Download NCLEX-PN Exam Preparation: Questions and Answers for 2024-2025 and more Exams Nursing in PDF only on Docsity!
NCLEX PN QUESTIONS FOR 2024-2025 ANSWERED CORRECTLY
"What is considered a normal Blood Glucose level? - CORRECT ANSWER 70-100"
"What PPE to use for MRSA patient? - CORRECT ANSWER Gloves
Gown Goggles Mask"
"What is Raynauds disease? - CORRECT ANSWER reduced blood flow due to spasm of arteries
of the feet and hands"
"What is an EARLY sign of digoxin toxicity, from the drug digoxin? - CORRECT ANSWER
Anorexia"
"What are normal Magnesium levels? - CORRECT ANSWER 1.6 - 2.6 mg"
"What are signs of elevated magnesium levels? - CORRECT ANSWER Drowsiness
Sedation Lethargy Muscle weakness Areflexia"
"What is Areflexia? - CORRECT ANSWER Absence of the reflexes"
"What position should you place a patient with acute epiglottitis? - CORRECT ANSWER Sit
upright"
"What position to use for Soapsuds enema? - CORRECT ANSWER Left side SIMS position"
"What is the 1st step when looking into the NCLEX exam? - CORRECT ANSWER Step 1: Access
the NCSBN website at www.ncsbn.org (Obtain info for international nurses)"
"For state licensing? - CORRECT ANSWER Contact the state in which you are taking the NCLEX
in and determine specific requirements for that state"
"What is the process for sending the state official documents? - CORRECT ANSWER They must
come from the "Licensing Authority""
"Is the NCLEX exam administered in other languages? - CORRECT ANSWER No
(ONLY in English)"
"What is the 1st step in the Nursing process? - CORRECT ANSWER Data collection"
"What is the 2nd step in the Nursing process? - CORRECT ANSWER Planning"
"What is the 3rd step in the Nursing process? - CORRECT ANSWER Implementation"
"What is the 4th step in the Nursing Process? - CORRECT ANSWER Evaluation"
"Which tabs should not be crushed? - CORRECT ANSWER Enteric Coated/sustained release
tabs"
"Can nurses adjust or change a patients medication? - CORRECT ANSWER NO (only the Doctor
can do this)"
"T/F Patients should consult a doctor before taking OTC or any herbal preparations? - CORRECT
ANSWER True"
"Can Abandonment charges be filed against nurses who walk out if staffing is inadequate? -
CORRECT ANSWER Yes"
"Can nurses refuse to float? - CORRECT ANSWER No, unless their Union contract states they
only work in a specific area"
"Do Nurses need to get their own Insurance against malpractice? - CORRECT ANSWER YES"
"Who issued the Patients Bill of Rights? - CORRECT ANSWER American Hospital Association"
"Do Incident reports get filed in the Patients record? - CORRECT ANSWER No"
"Can potassium supplement be taken on an empty stomach? - CORRECT ANSWER No, causes
nausea and emesis" "What else should be performed when a patient is receiving potassium supplements through IV?
