Mark Klimek Blue book (ALL) NCLEX Study Guide
Of: married, divorced, and separated, which marital status is highest risk for suicide? Lowest risk
of suicide? Correct Answer: Highest-separated then divorced
Lowest-married
The goal of action while the suicidal patient is still of
the phone is to get _______ person _______ the ______. Correct Answer: Another person on
the scene (then immediately decreases risk) Remember: people who are alone are always high
risk
What are the four classic suicide precautions? Correct Answer: Search personal belongings for
drugs & alcohol, remove any sharp objects, remove any device for hanging or strangling; must
be on constant one-to-one observation (NEVER out of sight)
Once the patient is admitted for attempted suicide should you ever discuss the attempt with
them? Correct Answer: No, you should not focus on the attempt, focus on the present and future.
-pathy Correct Answer: Disease, suffering
-penia Correct Answer: Lack, deficiency of
-sect Correct Answer: To cut
-plast Correct Answer: Plastic surgery on a specified part
-sclerosis Correct Answer: Hardening of a tissue by: inflammation, deposition of mineral salt;
an infiltration of connective tissue fibers
-centesis Correct Answer: A perforation or puncture
-genic Correct Answer: Produce, originate, become
-emia Correct Answer: Blood
-otomy Correct Answer: Butting
-pexy Correct Answer: Fixation of something
-atresia Correct Answer: Condition of occlusion
-desis Correct Answer: Binding, fusing
-cele Correct Answer: Combining form meaning a tumor or swelling or a cavity
-cis Correct Answer: Cut, kill
,-rhapy; -rrhapy Correct Answer: Joining in a seam, suturation
-scope; -scopy Correct Answer: Instrument for observation
-osis Correct Answer: Indicates condition, process
-oma Correct Answer: Tumor
-ostomy Correct Answer: Surgical opening
-stasis Correct Answer: Stoppage
-itis Correct Answer: Inflammation
-ology Correct Answer: Study of; knowledge, science
-lysis Correct Answer: Breaking down
-ectomy Correct Answer: Surgical removal of
-tripsy Correct Answer: Crushing of something by a surgical instrument
-ase Correct Answer: Used in naming enzymes
-gram; -graphy Correct Answer: Write; record
Syphilis is sexually transmiteed. (T/F) Correct Answer: True
Syphilis first infects the _____ ______. Correct Answer: Mucous membranes
What are the stages of syphilis? Correct Answer: Primary, secondary, latent, late
Syphilis is a fatal disease if untreated. (T/F) Correct Answer: True
What organism causes syphilis? Correct Answer: Treponema palladium
What is the lesion like in primary syphilis? Correct Answer: The chancre (pronounced shanker)
The chancres of syphilis are (painful/painless). Correct Answer: Painless
Chancres disappear without treatment. (T/F) Correct Answer: True
Late syphilis attacks which 3 body organs? Correct Answer: Liver, heart, brain
,What test CONFIRMS the presence of syphilis? Correct Answer: Dark-field illumination of the
treponema palladium
What is the treatment of choice for syphilis? Correct Answer: Penicillin
Why is penicillin administered with Procaine?
With Probenecid? Correct Answer: Procaine makes the shot less painful; Probenecid blocks the
excretion of penicillin
What is the most common sign of neurosyphillis? Correct Answer: Ataxia (gait problems)
Mastitis and breast engorgement are more likely to occur in (primipara/multipara). Correct
Answer: Primipara
Where does the organism that causes mastitis come from? Correct Answer: The infant's nose or
mouth
Which organism most commonly causes mastitis? Correct Answer: Staph
Prolonged intervals between breast-feeding (decrease/increase) the incidence of mastitis. Correct
Answer: Increase
Can too tight bras lead to mastitis? Correct Answer: Yes, preventing emptying of ducts
Mastitis usually occurs at least _______days after delivery. Correct Answer: 10
When mastitis is present the breasts are ________, _________, and __________. Correct
Answer: Hard, swollen, warm
Mastitis is accompanied by a fever over _________. Correct Answer: 102 degrees
If mastitis is caused by an organism, what causes breast engorgement? Correct Answer:
Temporary increase in vascular and lymph supply to the breast in preparation for milk
production
If mastitis occurs 1+ weeks after delivery, when does breast engorgement occur? Correct
Answer: 2 to 5 days after delivery
Does breast engorgement interfere with nursing? Correct Answer: Yes, the infant has a difficult
time latching on (getting nipple in its mouth)
What class of drugs is used to treat mastitis? Correct Answer: Antibiotics
Antibiotics are used to treat breast engorgment? (T/F) Correct Answer: False
, Application of (warm H2O compress/ice packs) is the preferred treatment for breast
engorgement. Correct Answer: Ice packs to decrease swelling
The mother with mastitis should stop breast feeding. (T/F) Correct Answer: False, the mother
must keep breast feeding. (Offer unaffected breast first)
If the mother has an open abscess on her breast, must not breast-feed. (T/F) Correct Answer:
True
For breast engorgement, the non-breastfeeding mother should be told to express breast milk.
