©SIRJOEL EXAM SOLUTIONS
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AACN Exam Questions And Correct
Answers
Charcot's Triad - answer✔RUQ pain, fever, jaundice (indicates cholangitis)
Reynold's pentad - answer✔RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening
cholangitis)
Murphy's sign - answer✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
Psoas sign - answer✔RLQ pain with extension of right thigh/hip indicative of appendicitis
Kehr's sign - answer✔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 - answer✔Ecchymosis in periumbilical area, seen with pancreatitis
Grey Turner's sign - answer✔Atraumatic ecchymosis in the flank, typically indicating
hemorrhagic pancreatitis
Beck's triad - answer✔JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade)
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Cushing's triad - answer✔bradycardia, bradypnea, hypertension (indicate increased ICP; normal
ICP=5-15 mm Hg)
Charcot's neurologic triad - answer✔Nystagmus, staccato speech, intentional tremor (indicate
MS)
Virchow's triad - answer✔Venous stasis, hypercoagulability, endothelial damage (high risk of
thrombosis)
Shock Triad - answer✔Hypotension, tachycardia, tachypnea
Opioid Poisoning Triad - answer✔CNS depression (AMS, coma), respiratory depression, miosis
(pinpoint pupils)
Wolf-Parkinson-White Syndrome: 3 signs - answer✔short PR interval, delta waves, and wide
QRS complex
Behcet's disease - answer✔Recurrent oral ulcers, genital ulcers, eye inflammation
3 D's of pellagra (niacin, vit B3, deficiency) - answer✔Diarrhea, dementia, dermatitis
Serotonin Syndrome - answer✔Similar to NMS but caused by serotonin medications, and has
HYPERreflexive muscle activity
Symptoms= mental status changes and hyperthermia. Treatment=cyproheptadine
Neuroleptic Malignant Syndrome - answer✔Adverse reaction to antipsychotics with severe "lead
pipe" rigidty, FEVER (102-104), tachycardia, tachypnea, mental status changes
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lethal triad of trauma - answer✔Hypothermia, acidosis, coagulopathy
Neurogenic shock: 3 symptoms - answer✔Hypothermia, hypotension, bradycardia
Whipple's triad - answer✔1. Fasting hypoglycemia <50
2. Symptoms during hypoglycemia
3. Immediate relief of symptoms after the administration of IV glucose
(suggest insulinoma)
Reactive arthritis rhyme - answer✔Can't see (conjunctivitis), can't pee (urethritis or cervicitis),
can't climb a tree (arthritis)
Murphy's Triad - answer✔RLQ pain, nausea/vomiting, fever (indicates appendicitis)
Acidosis vs Alkalosis - answer✔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
Alkalosis: pH is up, pCO2 is up
ACE Inhibitors - answer✔"PRIL" Captopril, Enalapril, Afosiopril
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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 - answer✔"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
Cholesterol Medications end in - answer✔-statin
Beta blockers end in - answer✔-olol
Calcium Channel Blockers end in - answer✔-dipine (and verapamil and diltiazem)