- CORRECT ANSWER Cardiac monitoring"
"Can potassium be administer via IV push? - CORRECT ANSWER No, only IV or orally"
"What level is the sodium when a patient has hyponatremia? - CORRECT ANSWER Sodium
level will be less than 135"
"What is the antidote for magnesium overdose? - CORRECT ANSWER Calcium gluconate"
"Can a patient with a fast respiratory rate be susceptible to "Insensitive" fluid loss? - CORRECT
ANSWER Yes
(From the lungs)"
"What 4 patients may be at risk for "Third Spacing"? - CORRECT ANSWER -Renal failure
-Sepsis -Liver (cirrhosis) -Burns (major)"
"What patient is least likely to have Third Spacing? - CORRECT ANSWER Diabetic"
"What is the primary buffer system in the body? - CORRECT ANSWER Carbonic acid-
bicarbonate (HCO 3 -)"
"What does the respiratory rate do with Acidosis and Alkalosis? - CORRECT ANSWER Acidosis-
RR increases Alkalosis-RR decrease"
"What should you monitor for in a patient with severe diarrhea? - CORRECT ANSWER
Metabolic aCidosis"
"In Acidosis the pH is up or down? - CORRECT ANSWER Down"
"In Alkalosis the pH is up or down? - CORRECT ANSWER Up"
"Can you use the arm that has an infusion going for blood draws? - CORRECT ANSWER No, it
can give inaccurate results (Try and draw blood 1 hour prior to intermittent heparin)"
"Clenching/unclenching of the fist during a blood draw can cause what inaccurate result? -
CORRECT ANSWER Potassium level"
"If the aPTT value is prolonged longer than ___ seconds in a patient receiving heparin, initiate
bleeding precautions? - CORRECT ANSWER 90 seconds"
"If the PT value is longer longer than ___ seconds in a patient receiving warfarin, initiate bleeding
precautions? - CORRECT ANSWER 30 seconds"
"What should you monitor in a patient receiving Chemo due to the risk of Thrombocytopenia? -
CORRECT ANSWER Platelet count"
"What is the normal RBC for a male and female? - CORRECT ANSWER Female 4.0 - 5.
Male. 4.5 - 6.2" "True/False
Patients with liver disease have prolonged clotting times? - CORRECT ANSWER True"
"How long should the patient fast before a glucose study? - CORRECT ANSWER 8-12 hours"
"What is the normal WBC count? - CORRECT ANSWER 4,500 - 11,000"
"What is the normal specific gravity of urine? - CORRECT ANSWER 1,016 - 1,022"
"What is the preferred source of energy? - CORRECT ANSWER Carbs
(Milk, grains, fruits and veggies)"
"Not enough essential fats in the diet can lead to what? - CORRECT ANSWER Amenorrhea
Sensitivity to cold Skin lesions
"What can happen if you abruptly stop PN solutions? - CORRECT ANSWER Hypoglycemia
(Decrease slowly)"
"What type of foods should a diverticulitis patient avoid? - CORRECT ANSWER High-fiber
foods"
"What food does the lacto-vegetarian NOT eat? - CORRECT ANSWER Eggs
(Lacto Ovo vegetarians eat eggs)"
"Which patients should be on a low-purine diet? - CORRECT ANSWER Gout
Kidney stones"
"Why is a patient with kidney disease/failure not supposed to receive lactated ringers? -
CORRECT ANSWER Contains a potassium solution"
"How are Central venous catheters position determined? - CORRECT ANSWER Xray"
"What position should the patient be in for central line insertion, removal and tubing change? -
CORRECT ANSWER Trendelenburg"
"Washed red blood cells may be ordered for what 2 types of issues? - CORRECT ANSWER 1)
Recent allergic reaction to transfusion
- Recent stem cell transplant"
"How are platelets administered? - CORRECT ANSWER Rapidly over 15-30 mins"
"What is the Universal RBC donor? - CORRECT ANSWER O negative"
"Who is the Universal recipient? - CORRECT ANSWER AB positive"
"If the patient has a reaction to blood, where should the blood bag be returned to? - CORRECT
ANSWER Blood bank"
"Hold off on giving the patient blood if the temp exceeds? - CORRECT ANSWER 100 F"
"How long should the nurse remain with the patient who has just received a blood transfusion? -
CORRECT ANSWER 15 mins"
"How often should you check on a patient who is receiving fluid replacement therapy? -
CORRECT ANSWER Every hour"
"What is the limit of time a caregiver should be exposed to radiation per shift? - CORRECT
ANSWER 30 mins MAX"
"What should you do with a dislodged radiation implant? - CORRECT ANSWER Don't touch it"
"Can needles be recapped? - CORRECT ANSWER No, but if you have to, use a mechanical
device to recap"
"Can safety devices/restraints be prescribed by a nurse? - CORRECT ANSWER No, only a HCP
can prescribe"
