NCLEX-RN 2026/2027 – Complete Study Guide & Practice Questions for Success

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NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS &
ANSWERS NCLEX 2026/2027 NCLEX EXAM Q&A



Is a process of learning a different culture to adapt to a new or changing
environment. - CORRECT ANSWER ✔✔✔✔✔ Acculturation.


QUESTION : It is a subjective perspective of the person's heritage and a sense of
belonging to a group - CORRECT ANSWER ✔✔✔✔✔ Ethnic identity


QUESTION : Include meditation, relaxation techniques, imagery, music therapy,
massage, touch, laughter, humor, & spiritual measures (prayer). - CORRECT
ANSWER ✔✔✔✔✔ Low-risk therapies:


QUESTION : Because of their health & dietary practices, Native Americans,
Latino Americans, Hispanic Americans, & African Americans. - CORRECT
ANSWER ✔✔✔✔✔ High risk of obesity & diabetes mellitus


QUESTION : Surgery is not prohibited, but the administration of blood and
blood products is forbidden. This religious group believes the soul cannot live
after death. Administration of medication is an acceptable practice except if the
medication is derived from blood products. - CORRECT ANSWER
✔✔✔✔✔ Jehovah's Witnesses


QUESTION : Believers adhere to dietary kosher laws. In this religion, the dairy-
meat combination is unacceptable. Only fish that have scales and fins are
allowed; meats that are allowed include animals that are vegetable eaters,
cloven-hoofed, and ritually slaughtered. - CORRECT ANSWER ✔✔✔✔✔
Orthodox Judaism


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QUESTION : include whole medical systems, mind-body medicine, biologically
based practices, manipulative & body-based practices, & energy medicine. -
CORRECT ANSWER ✔✔✔✔✔ Five categories of complementary and
alternative medicine (CAM):


QUESTION : Focused, maintains strong control, makes decisions, & addresses all
problems. Dominates group & commands, rather than seeks suggestions or
input. Manager addresses problem (quality improvement) with taff, designs a
plan without input, & wants all problems reported directly back to her -
CORRECT ANSWER ✔✔✔✔✔ Autocratic leader


QUESTION : Participative & would likely meet with each staff person
individually to determine staff member's perception of problem. Would also
speak with the staff about any issues & ask the staff for input with developing a
plan. - CORRECT ANSWER ✔✔✔✔✔ Democratic leader


QUESTION : Passive and nondirective. Would state what the problem was &
inform staff that the staff needed to come up with a plan to "fix it." -
CORRECT ANSWER ✔✔✔✔✔ Laissez-faire leader


QUESTION : Assessment findings include cough, dyspnea, crackles, tachypnea,
tachycardia, elevated blood pressure, bounding pulse, elevated CVP, weight
gain, edema, neck & hand vein distention, altered LOC, & decreased hematocrit.
- CORRECT ANSWER ✔✔✔✔✔ Overhydration or fluid overload &
occurs when fluid intake or fluid retention




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QUESTION : Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges,
potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes -
CORRECT ANSWER ✔✔✔✔✔ Common food sources of potassium:


QUESTION : Muscle weakness, increased urinary output, & decreased specific
gravity of the urine would be noted - CORRECT ANSWER ✔✔✔✔✔
Hyponatremia


QUESTION : Causative factors relate to malnutrition or starvation & the use of
aluminum hydroxide-based or magnesium-based antacids. Malnutrition is
associated with alcoholism. - CORRECT ANSWER ✔✔✔✔✔
Hypophosphatemia


QUESTION : Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome;
causative factors. Should avoid foods high in phosphates; fish, eggs, milk
products, vegetables, whole grains, & carbonated beverages. - CORRECT
ANSWER ✔✔✔✔✔ Hyperphosphatemia


QUESTION : Vomiting, diarrhea, conditions that increased respiration's or
increased urinary output, insufficient intravenous fluid replacement, draining
fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal
suctioning. - CORRECT ANSWER ✔✔✔✔✔ Causes of a fluid volume
deficit


QUESTION : Decreased kidney function, heart failure, hypotonic fluids to
replace isotonic fluid losses, excessive irrigation of wounds & body cavities, &
excessive ingestion of sodium. - CORRECT ANSWER ✔✔✔✔✔ Causes
of overhydration or fluid overload:



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QUESTION : Trauma, burns, sepsis, or metabolic or respiratory acidosis. -
CORRECT ANSWER ✔✔✔✔✔ Hyperkalemia causes:


QUESTION : Cushing's syndrome or colitis & over use of laxatives. - CORRECT
ANSWER ✔✔✔✔✔ Hypokalemia causes:


QUESTION : Decreased pH & decreased HCO3. Occurs in kidney disease;
diabetic ketoacidosis; high fat diet; insufficient metabolism of carbohydrates;
malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin);
malnutrition; severe diarrhea. Intestinal secretion high in bicarbonate & may be
lost through enteric drainage tubes, an ileostomy, or diarrhea. - CORRECT
ANSWER ✔✔✔✔✔ Metabolic acidotic


QUESTION : Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to
increase. Symptoms experienced would include hypoventilation & tachycardia. -
CORRECT ANSWER ✔✔✔✔✔ Metabolic alkalosis


QUESTION : Decreased pH and an increased CO2. Hypoventalation & COPD -
CORRECT ANSWER ✔✔✔✔✔ Respiratory acidotic


QUESTION : Increased pH & decreased CO2. Hyperventalation, Lethargy,
lightheadedness, confusion, tachycardia, dysrhythmias related to hypokalemia,
nausea, vomiting, epigastric pain, numbness & tingling of extremities.
Hyperventilation (tachypnea) occurs. - CORRECT ANSWER ✔✔✔✔✔
Respiratory alkalotic


QUESTION : Sample for PT & INR level to determine anticoagulation status &
risk for bleeding - CORRECT ANSWER ✔✔✔✔✔ Warfarin (Coumadin)


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