Roster Ruth — Assignment-Making NCLEX Mnemonic

Acidotic Andy

Metabolic Acidosis

Alkalotic Alice

Metabolic Alkalosis

Retaining Ray

Respiratory Acidosis

Panicking Pam

Respiratory Alkalosis

Potassium Pete

Hyperkalemia

Low-K Lena

Hypokalemia

Salty Sal

Hypernatremia

Diluted Dana

Hyponatremia / SIADH

Chvostek Chuck

Hypocalcemia

Stony Stella

Hypercalcemia

Magnesium Maggie

Magnesium Imbalance

Septic Sam

Distributive Shock

Pumpless Paul

Cardiogenic Shock

Bleeding Bea

Hypovolemic Shock

Anaphylactic Ana

Anaphylaxis

Embolic Emma

Pulmonary Embolism

Rigid Rita

ARDS

Wheezing Wanda

Asthma Exacerbation

Consolidated Carl

Pneumonia

Vented Vince

Mechanical Ventilation

Ketone Kyle

Diabetic Ketoacidosis

Hyperosmolar Hank

Hyperosmolar Hyperglycemic State

Shaky Shawna

Hypoglycemia

Storming Tori

Thyroid Storm

Sluggish Myra

Myxedema Coma

Addison Ada

Adrenal Crisis

Cushing Cora

Cushing's Syndrome

Dry Dwayne

Diabetes Insipidus

Pressured Priya

Increased Intracranial Pressure

Stroke Stan

Ischemic Stroke

Seizing Simone

Seizures & Status Epilepticus

Failing Frank

Heart Failure

Infarcting Ivan

Myocardial Infarction

Fibrillating Fay

Atrial Fibrillation

Warfarin Wally

Anticoagulation

Ammonia Amy

Cirrhosis & Hepatic Encephalopathy

Anuric Alan

Acute Kidney Injury

Digoxin Dot

Digoxin Toxicity

Preeclamptic Penny

Preeclampsia & Magnesium Sulfate

Pancreatic Pablo

Acute Pancreatitis

Sober Sully

Alcohol Withdrawal & Delirium Tremens

Manic Mia

Bipolar Mania & Lithium Toxicity

Voices Victor

Schizophrenia & Antipsychotic Side Effects (EPS, NMS, tardive dyskinesia)

