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mnemonics S - Subglottic swelling S - Secretion retention

HYPERNATREMIA S - Seal-bark cough P - Pulmonary oedema


FRIED SALT I - Impaired alveolar macrophages
F - Fever (low), flushed skin SHORTNESS OF BREATH - Causes R - RTI (prior)
R - Restless (irritable) AAAA PPPP A - Antibiotics & cytotoxics
I - Increased fluid retention & increased BP A - Airway obstruction T - Tracheal instrumentation
E - Edema (peripheral and pitting) A - Angina I - IV dug abuse
D - Decreased urinary output, dry mouth A - Anxiety O - Other (general debility, immobility)
A - Asthma N - Neurologic impairment of cough reflex, (eg
SALT P - Pneumonia NMJ disorders)
S - Skin flushed P - Pneumothorax
A - Agitation P - Pulmonary Edema CROUP - S/Sx
L - Low-grade fever P - Pulmonary Embolus SSS
T - Thirst S - Stridor
S - Subglottic swelling
HYPERKALEMIA - Signs & Symptoms HYPERNATREMIA S - Seal-bark cough
MURDER FRIED SALT
M - Muscle weakness F - Fever (low), flushed skin SHORTNESS OF BREATH - Causes
U - Urine, oliguria, anuria R - Restless (irritable) AAAA PPPP
R - Respiratory distress I - Increased fluid retention & increased BP A - Airway obstruction
D - Decreased cardiac contractility E - Edema (peripheral and pitting) A - Angina
E - ECG changes D - Decreased urinary output, dry mouth A - Anxiety
R - Reflexes, hyperreflexia, or areflexia (flaccid) A - Asthma
SALT P - Pneumonia
HYPERKALEMIA - Causes S - Skin flushed P - Pneumothorax
MACHINE A - Agitation P - Pulmonary Edema
M - Medications - ACE inhibitors, NSAIDS L - Low-grade fever P - Pulmonary Embolus
A - Acidosis - Metabolic and respiratory T - Thirst
C - Cellular destruction - Burns, traumatic injury
H - Hypoaldosteronism/ hemolysis HYPERKALEMIA - Signs & Symptoms s/sx
I - Intake - Excessive MURDER
N - Nephrons, renal failure M - Muscle weakness
E - Excretion - Impaired U - Urine, oliguria, anuria
1. PTB – low-grade afternoon
R - Respiratory distress fever.
HYPOCALCEMIA D - Decreased cardiac contractility
CATS E - ECG changes 02. PNEUMONIA – rusty
C - Convulsions R - Reflexes, hyperreflexia, or areflexia (flaccid) sputum.
A - Arrhythmias
T - Tetany HYPERKALEMIA - Causes 03. ASTHMA – wheezing on
S - Spasms and stridor MACHINE expiration.
M - Medications - ACE inhibitors, NSAIDS
BLEEDING - S/Sx A - Acidosis - Metabolic and respiratory 04. EMPHYSEMA – barrel
BEEP C - Cellular destruction - Burns, traumatic injury chest.
B - Bleeding gums H - Hypoaldosteronism/ hemolysis
E - Ecchymoses (bruises) I - Intake - Excessive 05. KAWASAKI SYNDROME –
E - Epistaxis (nosebleed) N - Nephrons, renal failure strawberry tongue.
P - Petechiae (tiny purplish spots) E - Excretion - Impaired
06. PERNICIOUS ANEMIA – red
RESPIRATORY DEPRESSION - inducing HYPOCALCEMIA beefy tongue.
drugs CATS
STOP breathing C - Convulsions
S - Sedatives and hypnotics 07. DOWN SYNDROME –
A - Arrhythmias
T - Trimethoprim T - Tetany protruding tongue.
O - Opiates S - Spasms and stridor
P - Polymyxins 08. CHOLERA – rice watery
BLEEDING - S/Sx stool.
PNEUMOTHORAX - S/Sx BEEP
P-THORAX B - Bleeding gums 09. MALARIA – stepladder like
P - Pleuretic pain E - Ecchymoses (bruises) fever with chills.
T - Trachea deviation E - Epistaxis (nosebleed)
H - Hyperresonance P - Petechiae (tiny purplish spots) 10. TYPHOID – rose spots in
O - Onset sudden abdomen.
R - Reduced breath sounds (& dypsnea) RESPIRATORY DEPRESSION - inducing
A - Absent fremitus drugs 11. DIPTHERIA – pseudo
X - X-ray shows collapse STOP breathing membrane formation
S - Sedatives and hypnotics
PNEUMONIA - risk factors T - Trimethoprim 12. MEASLES – koplik’s spots.
INSPIRATION O - Opiates
I - Immunosuppression P - Polymyxins 13. SLE – butterfly rashes.
N - Neoplasia
S - Secretion retention PNEUMOTHORAX - S/Sx
P - Pulmonary oedema 14. LIVER CIRRHOSIS – spider
P-THORAX
I - Impaired alveolar macrophages like varices.
P - Pleuretic pain
R - RTI (prior) T - Trachea deviation
A - Antibiotics & cytotoxics H - Hyperresonance 15. LEPROSY – lioning face.
T - Tracheal instrumentation O - Onset sudden
I - IV dug abuse R - Reduced breath sounds (& dypsnea) 16. BULIMIA – chipmunk face.
O - Other (general debility, immobility) A - Absent fremitus
N - Neurologic impairment of cough reflex, (eg X - X-ray shows collapse 17. APPENDICITIS – rebound
NMJ disorders) tenderness.
PNEUMONIA - risk factors
CROUP - S/Sx INSPIRATION 18. DENGUE – petechiae or (+)
SSS I - Immunosuppression Herman’s sign.
S - Stridor N - Neoplasia
19. MENINGITIS – Kernig’s sign adenopathy, fever & Trosseaus sign
(leg flex then leg pain on
extension), Brudzinski sign 41. PARKINSON’S – Pill-rolling 63. ULCERATIVE COLITIS –
(neck flex = lower leg flex). tremors recurrent bloody diarrhea