(T/F) Correct Answer: No, that would increase milk production and would make the problem
worse (warm compresses or warm shower to let milk "leak" is okay- Ice is best)
What is the best treatment for breast engorgement? Correct Answer: Breast-feeding - it will
balance supply and demand
What is mastoiditis? Correct Answer: Inflammation/infection of the mastoid process
What is the most common cause of mastoiditis? Correct Answer: Chronic otitis media
What are 4 signs and symptoms of mastoiditis? Correct Answer: Drainage from ear, high fever,
headache and ear pain, tenderness over mastoid process
What unusual post-operative complication can result from mastoidectomy? Correct Answer:
Facial nerve paralysis due to accidental damage during surgery (law suit time!)
What should you do to assess for facial nerve paralysis post-mastoidectomy? Correct Answer:
Have the patient smile and wrinkle forehead.
What is the medical treatment for mastoiditis? Correct Answer: Systemic antibitoics
What is the surgery for mastoiditis called? Correct Answer: Simple or radical mastoidectomy
Will a simple mastoidectomy worsen hearing? Correct Answer: No, a radical mastoidectomy
may
Should the nurse change the post-mastoidectomy dressing? Correct Answer: No, reinforce it.
Physician changes first post op dressing
What is a common side effect of mastoidectomy? Correct Answer: Dizziness (vertigo)
What is a major nursing diagnosis post-mastoidectomy? Correct Answer: Safety
In the chain of infection, hand washing breaks the mode of ____________. Correct Answer:
Transmission
Of: married, divorced, and separated, which marital status is highest risk for suicide? Lowest risk
of suicide? Correct Answer: Highest-separated then divorced
Lowest-married
The goal of action while the suicidal patient is still of
the phone is to get _______ person _______ the ______. Correct Answer: Another person on
the scene (then immediately decreases risk) Remember: people who are alone are always high
risk
What are the four classic suicide precautions? Correct Answer: Search personal belongings for
drugs & alcohol, remove any sharp objects, remove any device for hanging or strangling; must
be on constant one-to-one observation (NEVER out of sight)
Once the patient is admitted for attempted suicide should you ever discuss the attempt with
them? Correct Answer: No, you should not focus on the attempt, focus on the present and future.
-pathy Correct Answer: Disease, suffering
-penia Correct Answer: Lack, deficiency of
-sect Correct Answer: To cut
-plast Correct Answer: Plastic surgery on a specified part
-sclerosis Correct Answer: Hardening of a tissue by: inflammation, deposition of mineral salt;
an infiltration of connective tissue fibers
-centesis Correct Answer: A perforation or puncture
-genic Correct Answer: Produce, originate, become
-emia Correct Answer: Blood
-otomy Correct Answer: Butting
-pexy Correct Answer: Fixation of something
-atresia Correct Answer: Condition of occlusion
-desis Correct Answer: Binding, fusing
-cele Correct Answer: Combining form meaning a tumor or swelling or a cavity
-cis Correct Answer: Cut, kill
,-rhapy; -rrhapy Correct Answer: Joining in a seam, suturation
-scope; -scopy Correct Answer: Instrument for observation
-osis Correct Answer: Indicates condition, process
-oma Correct Answer: Tumor
-ostomy Correct Answer: Surgical opening
-stasis Correct Answer: Stoppage
-itis Correct Answer: Inflammation
-ology Correct Answer: Study of; knowledge, science
-lysis Correct Answer: Breaking down
-ectomy Correct Answer: Surgical removal of
-tripsy Correct Answer: Crushing of something by a surgical instrument
-ase Correct Answer: Used in naming enzymes
-gram; -graphy Correct Answer: Write; record
Syphilis is sexually transmiteed. (T/F) Correct Answer: True
Syphilis first infects the _____ ______. Correct Answer: Mucous membranes
What are the stages of syphilis? Correct Answer: Primary, secondary, latent, late
Syphilis is a fatal disease if untreated. (T/F) Correct Answer: True
What organism causes syphilis? Correct Answer: Treponema palladium
What is the lesion like in primary syphilis? Correct Answer: The chancre (pronounced shanker)
The chancres of syphilis are (painful/painless). Correct Answer: Painless
Chancres disappear without treatment. (T/F) Correct Answer: True
Late syphilis attacks which 3 body organs? Correct Answer: Liver, heart, brain
,What test CONFIRMS the presence of syphilis? Correct Answer: Dark-field illumination of the
treponema palladium
What is the treatment of choice for syphilis? Correct Answer: Penicillin
Why is penicillin administered with Procaine?