Sinking Sadie

Major Depression & Suicide Risk

Flashback Felix

PTSD & Panic Disorder

Narcan Nate

Opioid Overdose & Withdrawal

Mirror Mila

Anorexia Nervosa & Refeeding Syndrome

Serotonin Sylvia

Serotonin Syndrome

Wheezy Winnie

Bronchiolitis & RSV

Sickled Simon

Sickle Cell Vaso-Occlusive Crisis

Cystic Cassie

Cystic Fibrosis

Strawberry Kai

Kawasaki Disease

Telescope Tommy

Intussusception

Droopy Dani

Infant Dehydration & Gastroenteritis

Leaded Liam

Lead Poisoning

Gushing Gwen

Postpartum Hemorrhage & Uterine Atony

Previa Paula

Placenta Previa

Abrupting Abby

Placental Abruption

Sugary Selena

Gestational Diabetes

Decel Dina

Fetal Heart Rate Decelerations & Intrapartum Monitoring

Yellow Yusuf

Newborn Hyperbilirubinemia & Phototherapy

Cord Callie

Umbilical Cord Prolapse

Feverish Fiona

Postpartum Infection & Mastitis

Neutropenic Nia

Neutropenia & Chemotherapy Precautions

Lysing Luis

Tumor Lysis Syndrome

Transfusing Tina

Blood Transfusion Reactions

Clotless Clara

Disseminated Intravascular Coagulation

Pale Priscilla

Iron Deficiency Anemia

Spore Sean

Clostridioides difficile & Isolation Precautions

CD4 Hana

HIV & Opportunistic Infections

Butterfly Bella

Systemic Lupus Erythematosus

Compartment Cody

Fractures & Compartment Syndrome

Reflexive Rex

Spinal Cord Injury & Autonomic Dysreflexia

Myasthenic Marge

Myasthenia Gravis & Myasthenic Crisis

Tremor Tomas

Parkinson's Disease

Barrel Bart

COPD

Tarry Tara

Upper GI Bleed & Peptic Ulcer Disease

Blocked Bruno

Bowel Obstruction

Crisis Camila

Hypertensive Crisis

Aneurysm Arturo

Abdominal Aortic Aneurysm

Claudicating Clara

Peripheral Arterial Disease vs Venous Insufficiency

Endocarditis Eli

Infective Endocarditis

Pericardial Pearl

Pericarditis & Cardiac Tamponade

Valve Vera

Valvular Heart Disease & Rheumatic Fever

Paced Pia

Pacemakers & ICDs

Clotted Cliff

Deep Vein Thrombosis & VTE Prevention

Appendix Annie

Appendicitis & Peritonitis

Gallstone Gina

Cholecystitis & Cholelithiasis

Crohn's Colin

Inflammatory Bowel Disease (Crohn's vs Ulcerative Colitis)

