NCLEX ARCHER REVIEW COMPREHENSIVE
EXAM SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
◉ hypophysectomy Answer: removal of the pituitary gland
◉ Hypophysectomy post-op care, monitor for Answer: - oral care q 4
hr (no toothbrush for 10 days)
- ICP: avoid bend/strain/coughing sneeze, HOB >30 (↓ ICP)
- monitor BP
- hormone replacement therapy
*HA is common secondary to CSF fluid loss during Sx*
◉ Hypophysectomy complications Answer: Diabetes Insipidus (↓
ADH)
- UO > 300mL/hour (HCP, IV fluids, document)
-infection (ABX PPX)
- CSF leak (check clear nasal drainage for glucose)
,◉ straight cath: drainage over ____ puts patient at risk for developing
Answer: 800
bladder spasms as drainage is too quick for bladder to adjust
◉ Reiki Answer: nonpharm CAM pain management for spiritual pain
◉ flaccid bladder is associated with Answer: overflow incontinence
due to bladder muscle unable to completely empty -> leakage and
dribbling
- enlarged prostate
- neuro (parkinson, spinal injury)
◉ Crede's maneuver Answer: manual exertion of pressure on the
bladder to force urine out for flaccid bladder or overflow
incontinence
◉ wash the surrounding skin of colostomy with _____. To promote
adherence use _____ Answer: mild soap NOT moisturizing soap
pat dry
stoma powder and paste
, ◉ How long does colostomy produce stool post op? How long should
bag be changed? Answer: 2-3 days
3-7 days
◉ Intussusception meds Answer: cefazolin (broad abx prevent
infection/peritonitis)
LR (hydration due to vomit)
◉ Acute mountain sickness Answer: increases HR, BP, CO
Hypoxia induced pulm vasoconstriction
needs acetazolamide (rids excess fluid, induce met acidosis = inc RR)
◉ To prevent acute mountain sickness Answer: acetazolamide is
used 24 hrs prior to ascent
◉ if infant born preterm/premature, their developmental
milestones is Answer: subtracted by 3 months
ex: 6 month old has 3 month developmental milestones instead
EXAM SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
◉ hypophysectomy Answer: removal of the pituitary gland
◉ Hypophysectomy post-op care, monitor for Answer: - oral care q 4
hr (no toothbrush for 10 days)
- ICP: avoid bend/strain/coughing sneeze, HOB >30 (↓ ICP)
- monitor BP
- hormone replacement therapy
*HA is common secondary to CSF fluid loss during Sx*
◉ Hypophysectomy complications Answer: Diabetes Insipidus (↓
ADH)
- UO > 300mL/hour (HCP, IV fluids, document)
-infection (ABX PPX)
- CSF leak (check clear nasal drainage for glucose)
,◉ straight cath: drainage over ____ puts patient at risk for developing
Answer: 800
bladder spasms as drainage is too quick for bladder to adjust
◉ Reiki Answer: nonpharm CAM pain management for spiritual pain
◉ flaccid bladder is associated with Answer: overflow incontinence
due to bladder muscle unable to completely empty -> leakage and
dribbling
- enlarged prostate
- neuro (parkinson, spinal injury)
◉ Crede's maneuver Answer: manual exertion of pressure on the
bladder to force urine out for flaccid bladder or overflow
incontinence
◉ wash the surrounding skin of colostomy with _____. To promote
adherence use _____ Answer: mild soap NOT moisturizing soap
pat dry
stoma powder and paste
, ◉ How long does colostomy produce stool post op? How long should
bag be changed? Answer: 2-3 days
3-7 days
◉ Intussusception meds Answer: cefazolin (broad abx prevent
infection/peritonitis)
LR (hydration due to vomit)
◉ Acute mountain sickness Answer: increases HR, BP, CO
Hypoxia induced pulm vasoconstriction
needs acetazolamide (rids excess fluid, induce met acidosis = inc RR)
◉ To prevent acute mountain sickness Answer: acetazolamide is
used 24 hrs prior to ascent
◉ if infant born preterm/premature, their developmental
milestones is Answer: subtracted by 3 months
ex: 6 month old has 3 month developmental milestones instead