"Can a prescription for a restraint be used PRN? - CORRECT ANSWER No"
"Who should you call first prior to attempting an intervention of a poison ingestion? - CORRECT
ANSWER Poison control"
"Which population should have poison control # by each phone? - CORRECT ANSWER homes
with children"
"Who is most at risk of contracting Clostridium difficile (C-Diff)? - CORRECT ANSWER Patients
in hospitals who have been on multiple long term antibiotics"
"What are the parts of bleach/water solution to use for disinfection? - CORRECT ANSWER
"How is Anthrax contracted? - CORRECT ANSWER Direct (GI, skin, inhalation)"
"How is Smallpox contracted? - CORRECT ANSWER Air droplets, highly contagious"
"How often should you check the circulation of a patient with restraints? - CORRECT ANSWER
Every 30 mins (loosen every 2 hours)"
"For vaginal or anal exams, what should the position be? - CORRECT ANSWER Lithotomy"
"What should you do when a patient who is tube feeding needs to be turned? - CORRECT
ANSWER Turn off feeding until completed"
"What is the most common position for a cardiac or respiratory patient? - CORRECT ANSWER
Head of the bed raised"
"What is Autonomic Dysreflexia, and which position should the patient be placed in? - CORRECT
ANSWER Caused when a painful stimulus occurs below the level of spinal cord injury. (High
Fowlers position)"
"What position should the patient with a Head Injury NOT be placed in? - CORRECT ANSWER
Flat of Trendelenburg"
"During Cardiac catheterization what position should the patient be in? - CORRECT ANSWER
Head elevated NO MORE than 30 degrees"
"After cataract surgery, instruct the patient to sleep in which position? - CORRECT ANSWER on
back or non-operative side"
"What position should you place a patient who has just had a liver biopsy? - CORRECT
ANSWER Right side laying with a rolled towel under puncture site"
"What position should the patient be for Nasogastric tube? - CORRECT ANSWER HIGH Fowlers
position"
"What is the best way to turn a patient who has had spinal surgery? - CORRECT ANSWER
logrolling"
"What should be kept at the bedside of a patient with an endotracheal or tracheotomy tube? -
CORRECT ANSWER BVM/Ambu bag"
"What should you do if a chest tube is accidentally pulled from the site? - CORRECT ANSWER
Pinch the skin together, apply a sterile dressing and put overlapping 2" tape over the dressing (call the HCP)"
"What are the normal/average pH levels of the stomach? - CORRECT ANSWER 1.5 to 3.5"
"What should you instruct the patient to do when you remove a Nasogastric tube? - CORRECT
ANSWER Take a deep breathe and hold"
"What should you have at the bedside of a patient who has a Sengstaken-Blakemore tube
inserted for esophageal varices - CORRECT ANSWER A pair of scissors"
"When inserting a catheter into a male Urethra, you see the flow of urine, what should you do
next? - CORRECT ANSWER Insert another 2.5 to 5 cm and inflate the ballon"
"How often should you empty a chest tube drainage chamber? - CORRECT ANSWER Never,
due to the risk of collapsing a lung"
"What should you instruct the patient to do while you move a chest tube? - CORRECT
ANSWER Valsalva maneuver"
"What position should the patient be for an insertion of a nasogastric tube for continuous
feeding? - CORRECT ANSWER Head at at least 45 degree"
"When residual formula is noted in a scheduled feeding, at which point would you hold the
feeding? - CORRECT ANSWER any residual more than 100ml (test residual for pH balance,
should be 3.5 or less)"
"How fast should intermittent feedings last? - CORRECT ANSWER administer over 30-60 mins"
"What are the 3 systems of personality? - CORRECT ANSWER ID, Ego and SuperEgo (The have
different operating principles, but in a mature/well adjusted personality, they work together under the command of the EGO)"
"When does the SuperEgo emerge? - CORRECT ANSWER Phallic Stage (3-6 years old)"
"What is the drug Questran used for? - CORRECT ANSWER Lower cholesterol"
"What does a Pericardial friction rub sound like? - CORRECT ANSWER Loud booming/muffled
heartbeat"
"Reduce symptoms of Raynauds disease? - CORRECT ANSWER Wearing gloves when handling
frozen food"
"What is Dystocia? - CORRECT ANSWER Abnormal labor or childbirth"
"Iron supplements should be taken with what? - CORRECT ANSWER Vitamin C rich juices
(Tomato juice, Orange juice)" "When noticing that the fundus of a postpartum patient is soft and spongy, what should you do?