20. TETANY – hypocalcemia 42. FIBRIN HYALIN – Expiratory 64. LYME’S DSE – Bull’s eye
(+) Trousseau’s Grunt rash
sign/carpopedal spasm;
Chvostek sign (facial spasm). 43. CYSTIC FIBROSIS – Salty
skin
21. TETANUS – risus
sardonicus. 44. DM – polyuria, polydypsia,
polyphagia
22. PANCREATITIS – Cullen’s
sign (ecchymosis of 45. DKA – Kussmauls
umbilicus); (+) Grey turners breathing (Deep Rapid RR)
spots.
46. BLADDER CA – painless
23. PYLORIC STENOSIS – olive hematuria
like mass.
47. BPH – reduced size & force
Nurses Licensure Exam NLE NURSING
24. PDA – machine like of urine
PRACTICE 05
murmur.
48. PEMPHIGUS VULGARIS – Answer the 20 item exam
25. ADDISON’S DISEASE – Nikolsky’s sign (separation of and get your scores below!
bronze like skin pigmentation. epidermis caused by rubbing
of the skin)
26. CUSHING’S SYNDROME –
moon face appearance and 49. RETINAL DETACHMENT – Top of Form
buffalo hump. Visual Floaters, flashes of 1. When 40 year old Tom was admitted to the
light, curtain vision hospital, he frequently exposes himself to female
27. staff nurses. He derives pleasure at the sight of
HYPERTHYROIDISM/GRAVE’S 50. GLAUCOMA – Painfull shrieking woman. This is behavior is known as:
DISEASE – exopthalmus. vision loss, tunnel/gun
barrel/halo vision (Peripheral
28. INTUSSUSCEPTION – Vision Loss) A. Necrophilia
sausage shaped mass, Dance
Sign (empty portion of RLQ) 51. CATARACT – Painless
vision loss, Opacity of the
B. Sadism
29. MS – Charcot’s Triad (IAN) lens, blurring of vision

