NCLEX RN Mnemonics

question

Cranial Nerves, Sensory vs Motor Think: “Some Say Money Matters But My Brother Says Big Brains Matter Most.”
answer

S-Sensory, M-Motor, B-Both S-Olfactory I S-Optic II M-Oculomotor III M-Trochlear IV B-Trigeminal V M-Abducens VI B-Facial VII S-Auditory VIII) B-Glossopharyngeal IX B-Vagus X M-Accessory XI M-Hypoglossal XII
question

Autonomic Nervous System Function Rhyme
answer

Sympathetic: fight or flight Parasympathetic: rest and digest
question

Causes of HTN Think: ABCDE
answer

Aldosterone/Apnea Bad kidney/Bruits Catecholamine/Cushings syndrome Drug/Diet Endocrine All the above are secondary causes, primary causes occur when there is no identifiable cause.
question

Disease caused by Streptococcus Pyogenes Think: GET NIPPLES
answer

Glomerulonephritis Endocarditis (Heart Valve) Toxic shock syndrome Necrotizing fascitis and myositis Impetigo Pharyngitis Pneumonia Lymphangitis Erysipelas and cellulitis Scarlet fever/Rheumatic fever
question

Causes of Hyperkalemia Think: MACHINE
answer

Meds (ACE1, Steroids, Beta Blockers) Acidosis Cellular destruction (Rhabdo, burns, trauma) Hypoaldossteronism, hemolysis Intake, excessive Nephrons, renal failure Excretion, impaired
question

Causes of Hypokalemia Think: GRAPHIC IDEA
answer

GI loss Renal Aldosterone Periodic paralysis Hypothermia Cushing’s syndrome Insufficient intake Diuretics Elevated beta adrenergic activity Alkalosis
question

Signs of Hypokalemia Think: 6L’s
answer

Lethargy Lethal cardiac arrhythmia Leg cramps Limp muscles Low, shallow respiration’s Less stool (constipation)
question

Insulin Functions on Cells Think: INsulIN
answer

INsulIN stimulates 2 things to go IN 2 cells: Potassium and Glucose
question

Activities of Daily Living Think: BATTED
answer

Bathing Ambulation Toileting Transfers Eating Dressing
question

Therapeutic Dosage and Toxicity values Think: The magic 2’s
answer

Digitalis 0.5-1.5 Toxicity 2.0 Lithium 0.6-1.2 Toxicity 2.0 Theophylline 10-20 Toxicity >20.0 Dilantin 10-20 Toxicity >30.0 APAP 1-20 Toxicity 120
question

Staph Aureus Think: causes SOFT PAINS
answer

Skin infections Osteomyelitis Food poisoning Toxic shock syndrome Pneumonia Acute endocarditis Infective arthritis Necrotizing fascitis Sepsis
question

Hypertension Treatment Think: ABCD
answer

ACE inhibitors/ARBS Beta Blockers Calcium Channel Blockers Diuretics
question

Hypertension Nursing Interventions: Think: DIURETIC
answer

Daily weight Intake & Output (I&O) Urine output Response of BP Electrolytes Take Pulses Ischemic Episode (TIA) Complications: 4C’s
question

Signs of Hypernatremia Think: you are FRIED
answer

Fever Restless Increased Edema Decreased urinary output
question

Maniac Symptoms Think: DIG FAST
answer

Distractibility Indiscretion Grandiosity Flight of ideas Activity increases Sleep deficit Talkative
question

Hypersensitivity Reactions Think: ACID
answer

Anaphylactic-type 1 Cytotoxic-type 2 Immune complex-type 3 Delayed hypersensitivity-type 4
question

Intestinal Components Think: Dow Jones Industrial Can’t Choose
answer

Duodenum Jejunum Ileum Cecum Colon Sigmoid
question

ARB side effects (Angiotension II Receptor Blocker) Think: Halt Dangerous Hypertension
answer

Headache Dizziness Hyperkalemia
question

Aspirin side effects Think: ASPIRIN
answer

Asthma Salicyalism Peptic ulcer disease Intestinal blood loss Reye’s syndrome Idiosyncrasy Noise (tinnitus)
question

