CliniqueRN Article Series

Outdated Dogma Series

Nursing school taught these rules. The 2026 NCLEX may test the opposite. These three myths can quietly cost you points — here's what the current guidelines actually say.

Evidence-Based AHA · ACC · ASH · ACG · NCSBN 2026 NCLEX Aligned
Part 1

Pancreatitis & Opioid Selection

Is Morphine Contraindicated in Pancreatitis?

Your old textbook flagged morphine for pancreatitis. ACG 2024 guidelines don't — and the meperidine it promoted causes seizures. See the myth, the evidence, and 3 high-yield NCLEX questions.

  • ACG 2024
  • Sphincter of Oddi
  • Meperidine Trap
  • NGN Questions
Read Part 1 →
Part 2

Sickle Cell Disease & Pain Management

Should You Withhold Opioids from Patients in Sickle Cell Crisis?

The dogma said yes. ASH 2020 and CDC 2022 say no — emphatically. Learn the evidence, the bias behind the myth, and exactly what the NCLEX tests on IV opioid use in vaso-occlusive crisis.

  • ASH 2020
  • CDC 2022
  • IV Opioids
  • Health Equity
Read Part 2 →
Part 3

Acute Coronary Syndrome & ACS Mnemonics

MONA Mnemonic Is Obsolete for ACS

MONA taught four drugs for every chest pain. The 2025 AHA/ACC guidelines kept one — aspirin. Morphine increases mortality. Oxygen causes harm. Nitrates have specific contraindications. Here's what the NCLEX expects instead.

  • AHA/ACC 2025
  • Aspirin Only
  • Morphine Harm
  • RV Infarction
Read Part 3 →

All clinical information in this series is verified against primary guideline sources — AHA, ACC, ASH, ACG, NCSBN, and peer-reviewed literature — before publication.

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