Nclex Ncsbn Questions

Front 1

Huntington's Dz s/s

Back 1

Chorea: jerky involuntary movements affecting the shoulders, hips, face

Front 2

Rx for Huntington's Dz

Back 2

tetrabenazine (psychotropic)

Front 3

Dystonia

Back 3

neuromuscular movement disorder --> muscle contractions causing twisting & repetitive movements OR abnormal postures.

Worsened by voluntary movements

Front 4

pyridostigmine

Back 4

* Anticholinesterase

-Should be taken 30-60 minutes ac

*For Myasthenia Gravis d/t progressive muscular weakness

Front 5

What Rx for Trigeminal Neuralgia?

Back 5

Anticonvulsants

-dec pain impulses and provides pn relief

Front 6

Tx for migranes and cluster h/a?

Back 6

Triptans

Front 7

Meningitis

Back 7

-occurs quickly over several days from exposure
-sudden onset fever, h/a, photosensitivity, stiff neck
-babies: high fever, constant crying, excess sleepy or irritability, poor feeding

Front 8

Tonic-clonic seizure aka? s/s?

Back 8

-Grand mal seizure

* Clonic (shaking) phase last longer than tonic phase (rigid contracture of muscles)

Front 9

Migraine triggers?

Back 9

Tyramine (aged cheese)

MSG

Caffeine

Chocolate

Front 10

Broca's area

Back 10

Front lobe

-difficulty w/ speech --> Expressive aphasia

Front 11

Wernicke's Area

Back 11

Difficulty w/ comprehension --> RECEPTIVE aphasia

Front 12

Chronic OPEN-angle glaucoma

Back 12

*Inc pressure of the eye

-Loss of bi-peripheral vision

-Inc intraocular pressure

Front 13

ACUTE CLOSED-angle glaucoma

Back 13

*Fluid blocked and cannot get out of eye = quick, severe rise in pressure.

**Medical ER!!

-Sudden onset of blurred vision

-Severe eye pain

Front 14

Ototoxic Drugs

Back 14

aminoglycosides

antimycobacterials

thiazides

loop diuretics

antineoplastics

Front 15

Strabismus

Back 15

Cross-eyed

Front 16

Pregnancy induced HTN (PIH) progression and duration

Back 16

Can progress to preeclampsia and eclampsia prior to, during or after delivery up to 10 days

Front 17

HHNS vs DKA

Back 17

*HHNS: Type 2 DM, BG @least 600, dehydration, ph>7.3, altered consciousness

Front 18

Diabetes screening in pregnant women

Back 18

btw 24-28 weeks

babies > 9 lbs @ birth

Front 19

PUD Tx

Back 19

PPI

Metronidazole

Tetracycline

Bismuth Subsalicylate

Front 20

PUD Complications

Back 20

DUMPING SYNDROME

PERNICIOUS ANEMIA R/T loss of intrinsic factor needed to absorb Vit B12

Front 21

PUD Tx

Back 21

Slow eating

LOW carb

HIGH protein + fat

*Avoid liquids w/meals

Front 22

H2 receptor antagonists suffix

Back 22

-tidine

Front 23

Proton Pump Inhibs suffix

Back 23

-prazole

Front 24

GERD Tx

Back 24

Nissan Fundoplication

Front 25

Ulcerative Colitis

Back 25

15-35 yo & 50-70 yo

**Involves ONLY the COLON; starts in rectum

Bleed + Diarrhea: 2-3/day

Protein loss in stools

Thickening and narrowing of colon

*Impaired absorption of FAT-soluble Vits (E,K)

Can affect the LIVER, joints, skin & eyes

Front 26

Crohn's Dz

Back 26

15-30 yo

*non-continuous & can be ANYWHERE in GI tract

Diarrhea w/ unprocessed fats w/o blood/mucus

*RLQ abdominal pain

*Complications: PERITONITIS r/t bowel perforation

Tx: NPO -- acute stage, TPN, or PPN. ENTERAL nutrition:

- Hi calories + protein, LOW roughage + fat AFTER acute stage.