With Probenecid? Correct Answer: Procaine makes the shot less painful; Probenecid blocks the
excretion of penicillin
What is the most common sign of neurosyphillis? Correct Answer: Ataxia (gait problems)
Mastitis and breast engorgement are more likely to occur in (primipara/multipara). Correct
Answer: Primipara
Where does the organism that causes mastitis come from? Correct Answer: The infant's nose or
mouth
Which organism most commonly causes mastitis? Correct Answer: Staph
Prolonged intervals between breast-feeding (decrease/increase) the incidence of mastitis. Correct
Answer: Increase
Can too tight bras lead to mastitis? Correct Answer: Yes, preventing emptying of ducts
Mastitis usually occurs at least _______days after delivery. Correct Answer: 10
When mastitis is present the breasts are ________, _________, and __________. Correct
Answer: Hard, swollen, warm
Mastitis is accompanied by a fever over _________. Correct Answer: 102 degrees
If mastitis is caused by an organism, what causes breast engorgement? Correct Answer:
Temporary increase in vascular and lymph supply to the breast in preparation for milk
production
If mastitis occurs 1+ weeks after delivery, when does breast engorgement occur? Correct
Answer: 2 to 5 days after delivery
Does breast engorgement interfere with nursing? Correct Answer: Yes, the infant has a difficult
time latching on (getting nipple in its mouth)
What class of drugs is used to treat mastitis? Correct Answer: Antibiotics
Antibiotics are used to treat breast engorgment? (T/F) Correct Answer: False
, Application of (warm H2O compress/ice packs) is the preferred treatment for breast
engorgement. Correct Answer: Ice packs to decrease swelling
The mother with mastitis should stop breast feeding. (T/F) Correct Answer: False, the mother
must keep breast feeding. (Offer unaffected breast first)
If the mother has an open abscess on her breast, must not breast-feed. (T/F) Correct Answer:
True
For breast engorgement, the non-breastfeeding mother should be told to express breast milk.
(T/F) Correct Answer: No, that would increase milk production and would make the problem
worse (warm compresses or warm shower to let milk "leak" is okay- Ice is best)
What is the best treatment for breast engorgement? Correct Answer: Breast-feeding - it will
balance supply and demand
What is mastoiditis? Correct Answer: Inflammation/infection of the mastoid process
What is the most common cause of mastoiditis? Correct Answer: Chronic otitis media
What are 4 signs and symptoms of mastoiditis? Correct Answer: Drainage from ear, high fever,
headache and ear pain, tenderness over mastoid process
What unusual post-operative complication can result from mastoidectomy? Correct Answer:
Facial nerve paralysis due to accidental damage during surgery (law suit time!)
What should you do to assess for facial nerve paralysis post-mastoidectomy? Correct Answer:
Have the patient smile and wrinkle forehead.
What is the medical treatment for mastoiditis? Correct Answer: Systemic antibitoics
What is the surgery for mastoiditis called? Correct Answer: Simple or radical mastoidectomy
Will a simple mastoidectomy worsen hearing? Correct Answer: No, a radical mastoidectomy
may
Should the nurse change the post-mastoidectomy dressing? Correct Answer: No, reinforce it.
Physician changes first post op dressing
What is a common side effect of mastoidectomy? Correct Answer: Dizziness (vertigo)
What is a major nursing diagnosis post-mastoidectomy? Correct Answer: Safety
In the chain of infection, hand washing breaks the mode of ____________. Correct Answer:
Transmission