Hyperglycemia Think: 3 P’s
answer

Polyphagia Polydipsia Polyurea Hot & Dry, Sugar is High
question

Serotonin Syndrome Characteristics Think: they cause HARM
answer

Hyperthermia Autonomic instability (delirium) Rigidity Myoclonus
question

Signs of Esophageal Atresia and Tracheoesophageal Fistula Think: 3 C’s
answer

Coughing Choking Cyanosis
question

Cancer’s Early Warning Signs Think: CAUTION UP
answer

Change in bowel or bladder A lesion that does not heal Unusual bleeding or discharge Thickening or lump in breast or elsewhere Indigestion or difficulty swallowing Obvious changes in wart or mole Nagging cough or persistent hoarseness Unexplained weight loss Pernicious anemia
question

Acute Lithium Toxicity Symptoms Think” CAN HAM SUCS
answer

Confusion An increase in urine & thirst Nausea Hand tremors Ataxia (in-coordination of arms and legs) Muscle twitches Seizures Uncontrollable eye movement Coma Slurred speech
question

Bleeding Precautions Think: RANDI
answer

Razor electric no blades Aspirin No needles (esp. in small gauge) Decrease needle sticks Injury (protect from)
question

Morphine side effects Think: MORPHINES
answer

Myosis Orthostatic HTN Respiratory depression Pneumonia (aspiration) Hypotension Infrequent waste release (constipation & urine retention) Nausea Emesis Sedation
question

SNRI side effects Think: BAD SNRI
answer

Body weight increases Anorexia Dizziness Suicidal thoughts Nausea/Vomiting Reproductive/sexual dysfunction Insomnia
question

Melanoma Characteristics Think: ABCDE
answer

Asymmetrical Borderline irregular Color dark and variation Diameter is large (>6mm) Evolving
question

Acidosis/Alkalosis Think: ROME
answer

Respiratory Opposite *pH up & PCO2 down = Alkalosis *pH down & PCO2 up = Acidosis Metabolic Equal *pH up & HCO2 up = Alkalosis *pH down & HCO2 down = Acidosis
question

Hormones that Increase Blood Glucose Think: STENGG
answer

Somatotropin (growth hormone) Thyroid hormones (thyroxine & triiodthyorine) Epinephrine Norepeinephrine Glucagon Glucocorticosteroids
question

Tricyclic antidepressants (TCA) side effects Think: TCA’S
answer

Thrombocytopenia Cardiac (arrhythmia, MI, stroke) Anticholinergic effects (tachycardia, urinary retention, ect) Seizures
question

Indications for Thiazide Diuretic use Think: CHIC
answer

CHF Hypertension Insipidous (Lithium induced) Calcium calculi
question

6 P’s of Dyspnea
answer

Pneumonia Pulmonary Bronchial Constriction Possible foreign body Pulmonary embolus Pneumothorax Pump failure
question

Heart Valves by Order of Blood Flow Think: Toilet Paper My Ass
answer

Tricuspid Pulmonic Mitral Aortic
question

White Blood Cells (in order of decreasing numbers) Think: Never Let Monkeys Eat Bananas
answer

Neutrophils Lymphocytes Monocytes Eosinophils Basophils
question

SSRI side effects Think: BAD SSRI
answer

Body weight increases Anxiety Dizziness Serotonin syndrome Stimulated CNS Reproductive/sexual dysfunction Insomnia
question

ACE Inhibitor side effects Think: CAPTOPRIL
answer

Cough Angioedema/Agranulocystosis Potassium excess Taste changes Orthohypotension Pregnancy contraindications Renal artery stenosis contraindication Inflammation-related pain Lower GFR (glomerular filtration rate)
question

Hypoxia symptoms Think: RAT BED
answer

Early hypoxia: Restlessness Anxiety Tachycardia/Tachypnea Late hypoxia: Bradycardia Extreme restlessness Dyspnea
question

Stages of Shock Think: CPR
answer

Compensatory stage Progressive stage Refractory stage
question

Corticosteroids side effects Think: CUSHGOID
answer

Cataracts Ulcers Skin thinning, bruising, & striae Hyperglycemia/HTN/Hirsutism Infections Necrosis: Avascular necrosis of the femoral head Glycosuria Osteoporosis, Obesity Diabetes
question

Hypoglycemia signs & symptoms Think: TIRED
answer

Tachycardia Irritability Restlessness Excessive hunger Diaphoresis Cold & clammy, need some candy
question

