nclex Flashcards

(65 cards)

1
Q
  1. Best instruction to reduce GERD symptoms?
A

Elevate the head of the bed – gravity reduces reflux.

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2
Q
  1. Finding that suggests Barrett’s esophagus?
A

Metaplastic change of esophageal lining.

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3
Q
  1. Complication of hiatal hernia?
A

GERD due to weakened LES.

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4
Q
  1. Cause of acute gastritis?
A

NSAID use damages gastric mucosa.

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5
Q
  1. Complication of autoimmune gastritis?
A

Vitamin B12 deficiency (pernicious anemia).

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6
Q
  1. Symptom of duodenal ulcer?
A

Pain relieved by food.

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7
Q
  1. How does H. pylori cause ulcers?
A

Weakens gastric mucosal defenses.

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8
Q
  1. Life-threatening PUD complication?
A

Perforation.

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9
Q
  1. Drug that suppresses gastric acid?
A

Proton pump inhibitor (PPI).

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10
Q
  1. IBS description?
A

Functional GI disorder.

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11
Q
  1. Sign of appendicitis?
A

Pain at McBurney’s point.

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12
Q
  1. Rovsing’s sign?
A

RLQ pain when LLQ palpated.

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13
Q
  1. Priority action for suspected appendicitis?
A

Keep patient NPO.

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14
Q
  1. Sign of peritonitis?
A

Rigid, board-like abdomen.

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15
Q
  1. Cause of secondary peritonitis?
A

Intestinal perforation.

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16
Q
  1. Crohn’s disease feature?
A

Transmural inflammation.

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17
Q
  1. UC symptom?
A

Bloody diarrhea.

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18
Q
  1. Why Crohn’s causes fistula?
A

Inflammation is transmural.

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19
Q
  1. Toxic megacolon occurs in?
A

Ulcerative colitis.

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20
Q
  1. Drug to maintain IBD remission?
A

Immunosuppressants.

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21
Q
  1. Most common obstruction cause?
A

Adhesions.

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22
Q
  1. Sign of bowel obstruction?
A

Absent bowel sounds.

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23
Q
  1. Paralytic ileus is?
A

Loss of peristalsis.

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24
Q
  1. Strangulated obstruction causes?
A

Ischemia.

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25
25. CRC develops from?
Adenomatous polyps.
26
26. Best CRC screening test?
Colonoscopy.
27
27. Purpose of CEA?
Monitor recurrence.
28
28. Cause of diverticulosis?
High intraluminal pressure.
29
29. Diverticulitis sign?
LLQ pain with fever.
30
30. Initial diverticulitis care?
Bowel rest.
31
31. Sudden pain + rigid abdomen in PUD?
Perforation.
32
32. Condition with highest sepsis risk?
Peritonitis.
33
33. UC increases risk for?
Colon cancer.
34
34. GERD lifestyle instruction?
Elevate head of bed.
35
35. Sign of intestinal ischemia?
Severe pain disproportionate to exam.
36
36. Best GERD nighttime intervention?
Elevate head of bed.
37
37. Upper GI bleeding sign?
Coffee-ground emesis.
38
38. Drug that coats stomach lining?
Sucralfate.
39
39. Chronic gastritis complication?
Pernicious anemia.
40
40. Gastric ulcer symptom?
Pain 1–2 hours after meals.
41
41. IBS vs IBD difference?
No inflammation.
42
42. Contraindicated in appendicitis?
Heating pad.
43
43. Peritonitis risk?
Hypovolemia.
44
44. Worsening peritonitis sign?
Rebound tenderness.
45
45. Lab elevated in appendicitis?
White blood cell count.
46
46. UC feature?
Continuous colon involvement.
47
47. Crohn’s symptom?
Malabsorption and weight loss.
48
48. Diet during IBD flare?
Low-residue diet.
49
49. Crohn’s unique complication?
Fistula.
50
50. Biologic for IBD?
Infliximab.
51
51. Obstruction symptom?
Fecal-smelling vomiting.
52
52. Paralytic ileus finding?
Absent bowel sounds.
53
53. CRC risk factor?
Long-standing ulcerative colitis.
54
54. CRC stool sign?
Occult blood.
55
55. Prevent diverticulosis?
High-fiber diet.
56
56. Sudden pain + fever in obstruction?
Notify provider immediately.
57
57. Ischemia sign?
Severe pain out of proportion.
58
58. Needs emergency surgery?
Perforated ulcer.
59
59. Highest peritonitis risk?
Ruptured appendix.
60
60. Acute diverticulitis diet?
Clear liquids.
61
61. Concerning IBD sign?
Fever and tachycardia.
62
62. Avoid in PUD?
NSAIDs.
63
63. CRC obstruction intervention?
Colon stent placement.
64
64. Toxic megacolon sign?
Severe distention with fever.
65
65. Effective GERD treatment sign?
Decreased regurgitation.