NR 446 Week 1: NCLEX Readiness – UPDATED Questions with 100% Verified Answers
NR 446 Week 1: NCLEX Readiness – UPDATED
Questions with 100% Verified Answers
Section 1: What'S, Remember, Thinking (Q1–Q12)
Question & Answer
Q1 What does a Normal Sinus Rhythm (NSR) look like on an ECG?
A Steady like a good dance beat! HR: 60-100 bpm PR: 0.12-0.20 sec QRS: 0.04-0.10 sec
Q2 What's the PKU diet trick to remember what NOT to eat?
A Think of Dirty Dan’s enemy list: Meat Dairy Dry beans Nuts Eggs PKU says
“Bye,enemies!”
Q3 What does the acronym TIRED stand for in hypoglycemia?
A When blood sugar’s low, your body gets TIRED: Tachycardia & Tremors Irritable & Anxious
Restless Excessive Hunger Diaphoresis (sweating) Sound familiar? Time for a snack!
Q4 How do you tell hypo from hyperglycemia?
A “Hot & dry = sugar high” (hyper) ☀ “Cold & clammy = eat some candy” (hypo)
Q5 What's the deal with VEAL CHOP during fetal monitoring?
A Variable = Cord Early = Head Acceleration = Okay Late = Placenta
Q6 What do you do for late decelerations?
A Stop the oxytocin Roll mama to the left Give fluids Boost that O2
Q7 Whatarewarningsignsofamentalhealthcrisis?
A Isolation Losing touch with reality Rapid mood swings Agitation ὢ Self-harm talk Stay calm.
Safety first, always.
Q8 What's important to teach before an EGD (esophagogastroduodenoscopy)?
A Stop NSAIDs, aspirin, anticoagulants 48-72 hrs before (bleed alert! ) Regular meds? Ok with small
sips of water NPO 6-8 hours (empty belly = clear view) Walk them through what to expect
Q9 What's the NCLEX tip about "closed-ended words"?
A Be suspicious of answers that sound like a breakup text! If it says “always,” “never,” “must,”
“only,” “none,” “every,”— These extreme words usually = wrong choice! Look for answers with
flexibility.
Q10 What are the levels of cognitive ability (Bloom's Taxonomy) from basic to advanced?
A Remembering – Just the facts, ma’am Understanding – Now explain it to your grandma Applying
– Use it in real life Analyzing – Connect the dots Evaluating – Judge like a Top Chef ⚖️ Creating
– Brand new solutions!
Page 1 of 12
, NR 446 Week 1: NCLEX Readiness – UPDATED Questions with 100% Verified Answers
Question & Answer
Q11 What's the difference between foundational thinking and critical thinking?
A Foundational thinking = Remember+Understand(the base layer) Critical thinking =
Apply+Analyze+Evaluate+Create(for complex clinical decisions) You need the basics to build
your nursing brainpower!
Q12 How do you remember the signs of magnesium sulfate toxicity?
A Just remember… BURP—but not the funny kind! ὠ Blood pressure low (<90/60) ⬇ Urinary output
low (<30 mL/hr) Respiratory rate low (<12/min) ὢ Patellar reflex absent If your patient
starts to BURP, grab that calcium gluconate antidote fast! ♀️
Section 2: What'S, Remember, Symptoms (Q13–Q24)
Question & Answer
Q13 What's the phrase to remember the fat-soluble vitamins?
A All Dieters Eat Kilocalories” A = Vitamin A D = Vitamin D ☀ E = Vitamin E K = Vitamin K
These vitamins ride with fat—so don’t forget they need dietary fat to be absorbed!
Q14 What's the mnemonic to remember the 12 cranial nerves in order?
A “On Old Olympus’s Towering Tops, A Finn And Swedish Girl Viewed Some Hops” ♂️ Now break
it down: Olfactory – smell Optic – vision Oculomotor – eye movement Trochlear – eye
movement Trigeminal – facial sensation & chewing ὠ Abducens – eye movement ↔ Facial –
facial expressions ὠ Auditory (Vestibulocochlear) – hearing & balance Glossopharyngeal – taste
& swallow Vagus – voice, heart, digestion ❤ Spinal accessory – shoulder shrug & head turn ♀️
Hypoglossal – tongue movement
Q15 What are common symptoms of meningitis?
A Fever Neck pain ὢ Sleepiness Vomiting Joint pain Rash Headache ὣ Seizures ⚡ Light
sensitivity ὠ If these show up, actfast—meningitis can be life-threatening!
Q16 How do you remember the difference between left-sided and right-sided heart failure
symptoms?
A Left-Sided = DOCHAP (think: L for Lungs) Dyspnea ὢ Orthopnea Cough ὣ Hemoptysis (coughing
blood) Adventitious breath sounds Pulmonary congestion
Right-Sided = AWHEAD (think: R for Restofthebody) Anorexia Weight gain ⚖ Hepatomegaly (big
liver) ➡ Edema Ascites (belly fluid) Distended neck veins ♂️
Q17 Left-Sided = DOCHAP (think: L for Lungs)
A Dyspnea ὢ Orthopnea Cough ὣ Hemoptysis (coughing blood) Adventitious breath sounds
Pulmonary congestion
Q18 Right-Sided = AWHEAD (think: R for Restofthebody)
A Anorexia Weight gain ⚖ Hepatomegaly (big liver) ➡ Edema Ascites (belly fluid) Distended
neck veins ♂️
Q19 What's the correct way to draw up regular and NPH insulin?