30. MG – descending muscle 52. RETINO BLASTOMA – Cat’s


weakness eye reflex (grayish C. Voyeurism
discoloration of pupils)
31. Guillain Barre Syndrome –
ascending muscle weakness 53. ACROMEGALY – Coarse D. Exhibitionism
facial feature 2. The nurse responds to this behavior by:
32. DVT – Homan’s Sign
54. DUCHENNE’S MUSCULAR
33. CHICKEN POX – Vesicular DYSTROPHY – Gowers’ sign
Rash (central to distal) dew (use of hands to push one’s A. Ignoring his behavior, realizing that he
has low self-esteem
drop on rose petal self from the floor)

34. ANGINA – Crushing 55. GERD – Barretts


stubbing pain relieved by NTG esophagus (erosion of the B. Informing him that the behavior is
lower portion of the unacceptable, limit setting is appropriate
35. MI – Crushing stubbing esophageal mucosa)
pain which radiates to left
shoulder, neck, arms, 56. HEPATIC C. Holding a ward meeting where unit
unrelieved by NTG ENCEPHALOPATHY – Flapping appropriate behavior is discussed
tremors
36. LTB – inspiratory stridor
57. HYDROCEPHALUS – D. Ask the Psychiatrist to confront Tom�s
37. TEF – 4Cs’ Coughing, Bossing sign (prominent behavior
Choking, Cyanosis, Continous forehead)
3. In order to get into areas of sex life of a patient,
Drooling the nurse must first be:
58. INCREASE ICP –
38. EPIGLOTITIS – 3Ds’ HYPERtension BRADYpnea
Drooling, Dysphonia, BRADYcardia (Cushing’s Triad)
Dysphagia A. Secure about her own sexuality
59. SHOCK – HYPOtension
39. HODGEKIN’S TACHYpnea TACHYcardia
DSE/LYMPHOMA – painless, B. Knowledgeable in what is proper and
progressive enlargement of 60. MENIERE’S DSE – Vertigo, what is improper sexual behavior
spleen & lymph tissues, Tinnitus
Reedstenberg Cells
61. CYSTITIS – burning on C. Keen about the varieties of sexual
40. INFECTIOUS urination
MONONUCLEOSIS – Hallmark:
sore throat, cervical lymph 62. HYPOCALCEMIA – Chvostek
expressions

C. 1,2,4 A. Reinforce positive behavior through


D. Interested, natural and human praise and rewards
4. When the nurse enters the patients room and
sees him openly masturbate, what is the best D. 1,3,4
approach to follow? B. Explain to the child activities and
8. In providing nursing care for Baffy during her routines
acute stress reaction to rape trauma, Nurse Lena
applies which of the following?
A. Provide privacy and leave the patient
C. Provide a structured environment
A. Collaboration with community agencies
B. Warn the patient that masturbation can
lead to serious illnesses D. Convey warmth through touch
B. Crisis intervention techniques 13. A distinguishing factor that separates conduct
disorder from oppositional defiant disorder in
C. Report the incident to the head nurse children include the following:
and record the observation C. Physical assessment

A. Obvious symptoms at birth


D. Tell the patient that masturbation is an D. Teaching & Learning principles
unacceptable
9. To become a patient advocate to rape victims, B. Violation of rights of others
5. Baffy, 25y/o was sexually abused by a pedicab nurse Lena should note the following
driver while on her way home from work one responsibilities:
evening as a cashier in a 24 hour convenience
store. She was brought to the ER with bruises all C. Opposition to authority
over her body. She was crying uncontrollably &
appears to be very anxious. Nurse Lena A. Since this is a legal case, call the press
therapeutically communicates with her, saying:
D. Angry outburst
B. Isolate the patient first to provide 14. A normal response to hospitalization for a
A. You are very upset, calm yourself first privacy while attending to other patients young child is:
Baffy. I can�t understand you.

