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Appendicitis — NCLEX Cheat Sheet
RLQ McBurney's point pain
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Use this quick-reference guide to spot, treat, and prevent Appendicitis on the NCLEX. Keep it handy during review and on exam day!
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Signs
What to look for- RLQ pain @ McBurney's point
- rebound tenderness, ↑WBC, fever
- Rovsing, psoas, anorexia, N/V
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Report
Notify / act now- SUDDEN pain relief → RUPTURE
- rigid abd, ↑fever → peritonitis
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Avoid
Key facts- NO heat to abdomen
- NO laxatives, NO enemas
- NPO before surgery
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Do
Nursing actions- appendectomy = treatment
- right side-lying, knees flexed
- IV fluids + antibiotics
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Quick Tip
Pain typically starts periumbilical and migrates to the right lower quadrant (McBurney point).
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