CORRECT ANSWER Massage the fundus gently until it is firm"
"Drugs that end in "lol" are normally used for what? - CORRECT ANSWER Beta Blocker (for
hypertension) ("Lo" Lowers the BP)"
"What OTC tabs should patients not take with medication? - CORRECT ANSWER Antacids tabs
(effects the absorption of the med)"
"What is habeas Corpus, and can a mentally ill patient request it? - CORRECT ANSWER
Requesting a release from care/Yes they can" "T/F Catholics, Christians and Jehovah witness are the only religions that allow organ donations?
CORRECT ANSWER True"
"T/F Orthodox Judaism may allow organ donation with the Rabbis approval? - CORRECT
ANSWER True"
"What are Incident reports used for? - CORRECT ANSWER Identifying risk situations and
Improving care"
"What are the 5 types of leaders? - CORRECT ANSWER 1) Autocratic-Dominates the group,
maintains strong control and address problems with clearly defined tasks.
- Democratic-Participative style, all members of the team should have input.
- Laissez-faire-Passive, inactive and delegates responsibility to the group (Lazy)
- Situational-Leads based on current circumstance/situation.
- Bureaucratic-Leader believes that the team is motivated by EXTERNAL forces, relies on policies/procedures for decision making."
"What is Priority 1, 2, and 3 of the Emergency room triage? - CORRECT ANSWER Priority 1-
Emergent (Chest pain, respiratory distress, major arterial bleed, chemical splashes to the eye) Priority 2-Urgent (Not life-threatening, unless not treated within 1-2 hours, eval every 30- mins)
Priority 3-Minor issues, eval every 1-2 hours)"
"What is Phlebitis? - CORRECT ANSWER Inflammation of a vein"
"What id Third Spacing? - CORRECT ANSWER The accumulation of extracellular fluid in a body
space due to disease or injury"
"Why is a patient with a nasogastric suction at risk of potassium deficit? - CORRECT ANSWER
Potassium rich fluids are lost through GI suctions"
"Patients with Addisons disease are at risk for what? - CORRECT ANSWER Hyperkalemia
(High potassium)"
"When a patient has hyperkalemia, what can you expect to see on an EKG? - CORRECT
ANSWER Narrow peaked T waves"
"What is an insensible fluid loss? - CORRECT ANSWER Cant be measured
(Through skin and lungs)"
"What should you monitor for in a patient with severe vomiting? - CORRECT ANSWER
Metabolic alKalosis"
"What is the Allens test? - CORRECT ANSWER Applying pressure to the arteries in your wrist"
"How soon should blood return to the hand after the Allen test? - CORRECT ANSWER 6-
seconds (If it takes longer, use a different hand for blood draw)"
"How long should you hold pressure on a draw site if patients are taking anticoagulants? -
CORRECT ANSWER 5-10 mins
(3-5 mins for a coagulation defect)"
"If a patient is experiencing dyspnea and has an elevated BNP, what is the diagnosis? - CORRECT
ANSWER Heart failure
(If the BNP is normal, the the dyspnea is a result of respiratory distress)"
"In "acute" pancreatitis the amylase levels may exceed how many times the normal limit? -
CORRECT ANSWER 5 times
(Levels start rising around 6 hours of the onset of pain, peaks at 24 hours)"
