reduced breath sounds (& dypsnea) 
17. APPENDICITIS – rebound
A - Absent fremitus 
tenderness. 41. PARKINSON’S – Pill-rolling tremors

18. DENGUE – petechiae or (+) 42. FIBRIN HYALIN – Expiratory Grunt


Herman’s sign.
43. CYSTIC FIBROSIS – Salty skin
19. MENINGITIS – Kernig’s sign (leg
flex then leg pain on extension), 44. DM – polyuria, polydypsia,
Brudzinski sign (neck flex = lower leg polyphagia
flex). Nurses Licensure Exam NLE NURSING
45. DKA – Kussmauls breathing (Deep PRACTICE 05
20. TETANY – hypocalcemia (+) Rapid RR)
Trousseau’s sign/carpopedal spasm;
Answer the 20 item exam
Chvostek sign (facial spasm). 46. BLADDER CA – painless hematuria
and get your scores below!
21. TETANUS – risus sardonicus. 47. BPH – reduced size & force of
urine
22. PANCREATITIS – Cullen’s sign
(ecchymosis of umbilicus); (+) Grey 48. PEMPHIGUS VULGARIS – 1. When 40 year old Tom was admitted to the
turners spots. Nikolsky’s sign (separation of hospital, he frequently exposes himself to female
epidermis caused by rubbing of the staff nurses. He derives pleasure at the sight of
shrieking woman. This is behavior is known as:
23. PYLORIC STENOSIS – olive like skin)
mass.
A. Necrophilia
49. RETINAL DETACHMENT – Visual
24. PDA – machine like murmur. Floaters, flashes of light, curtain vision
B. Sadism
25. ADDISON’S DISEASE – bronze like 50. GLAUCOMA – Painfull vision loss,
skin pigmentation. tunnel/gun barrel/halo vision C. Voyeurism
(Peripheral Vision Loss)
26. CUSHING’S SYNDROME – moon D. Exhibitionism
face appearance and buffalo hump. 51. CATARACT – Painless vision loss, 2. The nurse responds to this behavior by:
Opacity of the lens, blurring of vision
27. HYPERTHYROIDISM/GRAVE’S
DISEASE – exopthalmus. 52. RETINO BLASTOMA – Cat’s eye A. Ignoring his behavior, realizing that he
reflex (grayish discoloration of pupils) has low self-esteem
28. INTUSSUSCEPTION – sausage
shaped mass, Dance Sign (empty 53. ACROMEGALY – Coarse facial
portion of RLQ) feature
B. Informing him that the behavior is
unacceptable, limit setting is appropriate
29. MS – Charcot’s Triad (IAN) 54. DUCHENNE’S MUSCULAR
DYSTROPHY – Gowers’ sign (use of
30. MG – descending muscle hands to push one’s self from the
weakness floor) C. Holding a ward meeting where unit
appropriate behavior is discussed
31. Guillain Barre Syndrome – 55. GERD – Barretts esophagus
ascending muscle weakness (erosion of the lower portion of the
esophageal mucosa) D. Ask the Psychiatrist to confront Tom�s
32. DVT – Homan’s Sign behavior
56. HEPATIC ENCEPHALOPATHY –
33. CHICKEN POX – Vesicular Rash Flapping tremors
(central to distal) dew drop on rose 3. In order to get into areas of sex life of a patient,
the nurse must first be:
petal 57. HYDROCEPHALUS – Bossing sign
(prominent forehead)
34. ANGINA – Crushing stubbing pain
relieved by NTG 58. INCREASE ICP – HYPERtension A. Secure about her own sexuality
BRADYpnea BRADYcardia (Cushing’s
35. MI – Crushing stubbing pain which Triad)
radiates to left shoulder, neck, arms,
B. Knowledgeable in what is proper and
unrelieved by NTG 59. SHOCK – HYPOtension TACHYpnea
what is improper sexual behavior
TACHYcardia
36. LTB – inspiratory stridor
60. MENIERE’S DSE – Vertigo, Tinnitus
37. TEF – 4Cs’ Coughing, Choking, C. Keen about the varieties of sexual
Cyanosis, Continous Drooling 61. CYSTITIS – burning on urination expressions

38. EPIGLOTITIS – 3Ds’ Drooling, 62. HYPOCALCEMIA – Chvostek &


Dysphonia, Dysphagia Trosseaus sign D. Interested, natural and human

39. HODGEKIN’S DSE/LYMPHOMA – 63. ULCERATIVE COLITIS – recurrent


painless, progressive enlargement of bloody diarrhea 4. When the nurse enters the patients room and
spleen & lymph tissues, Reedstenberg sees him openly masturbate, what is the best
approach to follow?
Cells 64. LYME’S DSE – Bull’s eye rash

40. INFECTIOUS MONONUCLEOSIS –


Hallmark: sore throat, cervical lymph A. Provide privacy and leave the patient
adenopathy, fever
B. Warn the patient that masturbation can C. 1,2,4 B. Initiative vs. guilt
lead to serious illnesses