A Roll that NPH (cloudy) vial gently—don’t shake! Wipe tops of both vials with alcohol Inject air
into NPH vial first Then inject air into Regular insulin vial Withdraw Regular (clear) insulin FIRST
Then withdraw NPH (cloudy) using same needle ☁ Recap with a one-hand technique for safety
Page 2 of 12
NR 446 Week 1: NCLEX Readiness – UPDATED
Questions with 100% Verified Answers
Section 1: What'S, Remember, Thinking (Q1–Q12)
Question & Answer
Q1 What does a Normal Sinus Rhythm (NSR) look like on an ECG?
A Steady like a good dance beat! HR: 60-100 bpm PR: 0.12-0.20 sec QRS: 0.04-0.10 sec
Q2 What's the PKU diet trick to remember what NOT to eat?
A Think of Dirty Dan’s enemy list: Meat Dairy Dry beans Nuts Eggs PKU says
“Bye,enemies!”
Q3 What does the acronym TIRED stand for in hypoglycemia?
A When blood sugar’s low, your body gets TIRED: Tachycardia & Tremors Irritable & Anxious
Restless Excessive Hunger Diaphoresis (sweating) Sound familiar? Time for a snack!
Q4 How do you tell hypo from hyperglycemia?
A “Hot & dry = sugar high” (hyper) ☀ “Cold & clammy = eat some candy” (hypo)
Q5 What's the deal with VEAL CHOP during fetal monitoring?
A Variable = Cord Early = Head Acceleration = Okay Late = Placenta
Q6 What do you do for late decelerations?
A Stop the oxytocin Roll mama to the left Give fluids Boost that O2
Q7 Whatarewarningsignsofamentalhealthcrisis?
A Isolation Losing touch with reality Rapid mood swings Agitation ὢ Self-harm talk Stay calm.
Safety first, always.
Q8 What's important to teach before an EGD (esophagogastroduodenoscopy)?
A Stop NSAIDs, aspirin, anticoagulants 48-72 hrs before (bleed alert! ) Regular meds? Ok with small
sips of water NPO 6-8 hours (empty belly = clear view) Walk them through what to expect
Q9 What's the NCLEX tip about "closed-ended words"?
A Be suspicious of answers that sound like a breakup text! If it says “always,” “never,” “must,”
“only,” “none,” “every,”— These extreme words usually = wrong choice! Look for answers with
flexibility.
Q10 What are the levels of cognitive ability (Bloom's Taxonomy) from basic to advanced?
A Remembering – Just the facts, ma’am Understanding – Now explain it to your grandma Applying
– Use it in real life Analyzing – Connect the dots Evaluating – Judge like a Top Chef ⚖️ Creating
– Brand new solutions!
Page 1 of 12
, NR 446 Week 1: NCLEX Readiness – UPDATED Questions with 100% Verified Answers
Question & Answer
Q11 What's the difference between foundational thinking and critical thinking?
A Foundational thinking = Remember+Understand(the base layer) Critical thinking =
Apply+Analyze+Evaluate+Create(for complex clinical decisions) You need the basics to build
your nursing brainpower!
Q12 How do you remember the signs of magnesium sulfate toxicity?
A Just remember… BURP—but not the funny kind! ὠ Blood pressure low (<90/60) ⬇ Urinary output
low (<30 mL/hr) Respiratory rate low (<12/min) ὢ Patellar reflex absent If your patient
starts to BURP, grab that calcium gluconate antidote fast! ♀️
Section 2: What'S, Remember, Symptoms (Q13–Q24)
Question & Answer
Q13 What's the phrase to remember the fat-soluble vitamins?
A All Dieters Eat Kilocalories” A = Vitamin A D = Vitamin D ☀ E = Vitamin E K = Vitamin K
These vitamins ride with fat—so don’t forget they need dietary fat to be absorbed!
Q14 What's the mnemonic to remember the 12 cranial nerves in order?
A “On Old Olympus’s Towering Tops, A Finn And Swedish Girl Viewed Some Hops” ♂️ Now break
it down: Olfactory – smell Optic – vision Oculomotor – eye movement Trochlear – eye
movement Trigeminal – facial sensation & chewing ὠ Abducens – eye movement ↔ Facial –
facial expressions ὠ Auditory (Vestibulocochlear) – hearing & balance Glossopharyngeal – taste
& swallow Vagus – voice, heart, digestion ❤ Spinal accessory – shoulder shrug & head turn ♀️
Hypoglossal – tongue movement
Q15 What are common symptoms of meningitis?
A Fever Neck pain ὢ Sleepiness Vomiting Joint pain Rash Headache ὣ Seizures ⚡ Light
sensitivity ὠ If these show up, actfast—meningitis can be life-threatening!
Q16 How do you remember the difference between left-sided and right-sided heart failure
symptoms?
A Left-Sided = DOCHAP (think: L for Lungs) Dyspnea ὢ Orthopnea Cough ὣ Hemoptysis (coughing
blood) Adventitious breath sounds Pulmonary congestion
Right-Sided = AWHEAD (think: R for Restofthebody) Anorexia Weight gain ⚖ Hepatomegaly (big
liver) ➡ Edema Ascites (belly fluid) Distended neck veins ♂️
Q17 Left-Sided = DOCHAP (think: L for Lungs)
A Dyspnea ὢ Orthopnea Cough ὣ Hemoptysis (coughing blood) Adventitious breath sounds
Pulmonary congestion
Q18 Right-Sided = AWHEAD (think: R for Restofthebody)
A Anorexia Weight gain ⚖ Hepatomegaly (big liver) ➡ Edema Ascites (belly fluid) Distended
neck veins ♂️
Q19 What's the correct way to draw up regular and NPH insulin?
A Roll that NPH (cloudy) vial gently—don’t shake! Wipe tops of both vials with alcohol Inject air
into NPH vial first Then inject air into Regular insulin vial Withdraw Regular (clear) insulin FIRST
Then withdraw NPH (cloudy) using same needle ☁ Recap with a one-hand technique for safety
Page 2 of 12