NGN NCLEX PN LATEST EXAM 2024/2025 QUESTIONS AND
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
Air/Pulmonary Embolism - ANSWER S&S;chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR - ANSWER late decels, decreased
variability, fetal bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC - ANSWER position patient on the right
side (promote emptying of the stomach) with HOB elevated (to prevent
aspiration)
During Epidural Puncture - ANSWER side lying
After Lumbar Puncture - ANSWER and also oil myelogram . . .patient lies
flat supine (to prevent headache and leaking of CSF)
patient with heat stroke - ANSWER lie flat w/legs elevated
during continuous bladder irrigation (CBI) - ANSWER catheter is taped to
thigh so leg should be straight. no other position restrictions
after myringotomy - ANSWER position on side of affected ear after surgery
(allow for drainage of secretions)
after cataract surgery - ANSWER patient will sleep on unaffected side with
night shield for 1-4 weeks
after thyroidectomy - ANSWER low or semi fowlers, support head, neck
and shoulders
infant with spina bifida - ANSWER position prone (on abdomen) so that sac
doesn't rupture
bucks traction (skin traction) - ANSWER elevate foot of bed for counter-
traction
,after total hip replacement - ANSWER don't sleep on operated side, don't
flex hip more than 45-60 degrees, don't elevate HOB more than 45
degrees. maintain hip abduction by seperating thighs with pillows
prolapsed cord - ANSWER knee chest position or trendelenburg
infant with cleft lip - ANSWER position on back or in infant seat to prevent
trauma to suture line. while feeding, hold in upright position.
to prevent dumping syndrome - ANSWER post operative ulcer/stomach
surgeries . . . eat reclining position, lie down after meals for 20-30 minutes
(also restrict fluids during meals, low CHO and fiber diet, small frequent
meals
above knee amputation - ANSWER elevate for first 24 hours on pillow,
position prone daily to provide for hip extension
below knee amputation - ANSWER foot of bed elevated for first 24 hours,
position prone daily to provide for hip extension
detached retina - ANSWER area of detachment should be in the dependent
position
administration of enema - ANSWER position patient in left side lying (sim's)
with knew flexed
after supratentorial surgery (incision behind hairline) - ANSWER elevate
HOB 30-45 degrees
after infatentorial surgery (incision at nape of neck) - ANSWER position pt
flat and lateral on eithe rside
during internal radiation - ANSWER on bed rest while implant in place
autonomic dysrelexia/hyperreflexia - ANSWER S&S; pounding headache,
profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension
. . . place pt. in sitting position (elevate HOB first before any other
implentation)
,shock - ANSWER bedrest with extremities elevated 20 degrees, knees
straight, head slightly elevated (modified trendelenburg)
head injury - ANSWER elevate HOB 30 degrees to decrease intacranial
pressure
peritoneal dialysis when outflow is inadequate - ANSWER turn pt. from side
to side BEFORE checking the tubing for kinks
lumbar puncture - ANSWER after the procedure, the client should be
placed in the supine position for 4-12 hours as prescribed
demorol for pancreatitis - ANSWER DO NOT GIVE MORPHINE SULFATE
myasthenia gravis - ANSWER worsens with excercise and improves with
rest
myasthenia crisis - ANSWER a positive reaction to tensilon . . .will improve
symptoms
cholinergic crisis - ANSWER caused by excessive medication . . stop med
giving tension will make it worse
head injury medication - ANSWER mannitol (osmotic diuretic) crystallizes
at room temp so ALWAYS usse filter needle
prior to liver biopsy - ANSWER important to be aware of lab result for
prothrombin time
from the a** (diarrhea) - ANSWER metabolic acidosis
from the mouth (vomiting) - ANSWER metabolic alkalosis
myxedema/hypothyroidism - ANSWER slowed physical and mental
function, sensitivity to cold, dry skin and hair
kept forgetting which was dangerous when you're pregnant; reg. measles
or German measles - ANSWER so remember . . . NEVER GET PREGNAT
WITH A GERMAN (rubella)
, when drawing up REGULAR INSULIN & NPH together, remember -
ANSWER RN . . . regular comes before NPH
MAOI's that are used as antidepressants: weird way to remember . . . -
ANSWER Pirates say arrr, so think; pirates take MAOI's when they're
depressed. explanation: MAOI's used from depressants all have an "arrrr"
in the middle (parnate, marplan, nardil)
autonomic dysreflexia; potentially life threatening emergency - ANSWER
elevate head of bed to 90 degrees
loosen constrictive clothing
assess for bladder distention and bowel impaction (triger)
adminster antihypertensive meds (may cause stroke, MI, seizure)
easy way to remember MAOI's - ANSWER thinks PANAMA
PA-parnate
NA-nardil
MA-marplan
metallic bitter taste
digoxin - ANSWER check pulse, less than 60 hold, check dig levels and
potassium levels
amphojel - ANSWER tx of GERD and kidney stones . . . watch out for
constipation
vistaril - ANSWER tx of anxiety and also itching . . . watch for dry mouth,
commonly give preop
versed - ANSWER given for conscious sedation . . watch for resp.