D. 1,3,4 C. Trust vs. Mistrust


C. Report the incident to the head nurse
and record the observation
8. In providing nursing care for Baffy during her
acute stress reaction to rape trauma, Nurse Lena D. Autonomy vs. Shame and Doubt
applies which of the following?
D. Tell the patient that masturbation is an
12. The best strategy that the nurse can use to
unacceptable
provide a trusting relationship with an autistic
A. Collaboration with community agencies child like Sheila is to:
5. Baffy, 25y/o was sexually abused by a pedicab
driver while on her way home from work one
evening as a cashier in a 24 hour convenience
store. She was brought to the ER with bruises all B. Crisis intervention techniques A. Reinforce positive behavior through
over her body. She was crying uncontrollably & praise and rewards
appears to be very anxious. Nurse Lena
therapeutically communicates with her, saying: C. Physical assessment
B. Explain to the child activities and
routines
A. You are very upset, calm yourself first D. Teaching & Learning principles
Baffy. I can�t understand you.
C. Provide a structured environment
9. To become a patient advocate to rape victims,
nurse Lena should note the following
B. I know something terrible & horrifying responsibilities:
happened to you. D. Convey warmth through touch

A. Since this is a legal case, call the press 13. A distinguishing factor that separates conduct
C. Would you like to relate to me what disorder from oppositional defiant disorder in
happened? children include the following:
B. Isolate the patient first to provide
privacy while attending to other patients
D. Can you identify your abuser? A. Obvious symptoms at birth

6. For victims of sexual abuse like Baffy, nurse C. Postpone the physical examination, until
Lena can help lower her level of anxiety by: the patient is calm B. Violation of rights of others

A. Assessing her family history D. Perform thorough physical assessment C. Opposition to authority
& document objectively all evidences of rape

B. Allowing her to express feelings & 10. Sheila, 5 years old, was diagnosed as autistic D. Angry outburst
concern since she was 1 year old. This disorder is
characterized by:
14. A normal response to hospitalization for a
young child is:
C. Identifying coping mechanisms
A. Anxiety induced involuntary stereotype
motor movements
A. being emotionally upset
D. Teaching about human sexuality

7. Emergency care to be given for Rape victims B. Inappropriate behavior, poor attention
span with impulsivity B. withdrawal from the family
are as follows:
___ 1. If a victim calls the hospital, tell her not to
bathe, shower, wash or change clothes, just go the
directly to the hospital C. Negativistic, hostile and defiant C. regressive behavior
___ 2. Provide privacy and be judgemental behavior
___ 3. Stay with the victim, focus on physical
safety & emotional security
___ 4. Assist in pelvic examination to collect D. free-floating anxiety
evidences such as semen, stains D. Failure to develop interpersonal skills
15. Prevention of mental retardation begins:
11. At her age, Sheila is at what stage of
A. 1,2,3 psychosocial development?
A. As soon as pregnancy is suspected

B. 2,3,4 A. Industry vs. Inferiority


B. With family planning
20. B. problems are resolved

C. During the first trimester of pregnancy B. Encourage the parents to discuss these
issues with the mental health team

D. During the second trimester of


pregnancy C. Provide literature regarding the disorder
and its management
16. The real issue in school phobia is not the
school itself, but the:
D. Tell the parents they are overreacting to
the problem
A. separation from the mother
20. The final stage of nurse-client relationship is
the termination phase where the:
B. teacher

A. problems are identified


C. school work

B. problems are resolved


D. hostile classmates

C. problems are examined


17. The priority nursing action for a child with
Separation Anxiety disorder is:

D. contract is specified
A. Assist the child to return to school
immediately with family support answer

1. D. Exhibitionism
B. Arrange for a home-school teacher to
visit for 2 weeks 2. B. Informing him that the behavior is
unacceptable, limit setting is appropriate

3. A. Secure about her own sexuality


C. Encourage family discussion of various
problem areas 4. A. Provide privacy and leave the patient

5. B. I know something terrible & horrifying


D. Use play therapy to help the child happened to you.
express his feelings
6. B. Allowing her to express feelings & concern
18. A child with a depressive disorder is likely to
exhibit: 7. D. 1,3,4

8. B. Crisis intervention techniques

A. Negativism and acting out 9. D. Perform thorough physical assessment &


document objectively all evidences of rape

B. Sadness and crying 10. D. Failure to develop interpersonal skills

11. B. Initiative vs. guilt

C. Suicidal thoughts 12. D. Convey warmth through touch

13. B. Violation of rights of others


D. Weight gain
14. A. being emotionally upset
19. The parents of a child with Attention Deficit
Hyperactivity disorder tells the nurse that they 15. B. With family planning
have tried everything to calm their child and
nothing has worked. Which action is most 16. A. separation from the mother
appropriate initially?
17. C. Encourage family discussion of various
problem areas
A. Actively listen to the parents concern
18. B. Sadness and crying
before planning interventions
19. A. Actively listen to the parents concern
before planning interventions

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