*Rx: sulfasalazine

Front 27

Diverticular Dz

Back 27

*r/t low fiber diet + obesity

S/S: low grade fever, anorexia, chills, nausea

*Crampy LLQ + leukocytosis (inc WBC)

*alternating CONSTIPATION + DIARRHEA

*complcation: PERITONITIS, fistula, obstrxn, BLEED

Front 28

Diverticulosis

Back 28

outpouching; no infxn

Tx: HI fiber + HI residue

Front 29

DivertiCULITIS

Back 29

inflammation + infxn

Tx: ABX + LOW fiber diet (ACUTE phase) to rest the bowels

*Bowel RESECTION. Temp colostomy.

Front 30

CONSTIPATION Laxatives

Back 30

Milk of Magnesia

Magnesium citrate

Bisacodyl, Psyllium, Mineral oil, docusate sodium

Front 31

Enemas

Back 31

500-1000 ml saline soap

100-120 ml retention oil

Fleet's enema: 100 ml

Front 32

Diarrhea Rx

Back 32

Dec motility --> loperamide, diphenoxylate

ACUTE = no solid food for 24 hours

SEVERE = r/t infxn. Need antimicrobials

Front 33

Assessing CONSTIPATION + DIARRHEA

Back 33

Amount

Color

Consistency

Time (duration)

Front 34

Hepatitis types

Back 34

A: ass to mouth r/t poor sanitation + overcrowding.

*Havrix vaccine

B: blood through skin & sex

*Recombivax, Engerix B

C: Carriers from needles --> l/t cirrhosis + liver CA

D: blood through skin + sex. Like B

**NO VACCINE

E: ass to mouth r/t waterborne illness

** NO VACCINE

Front 35

Cirrhosis s/s

Back 35

*RUQ pain

Dec clotting factors

EDEMA + ASCITES r/t dec proteins and inc aldosterone

*HYPOGLYCEMIA r/t non-conversion of glycogen to glucose

*DARK urine and fatty CLAY-COLORED stools

Front 36

Cirrhosis complications

Back 36

ASCITES

Hepatic encephalopathy

PORTAL HTN

Front 37

Cirrhosis Tx

Back 37

Fat-soluble vitamins includ Vit B

Steroids

*HI Carbs, reduce protein + Na

2-3k calories/day

Front 38

Portal HTN

Back 38

hemorrhoids

enlarged spleen

esophageal varices/ GI bleed

Anemia

Front 39

Portal HTN Tx

Back 39

Schlerotherapy

Balloon tamponade --> Blakemore tube

*Dec pressure in portal system => VASOPRESSIN + BETA BLOCKERS

*TIPS shunt

Fresh Frozen Plasma (FFP) + Vit K

Front 40

Hepatic Encephalopathy

Back 40

Asterixis: flapping tremors

Resp Alkalosis r/t hyperventilation

Fetor hepaticus: sweet breath

CONFUSION to COMA

Front 41

Hepatic Encephalopathy Tx

Back 41

Neomycin sulfate

Lactulose

LOW protein diet

Front 42

Hepatitis s/s

Back 42

JAUNDICE

Dark urine r/t excess urobilin excretion

Clay-colored stools bc no bilirubin excreted; bilirubin excreted via urine

Pruritus r/t bile salts

RUQ pain r/t edema & inflammed liver

Anorexia, N/V, weight loss

Anemia

Liver CA

Front 43

Pancreatitis

Back 43

*LUQ pain

HYPOVOLEMIA + shock r/t hemorrhage

Cullen's sign + Gray Turner's (flank bruising) r/t hemorrhage; striae

*Pain AFTER eating & when lying FLAT

HYPERGLYCEMIA + HYPOcalcemia