©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
AACN Exam Questions and Answers
Charcot's Triad - Ans:✔✔-RUQ pain, fever, jaundice (indicates cholangitis)
Reynold's pentad - Ans:✔✔-RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening
cholangitis)
Murphy's sign - Ans:✔✔-pain with palpation of the RUQ during inspiration, indicative of cholecystitis
Psoas sign - Ans:✔✔-RLQ pain with extension of right thigh/hip indicative of appendicitis
Kehr's sign - Ans:✔✔-Left shoulder pain caused by irritation of the undersurface of the diaphragm by
blood leaking from a ruptured spleen. While Kehr's sign (left shoulder pain) is commonly a symptom of
splenic rupture, right shoulder pain typically signals liver or gallbladder irritation
Cullen's sign - Ans:✔✔-Ecchymosis in periumbilical area, seen with pancreatitis
Grey Turner's sign - Ans:✔✔-Atraumatic ecchymosis in the flank, typically indicating hemorrhagic
pancreatitis
Beck's triad - Ans:✔✔-JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade)
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Cushing's triad - Ans:✔✔-bradycardia, bradypnea, hypertension (indicate increased ICP; normal ICP=5-15
mm Hg)
Charcot's neurologic triad - Ans:✔✔-Nystagmus, staccato speech, intentional tremor (indicate MS)
Virchow's triad - Ans:✔✔-Venous stasis, hypercoagulability, endothelial damage (high risk of thrombosis)
Shock Triad - Ans:✔✔-Hypotension, tachycardia, tachypnea
Opioid Poisoning Triad - Ans:✔✔-CNS depression (AMS, coma), respiratory depression, miosis (pinpoint
pupils)
Wolf-Parkinson-White Syndrome: 3 signs - Ans:✔✔-short PR interval, delta waves, and wide QRS
complex
Behcet's disease - Ans:✔✔-Recurrent oral ulcers, genital ulcers, eye inflammation
3 D's of pellagra (niacin, vit B3, deficiency) - Ans:✔✔-Diarrhea, dementia, dermatitis
Serotonin Syndrome - Ans:✔✔-Similar to NMS but caused by serotonin medications, and has
HYPERreflexive muscle activity
Symptoms= mental status changes and hyperthermia. Treatment=cyproheptadine
Neuroleptic Malignant Syndrome - Ans:✔✔-Adverse reaction to antipsychotics with severe "lead pipe"
rigidty, FEVER (102-104), tachycardia, tachypnea, mental status changes
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FIRST PUBLISH OCTOBER 2024
lethal triad of trauma - Ans:✔✔-Hypothermia, acidosis, coagulopathy
Neurogenic shock: 3 symptoms - Ans:✔✔-Hypothermia, hypotension, bradycardia
Whipple's triad - Ans:✔✔-1. Fasting hypoglycemia <50
2. Symptoms during hypoglycemia
3. Immediate relief of symptoms after the administration of IV glucose
(suggest insulinoma)
Reactive arthritis rhyme - Ans:✔✔-Can't see (conjunctivitis), can't pee (urethritis or cervicitis), can't
climb a tree (arthritis)
Murphy's Triad - Ans:✔✔-RLQ pain, nausea/vomiting, fever (indicates appendicitis)
Acidosis vs Alkalosis - Ans:✔✔-ROME:
Respiratory - Opposite
Acidosis: pH is down, pCO2 is up
Alkalosis: pH is up, pCO2 is down
Metabolic - Equal
Acidosis: pH is down, pCO2 is down
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Alkalosis: pH is up, pCO2 is up
ACE Inhibitors - Ans:✔✔-"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful
vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
ARBs - Ans:✔✔-"SARTAN"
Angiotensin II receptor blockers
They decrease blood pressure, increase CO
-Examples: Valsartan (Diovan), Losartan (Cozaar), and Irbesartan (Avapro)
-Uses: hypertension and heart failure
-Nursing Considerations: watch for hyperkalemia, hypotension, and renal dysfunction
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