C. Postpone the physical examination, until A. being emotionally upset


B. I know something terrible & horrifying the patient is calm
happened to you.
B. withdrawal from the family
D. Perform thorough physical assessment
C. Would you like to relate to me what & document objectively all evidences of rape
happened? 10. Sheila, 5 years old, was diagnosed as autistic C. regressive behavior
since she was 1 year old. This disorder is
characterized by:
D. Can you identify your abuser? D. free-floating anxiety
6. For victims of sexual abuse like Baffy, nurse 15. Prevention of mental retardation begins:
Lena can help lower her level of anxiety by: A. Anxiety induced involuntary stereotype
motor movements
A. As soon as pregnancy is suspected
A. Assessing her family history
B. Inappropriate behavior, poor attention
span with impulsivity
B. With family planning
B. Allowing her to express feelings &
concern
C. Negativistic, hostile and defiant
behavior C. During the first trimester of pregnancy

C. Identifying coping mechanisms


D. Failure to develop interpersonal skills D. During the second trimester of
pregnancy
D. Teaching about human sexuality 11. At her age, Sheila is at what stage of
psychosocial development? 16. The real issue in school phobia is not the
7. Emergency care to be given for Rape victims school itself, but the:
are as follows:
___ 1. If a victim calls the hospital, tell her not to
bathe, shower, wash or change clothes, just go the A. Industry vs. Inferiority
A. separation from the mother
directly to the hospital
___ 2. Provide privacy and be judgemental
___ 3. Stay with the victim, focus on physical B. Initiative vs. guilt
safety & emotional security B. teacher
___ 4. Assist in pelvic examination to collect
evidences such as semen, stains C. Trust vs. Mistrust
C. school work

A. 1,2,3 D. Autonomy vs. Shame and Doubt


D. hostile classmates
12. The best strategy that the nurse can use to
provide a trusting relationship with an autistic 17. The priority nursing action for a child with
B. 2,3,4 Separation Anxiety disorder is:
child like Sheila is to:
4. A. Provide privacy and leave the
patient
A. Assist the child to return to school
immediately with family support 5. B. I know something terrible &
horrifying happened to you.

B. Arrange for a home-school teacher to 6. B. Allowing her to express feelings &


visit for 2 weeks concern

7. D. 1,3,4
C. Encourage family discussion of various
problem areas 8. B. Crisis intervention techniques

9. D. Perform thorough physical


D. Use play therapy to help the child assessment & document objectively all
express his feelings evidences of rape
18. A child with a depressive disorder is likely to 10. D. Failure to develop interpersonal
exhibit: skills

11. B. Initiative vs. guilt


A. Negativism and acting out
12. D. Convey warmth through touch

B. Sadness and crying 13. B. Violation of rights of others

14. A. being emotionally upset


C. Suicidal thoughts
15. B. With family planning

D. Weight gain 16. A. separation from the mother


19. The parents of a child with Attention Deficit
Hyperactivity disorder tells the nurse that they 17. C. Encourage family discussion of
have tried everything to calm their child and various problem areas
nothing has worked. Which action is most
appropriate initially? 18. B. Sadness and crying

19. A. Actively listen to the parents


A. Actively listen to the parents concern concern before planning interventions
before planning interventions
20. B. problems are resolved

B. Encourage the parents to discuss these


issues with the mental health team

C. Provide literature regarding the disorder


and its management

D. Tell the parents they are overreacting to


the problem
20. The final stage of nurse-client relationship is
the termination phase where the:

A. problems are identified

B. problems are resolved

C. problems are examined

D. contract is specified
Bottom of Form
answer

1. D. Exhibitionism

2. B. Informing him that the behavior is


unacceptable, limit setting is
appropriate

3. A. Secure about her own sexuality