Diverticular Dee

Diverticulitis

Hepatitis Hugo

Viral Hepatitis A, B & C

Dialysis Dina

Chronic Kidney Disease & Hemodialysis

Kidney Kwame

UTI & Pyelonephritis

Prostate Percy

BPH & TURP Care

Burned Bella

Burns & Fluid Resuscitation

Ulcer Uma

Pressure Injury Staging & Prevention

Confused Connie

Delirium vs Dementia & Restraint Alternatives

Delegating Deb

Delegation, Assignment & Scope of Practice

Insulin Ike

Insulin Types, Peaks & Administration Safety

Triage Theo

Disaster Triage & Prioritization

Consent Carmen

Informed Consent, Advance Directives & Privacy

ACE Angie

ACE Inhibitors: Cough, Angioedema & Hyperkalemia

Beta Betty

Beta Blockers: Apical Pulse, Masked Hypoglycemia & Rebound

Lasix Larry

Loop Diuretics: Hypokalemia & Ototoxicity

Lithium Lila

Lithium: Therapeutic Levels, Toxicity & Sodium Balance

Tyramine Tessa

MAOIs & the Tyramine Hypertensive Crisis

Nitro Nina

Nitroglycerin: Sublingual Rules, Headache & Dangerous Combinations

Heparin Holly

Heparin: aPTT, Protamine Sulfate & HIT

Phenytoin Phil

Phenytoin: Narrow Range, Nystagmus & Gummy Smiles

Rhabdo Rory

Rhabdomyolysis: Tea-Colored Urine, Potassium & Kidney Rescue

Osteo Opal

Osteoporosis: Silent Bone Loss, Fall Prevention & Bisphosphonates

Glaucoma Gloria

Glaucoma: Silent Peripheral Loss vs Acute Angle-Closure Emergency

Meningitis Mia

Bacterial Meningitis: Stiff Neck, Droplet Precautions & Rapid Antibiotics

Sclerosis Sadie

Multiple Sclerosis: Demyelination, Relapses & Heat Intolerance

Gout Gus

Gout: Uric Acid Crystals, the Angry Big Toe & Purine Teaching

Meniere Mira

Meniere's Disease: Vertigo, Tinnitus & Hearing Loss

Rheumatoid Rosa

Rheumatoid Arthritis: Symmetric Joints, Morning Stiffness & DMARDs

Obsessive Owen

OCD: Obsessions, Compulsions & Anxiety Relief

Hyperemesis Hazel

Hyperemesis Gravidarum: Vomiting, Ketones & Dehydration

Mastitis Mabel

Mastitis: Flu-Like Fever, a Red Wedge & Keep Nursing

Nephrotic Nolan

Childhood Nephrotic Syndrome: Puffy Eyes, Frothy Urine & Protein Loss

Phosphate Franklin

Phosphorus Imbalance: The Calcium See-Saw & Binders With Meals

Overloaded Olive

Fluid Volume Overload: Crackles, Bounding Pulse & Stop the Infusion

Collapsing Callum

Tension Pneumothorax & Chest Tubes: Tracheal Deviation and the Water Seal

Ascending Abe

Guillain-Barré Syndrome: Weakness That Climbs Toward the Lungs

Sundowning Sid

Alzheimer's Disease: Sundowning, Safety and Calm Redirection

Quarantined Quinn

Tuberculosis: Airborne Precautions, Rifampin and the Orange Secret

Croupy Cora

Croup vs Epiglottitis: The Barking Cough and the Child You Never Lie Down

Fractured Frida

Hip Fracture & Fat Embolism: The Shortened Leg and the Confusion That Follows

Shingles Sheila

Herpes Zoster: The One-Sided Band of Blisters and Airborne Rules

Warfarin Winnie

Warfarin & INR: Vitamin K, Bleeding Precautions and the Salad Problem

Slow-Drip Delia

IV Potassium Safety: Never Push, Always Dilute, Always Pump

Central Line Cesar

Central Lines & Air Embolism: Clamp It, Position It, Protect It

Infiltrated Ivy

Infiltration vs Extravasation vs Phlebitis: Cool and Swollen or Red and Warm

Trach Tomas

Tracheostomy & Suctioning Safety: Oxygenate First, Suction Out Only

Feeding Fiona

Enteral Feeding & Aspiration Prevention: Head of Bed Up, Placement Verified

Steroid Stan

Corticosteroid Therapy: Never Stop Abruptly, Watch Sugar and Hidden Infection

Levo Lucy

Levothyroxine: Empty Stomach, Same Time, Lifelong — and the Signs of Too Much

Vanco Vera

Vancomycin: Slow the Infusion, Watch the Trough, Protect the Kidneys and Ears

Oxygen Omar

Oxygen Delivery Devices: Matching the Mask to the Need — and Fire Safety

Post-Op Priya

Postoperative Complications: The Day-by-Day Timeline Every Nurse Watches

PCA Pablo

PCA & Opioid Safety: Only the Patient Presses the Button

Restraint Rita

Restraints & Fall Prevention: Least Restrictive First, and the Order Rules

Vaccine Vivian

Immunizations: Live Vaccines, Real Contraindications and the Reactions to Expect

TPN Tessa

Total Parenteral Nutrition: High Sugar, Central Line, and Never Stop It Suddenly

Listening Theo

Therapeutic Communication: What to Say, and What Never to Say

Milestone Maya

Growth, Development and Age-Appropriate Safety

Labor Lena

Stages of Labor and the Normal Newborn Assessment

Screening Sam

Cancer Warning Signs and Screening Teaching

Pressure Pam

Antihypertensive Classes: Orthostatic Safety and Client Teaching

Ectopic Erica

Ectopic Pregnancy: The Pain on One Side and the Shoulder That Screams Rupture

Tet Spell Tilda

Tetralogy of Fallot: The Blue Spell and the Squat That Saves It

Pyloric Piper

Pyloric Stenosis: The Olive, the Fountain and the Hungry Baby

Phantom Petra

Amputation Care: The Limb That Is Gone but Still Hurts

Glomerular Greta

Post-Streptococcal Glomerulonephritis: The Tea-Colored Urine After the Sore Throat

B12 Bianca

Pernicious Anemia: The Beefy Red Tongue and the Wobbly Walk

Retinal Rhea

Retinal Detachment: The Curtain, the Flashes and the Painless Emergency

Ostomy Oscar

Ostomy Care: The Rose-Red Stoma and the Skin That Must Stay Whole

Five-Rights Fran

Delegation Deep Dive: RN vs LPN vs UAP Scope

Acuity Ava

Prioritization Frameworks: ABCs, Acuity & Maslow

Witness Wes

Informed Consent: The Nurse's Role

Wishes Willa

Advance Directives, DNR & End-of-Life Legal