depression and hypotension
PTU and tapazole - ANSWER prevention and thyroid storm
sinemet - ANSWER tx of parkinsons . . . sweat, saliva, urine may turn
reddish brown and occassionally causes drowsines
artane - ANSWER tx of parkinson . . . sedative effect also
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
Air/Pulmonary Embolism - ANSWER S&S;chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR - ANSWER late decels, decreased
variability, fetal bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC - ANSWER position patient on the right
side (promote emptying of the stomach) with HOB elevated (to prevent
aspiration)
During Epidural Puncture - ANSWER side lying
After Lumbar Puncture - ANSWER and also oil myelogram . . .patient lies
flat supine (to prevent headache and leaking of CSF)
patient with heat stroke - ANSWER lie flat w/legs elevated
during continuous bladder irrigation (CBI) - ANSWER catheter is taped to
thigh so leg should be straight. no other position restrictions
after myringotomy - ANSWER position on side of affected ear after surgery
(allow for drainage of secretions)
after cataract surgery - ANSWER patient will sleep on unaffected side with
night shield for 1-4 weeks
after thyroidectomy - ANSWER low or semi fowlers, support head, neck
and shoulders
infant with spina bifida - ANSWER position prone (on abdomen) so that sac
doesn't rupture
bucks traction (skin traction) - ANSWER elevate foot of bed for counter-
traction
,after total hip replacement - ANSWER don't sleep on operated side, don't
flex hip more than 45-60 degrees, don't elevate HOB more than 45
degrees. maintain hip abduction by seperating thighs with pillows
prolapsed cord - ANSWER knee chest position or trendelenburg
infant with cleft lip - ANSWER position on back or in infant seat to prevent
trauma to suture line. while feeding, hold in upright position.
to prevent dumping syndrome - ANSWER post operative ulcer/stomach
surgeries . . . eat reclining position, lie down after meals for 20-30 minutes
(also restrict fluids during meals, low CHO and fiber diet, small frequent
meals
above knee amputation - ANSWER elevate for first 24 hours on pillow,
position prone daily to provide for hip extension
below knee amputation - ANSWER foot of bed elevated for first 24 hours,
position prone daily to provide for hip extension
detached retina - ANSWER area of detachment should be in the dependent
position
administration of enema - ANSWER position patient in left side lying (sim's)
with knew flexed
after supratentorial surgery (incision behind hairline) - ANSWER elevate
HOB 30-45 degrees
after infatentorial surgery (incision at nape of neck) - ANSWER position pt
flat and lateral on eithe rside
during internal radiation - ANSWER on bed rest while implant in place
autonomic dysrelexia/hyperreflexia - ANSWER S&S; pounding headache,
profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension
. . . place pt. in sitting position (elevate HOB first before any other
implentation)
,shock - ANSWER bedrest with extremities elevated 20 degrees, knees
straight, head slightly elevated (modified trendelenburg)
head injury - ANSWER elevate HOB 30 degrees to decrease intacranial
pressure
peritoneal dialysis when outflow is inadequate - ANSWER turn pt. from side
to side BEFORE checking the tubing for kinks
lumbar puncture - ANSWER after the procedure, the client should be
placed in the supine position for 4-12 hours as prescribed
demorol for pancreatitis - ANSWER DO NOT GIVE MORPHINE SULFATE
myasthenia gravis - ANSWER worsens with excercise and improves with
rest
myasthenia crisis - ANSWER a positive reaction to tensilon . . .will improve
symptoms
cholinergic crisis - ANSWER caused by excessive medication . . stop med
giving tension will make it worse
head injury medication - ANSWER mannitol (osmotic diuretic) crystallizes
at room temp so ALWAYS usse filter needle
prior to liver biopsy - ANSWER important to be aware of lab result for
prothrombin time
from the a** (diarrhea) - ANSWER metabolic acidosis
from the mouth (vomiting) - ANSWER metabolic alkalosis
myxedema/hypothyroidism - ANSWER slowed physical and mental
function, sensitivity to cold, dry skin and hair
kept forgetting which was dangerous when you're pregnant; reg. measles
or German measles - ANSWER so remember . . . NEVER GET PREGNAT
WITH A GERMAN (rubella)
, when drawing up REGULAR INSULIN & NPH together, remember -
ANSWER RN . . . regular comes before NPH
MAOI's that are used as antidepressants: weird way to remember . . . -
ANSWER Pirates say arrr, so think; pirates take MAOI's when they're
depressed. explanation: MAOI's used from depressants all have an "arrrr"
in the middle (parnate, marplan, nardil)
autonomic dysreflexia; potentially life threatening emergency - ANSWER
elevate head of bed to 90 degrees
loosen constrictive clothing
assess for bladder distention and bowel impaction (triger)
adminster antihypertensive meds (may cause stroke, MI, seizure)
easy way to remember MAOI's - ANSWER thinks PANAMA
PA-parnate
NA-nardil
MA-marplan
metallic bitter taste
digoxin - ANSWER check pulse, less than 60 hold, check dig levels and
potassium levels
amphojel - ANSWER tx of GERD and kidney stones . . . watch out for
constipation
vistaril - ANSWER tx of anxiety and also itching . . . watch for dry mouth,
commonly give preop
versed - ANSWER given for conscious sedation . . watch for resp.
depression and hypotension
PTU and tapazole - ANSWER prevention and thyroid storm
sinemet - ANSWER tx of parkinsons . . . sweat, saliva, urine may turn
reddish brown and occassionally causes drowsines
artane - ANSWER tx of parkinson . . . sedative effect also