Calcium Channel Blocker side effects Think: SHRED the GAPS
answer

Stevens Johnson Syndrome Headache Edema Dizziness the Gingival hyperplasia Angina Palpitations Sleepiness
question

Liver Functions Think: PUSH DoG
answer

Protein synthesis Ureas synthesis Storage Hormone synthesis Detoxification Glucose and fat metabolism
question

Potassium Increasing Agents Think: K-BANK
answer

K-sparing diuretics Beta Blockers ACE inhibitors NSAIDS K+ supplement
question

Cholinergic Agonist effects Think: SLUDGE BAM
answer

Salivation/Sweating/Secretions Lacrimation Urination Defecation GI upset Emesis Bradycardia Abdominal Cramps Miosis
question

Circulatory Checks Think: 5 P’s
answer

Pain Paresthesia Paralysis Pulse Pallor
question

Antipsychotic Drug side effects Think: ISHADE
answer

Impotence Sedation, Seizures Hypotension Akathsia (inability to sit still) Dermatological side effects Extrapyramidal reactions (acute, dystonias, rigidity, tremor, tachycardia)
question

Signs of Inflammation Think: PRISH
answer

Pain Redness Immobility Swelling Heat
question

Antimuscarinic/Anticholinergic side effects Think: ABCD’S
answer

Anorexia Blurry vision Constipation/Confusion Dry mouth Stasis of urine
question

MAOI side effects Think: HAHA
answer

Hypertension/Hypertensive crisis Anticholinergic side effects Hepatocellular jaundice Arrhythmia/Anoxeria
question

For better perfusion Veins & Arteries
answer

eleVate Veins dAngle Arteries
question

APGAR means: APGAR measures: HR, RR, muscle tone, reflexes, and skin color each 0-2 point. A score: 8-10 is OK. A score: 0-3 RESUSCITATE.
answer

A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent)
question

Airborne Precautions Think: My Chicken has TB!
answer

My – Measles Chicken – Chicken Pox/Varicella Hez – Herpes Zoster/Shingles TB – Tuberculosis) *Private Room – negative pressure with 6-12 air exchanges/hr Wear Mask, N95 for TB
question

Droplet Precautions Think: SPIDERMAN!
answer

S – Sepsis, scarlet fever, streptococcal pharyngitis P – Parvovirus B19, Pneumonia, pertussis I – influenza D – Diphtheria (pharyngeal) E – Epiglottis R – Rubella M – Mumps, Meningitis, Mycoplasma, or Meningeal pneumonia An – Adenovirus Private Room or cohort Mask
question

Contact Precautions Think: MRS. WEE
answer

M – Multidrug resistant organism R – Respiratory infection S – Skin infections W – Wound infection E – Enteric infection – clostridium difficile E – Eye infection- conjunctivitis
question

Skin Infections Think: VCHIPS:
answer

V – Varicella Zoster C – Cutaneous diphtheria H – Herpes simplex I – Impetigo P – Pediculosis S – Scabies
question

Hypo-parathyroid Think: CATS
answer

Convulsions Arrhythmia’s Tetany Also will have decreased Ca+. Give high Ca+, low phosphorus diet.
question

FHR patterns Think: VEAL CHOPS
answer

VC – Variable decelerations; caused by Cord Compression EH – Early decelerations; caused Head Compression AO – Accelerations; Okay LP – Late decelerations; caused by Placental Insufficiency
question

ICP & Shock have opposite Vital Signs
answer

ICP-increased BP, decreased pulse, decreased resp. SHOCK- decreased BP, increased pulse, increased resp.
question

Major Depressive Disorder Diagnosis Think: SIG-E-CAPS
answer

Must have at least 5 of the following s/s for 2 weeks or more to be Dx w/Depression. Sleep changes: increase during day or decreased sleep at night Interest (loss): of interest in activities that used to interest them Guilt (worthless): depressed elderly tend to devalue themselves Energy (lack): common presenting symptom (fatigue) Cognition/Concentration: reduced cognition &/or difficulty concentrating Appetite (wt. loss); usually declined, occasionally increased Psychomotor: agitation (anxiety) or retardations (lethargic) Suicide/Death preoccupation
question

For Peripheral Vascular Disease Think: DAVE
answer

Position of legs: Dependent for Arterial Venous are Elevated
question

Cane Walking Think: COAL:
answer

Cane Opposite Affected Leg

Get instant access to
all materials

Become a Member