NCLEX RN UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS
VERIFIED 2027 EDITION
1. when fusing packed red blood cells, which solution is hung with the Y tubing?
0.9% sodium in water (NS)
2. Severe Preeclampsia, what are expected findings?
proteinuria, facial edema, blurred vision
3. DM and glucose monitoring, what will increase blood flow and decrease risk of infection, before
taking the sample?
washing clients hands with soap and warm water
4. What is an expecting finding of Hyperthyroidism?
Tremors
5. What is an expected finding of Hypothyroidism?
Periorbital Edema
6. Coping Strategies
7. Verapamil
CCB, treats hypertension, angina, arrhythmia. Do not take with Grapefruit (may cause hypotension).
8. what should be administered for a Benzodiazepine overdose?
Flumazenil
9. Which side does a cane go on? Weak side or Strong side?
Strong side
10. Na+
Electrolytes, Sodium 136-145
11. K+
Electrolytes, Potassium 3.5-5
12. Ca++
Electrolytes, Calcium 9-10.5
13. pH
ABG, 7.35-7.45
14. PaCO2
ABG, 35-45
15. HCO3
ABG, bicarbonate, 21-28
16. PaO2
ABG, oxygen, 80-100
1
,17. SaO2
ABG, Oxygen Saturation, 95%-100%
18. Hgb
CBC, Hemoglobin, 12-16 (F) 14-18 (M)
19. Hct
CBC, Hematocrit, 42-52% (M) 37-47% (F)
20. RBC
4.7 (M) 6.1 (F)
21. WBC
CBC, White Blood Cell, 5000-10,000
22. ESR
erythrocyte sedimentation rate, < 20 mm/hr
23. Cholesterol, Total
< 200 (risk for cardiac or stroke > 150)
24. Platelets
150,000-400,000
25. PT
11-12.5 seconds therapeutic range is 1.5 - 2 times the normal
26. aPTT
partial thromboplastin time, 30-40 seconds therapeutic range is 1.5 - 2 times the normal
27. INR
0.7-1.8 (unless on drug, therapeutic range 2-3)
28. Glucose, Fasting
Endocrine, 70-105
29. HbA1c, glycosylated hemoglobin
Endocrine, Hemoglobin A1c, 4-6% under 6% for normal under 7% for Diabetes Control
30. BUN
GU, 10-20
31. Creatinine
GU, 0.6-1.2 (M) 0.5-1.1 (F)
32. Creatinine Clearance Test
90 - 139 (M) 80 -125 (F) calculation of GFR best indicator of overall renal function
33. What type of solution is TPN?
hypertonic
34. How can TPN be given and when is it prepared?
Through a PICC line or tunneled catheter and prepared daily
2
, 35. Which lab value is checked and how often, when TPN is initiated?
blood glucose, every 4-6 hours
36. Every 24 hours a new TPN bag is hung with a new filter. True or False?
True
37. Non-Pharmocological Interventions: HOT
on for 15min, off for 20min acts as an analgesia (pain relief) increase blood flow relaxes muscles
diminishes muscles spasms eases muscles & joint stiffness
38. Non-Pharmacological Interventions: COLD
on for 15min, off for 20min acts as an analgesia (pain relief) decreases/prevents swelling diminishes
muscles spasms
39. Diseases that need Private rooms?
varicella (chicken pox) herpes zoster (shingles) rubeola virus (measles) meningococcal disease pneumonia
respiratory syncytial virus (RSV) rubella tuberculosis (TB)
40. HIV/AIDS
Standard duration of illness blood & body fluids, including breast milk hand hygiene PPE if in contact with
potential contaminated materials
41. Varicella (chicken pox)
Standard, Airborne, Contact Private Room until lesions crust over leasions & respiratory secretions ppl who
are pregnant or not had chicken pox of vaccine, should not care for client
42. Clostridium difficile (C-diff)
Standard, Contact duration of illness feces hand hygiene PPE (enteric) if contact with potentially
contaminated materials
43. Hepatitis A (HepA)
Standard, Contact (if fecal incontinence) until 7 days after onset of jaundice Contact precautions used with
clients wearing diapers or incontinent, min of 1 week depending on age
44. Hepatitis B (HepB)
Standard duration of illness blood & body fluids hand hygiene contact for blood & body fluids
45. Hepatitis C (HepC)
Standard (unless hemodialysis) duration of illness blood & body fluids hand hygiene contact for blood &
body fluids
46. Herpes Simplex Virus (HSV)
Standard, Contact recurrent oral, skin, genital until lesions crust over fluid from lesions horizontal
transmission: skin & secretions vertical transmission: mother to child utero or birth
47. Carbapenam-resistant enterobacteriacease (CRE)
Standard, Contact high mortality rate blood & body fluids, feces hand hygiene contact precautions
48. Herpes Zoster (shingles)
Standard. Airborne, Contact Private Room disseminated or localized in immunocompromised duration of
illness or visible lesions lesions ppl who never had chicken pox or vaccine should not care for client
3
VERIFIED 2027 EDITION
1. when fusing packed red blood cells, which solution is hung with the Y tubing?
0.9% sodium in water (NS)
2. Severe Preeclampsia, what are expected findings?
proteinuria, facial edema, blurred vision
3. DM and glucose monitoring, what will increase blood flow and decrease risk of infection, before
taking the sample?
washing clients hands with soap and warm water
4. What is an expecting finding of Hyperthyroidism?
Tremors
5. What is an expected finding of Hypothyroidism?
Periorbital Edema
6. Coping Strategies
7. Verapamil
CCB, treats hypertension, angina, arrhythmia. Do not take with Grapefruit (may cause hypotension).
8. what should be administered for a Benzodiazepine overdose?
Flumazenil
9. Which side does a cane go on? Weak side or Strong side?
Strong side
10. Na+
Electrolytes, Sodium 136-145
11. K+
Electrolytes, Potassium 3.5-5
12. Ca++
Electrolytes, Calcium 9-10.5
13. pH
ABG, 7.35-7.45
14. PaCO2
ABG, 35-45
15. HCO3
ABG, bicarbonate, 21-28
16. PaO2
ABG, oxygen, 80-100
1
,17. SaO2
ABG, Oxygen Saturation, 95%-100%
18. Hgb
CBC, Hemoglobin, 12-16 (F) 14-18 (M)
19. Hct
CBC, Hematocrit, 42-52% (M) 37-47% (F)
20. RBC
4.7 (M) 6.1 (F)
21. WBC
CBC, White Blood Cell, 5000-10,000
22. ESR
erythrocyte sedimentation rate, < 20 mm/hr
23. Cholesterol, Total
< 200 (risk for cardiac or stroke > 150)
24. Platelets
150,000-400,000
25. PT
11-12.5 seconds therapeutic range is 1.5 - 2 times the normal
26. aPTT
partial thromboplastin time, 30-40 seconds therapeutic range is 1.5 - 2 times the normal
27. INR
0.7-1.8 (unless on drug, therapeutic range 2-3)
28. Glucose, Fasting
Endocrine, 70-105
29. HbA1c, glycosylated hemoglobin
Endocrine, Hemoglobin A1c, 4-6% under 6% for normal under 7% for Diabetes Control
30. BUN
GU, 10-20
31. Creatinine
GU, 0.6-1.2 (M) 0.5-1.1 (F)
32. Creatinine Clearance Test
90 - 139 (M) 80 -125 (F) calculation of GFR best indicator of overall renal function
33. What type of solution is TPN?
hypertonic
34. How can TPN be given and when is it prepared?
Through a PICC line or tunneled catheter and prepared daily
2
, 35. Which lab value is checked and how often, when TPN is initiated?
blood glucose, every 4-6 hours
36. Every 24 hours a new TPN bag is hung with a new filter. True or False?
True
37. Non-Pharmocological Interventions: HOT
on for 15min, off for 20min acts as an analgesia (pain relief) increase blood flow relaxes muscles
diminishes muscles spasms eases muscles & joint stiffness
38. Non-Pharmacological Interventions: COLD
on for 15min, off for 20min acts as an analgesia (pain relief) decreases/prevents swelling diminishes
muscles spasms
39. Diseases that need Private rooms?
varicella (chicken pox) herpes zoster (shingles) rubeola virus (measles) meningococcal disease pneumonia
respiratory syncytial virus (RSV) rubella tuberculosis (TB)
40. HIV/AIDS
Standard duration of illness blood & body fluids, including breast milk hand hygiene PPE if in contact with
potential contaminated materials
41. Varicella (chicken pox)
Standard, Airborne, Contact Private Room until lesions crust over leasions & respiratory secretions ppl who
are pregnant or not had chicken pox of vaccine, should not care for client
42. Clostridium difficile (C-diff)
Standard, Contact duration of illness feces hand hygiene PPE (enteric) if contact with potentially
contaminated materials
43. Hepatitis A (HepA)
Standard, Contact (if fecal incontinence) until 7 days after onset of jaundice Contact precautions used with
clients wearing diapers or incontinent, min of 1 week depending on age
44. Hepatitis B (HepB)
Standard duration of illness blood & body fluids hand hygiene contact for blood & body fluids
45. Hepatitis C (HepC)
Standard (unless hemodialysis) duration of illness blood & body fluids hand hygiene contact for blood &
body fluids
46. Herpes Simplex Virus (HSV)
Standard, Contact recurrent oral, skin, genital until lesions crust over fluid from lesions horizontal
transmission: skin & secretions vertical transmission: mother to child utero or birth
47. Carbapenam-resistant enterobacteriacease (CRE)
Standard, Contact high mortality rate blood & body fluids, feces hand hygiene contact precautions
48. Herpes Zoster (shingles)
Standard. Airborne, Contact Private Room disseminated or localized in immunocompromised duration of
illness or visible lesions lesions ppl who never had chicken pox or vaccine should not care for client
3
