NCLEX/RN/NCLEX RN TEST BANK
ACTUAL EXAM TESTS. 300+
QUESTION AND ANSWERS 2025
1. Acculturation.
Is a process of learning a different culture to adapt to a new or
changing environment.
2. Ethnic identity
It is a subjective perspective of the person's heritage and a sense of
belonging to a group
3. Low-risk therapies:
Include meditation, relaxation techniques, imagery, music therapy,
massage, touch, laughter, humor, & spiritual measures (prayer).
4. High risk of obesity & diabetes mellitus
Because of their health & dietary practices, Native Americans, Latino
Americans, Hispanic Americans, & African Americans.
5. 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.
Jehovah's Witnesses
6. 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.
Orthodox Judaism
7. Five categories of complementary and alternative medicine (CAM):
include whole medical systems, mind-body medicine, biologically
based practices, manipulative & body-based practices, & energy
medicine.
8. Autocratic leader
, 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
9. Democratic leader
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.
10. Laissez-faire leader
Passive and nondirective. Would state what the problem was &
inform staff that the staff needed to come up with a plan to "fix it."
11. 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.
Overhydration or fluid overload & occurs when fluid intake or fluid
retention
12. Common food sources of potassium:
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges,
potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes
13. Hyponatremia
Muscle weakness, increased urinary output, & decreased specific
gravity of the urine would be noted
14. Hypophosphatemia
Causative factors relate to malnutrition or starvation & the use of
aluminum hydroxide-based or magnesium-based antacids.
Malnutrition is associated with alcoholism.
15. Hyperphosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome;
causative factors. Should avoid foods high in phosphates; fish, eggs,
milk products, vegetables, whole grains, & carbonated beverages.
16. Causes of a fluid volume deficit
, 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.
17. Causes of overhydration or fluid overload:
Decreased kidney function, heart failure, hypotonic fluids to replace
isotonic fluid losses, excessive irrigation of wounds & body cavities,
& excessive ingestion of sodium.
18. Hyperkalemia causes:
Trauma, burns, sepsis, or metabolic or respiratory acidosis.
19. Hypokalemia causes:
Cushing's syndrome or colitis & over use of laxatives.
20. Metabolic acidotic
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.
21. Metabolic alkalosis
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to
increase. Symptoms experienced would include hypoventilation &
tachycardia.
22. Respiratory acidotic
Decreased pH and an increased CO2. Hypoventalation & COPD
23. Respiratory alkalotic
Increased pH & decreased CO2. Hyperventalation, Lethargy,
lightheadedness, confusion, tachycardia, dysrhythmias related to
hypokalemia, nausea, vomiting, epigastric pain, numbness & tingling
of extremities. Hyperventilation (tachypnea) occurs.
24. Warfarin (Coumadin)
Sample for PT & INR level to determine anticoagulation status & risk
for bleeding
25. Heparin
, aPTT monitors the effects. Anticoagulant used most often during
hemodialysis. Monitors extent of anticoagulation checking PTT,
which is appropriate measure heparin effect. Protamine sulfate is
antidote.
26. Iron deficiency anemia foods in diet:
Dark green leafy vegetables good source iron, oranges are a good
source of vitamin C, which enhances iron absorption.
27. Vegans
May lack B12 in diet.
28. Low sodium foods:
Include fruits & vegetables
29. High Sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal),
Saltwater fish & shellfish. Smoked foods,
30. Clear liquid diet:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard
candy, lemonade, ice pops, and regular or decaffeinated coffee or tea.
31. Full liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet,
breakfast drinks, milk, pudding & custard, soups that are strained,
refined cooked cereals, & strained vegetable juices.
32. High Thiamine foods
Pork products rich in this vitamin. Other good food sources include
nuts, whole grain cereals, & legumes.
33. Suspects air embolism. Should immediately place client in which
position?
On the left side, with the head lower than the feet. This position used
to minimize effect of air traveling as a bolus to lungs by trapping it in
right side of heart.
34. Fat emulsion (lipids)
Assess for known allergies to eggs to prevent anaphylaxis.
35. Hyperglycemia:
ACTUAL EXAM TESTS. 300+
QUESTION AND ANSWERS 2025
1. Acculturation.
Is a process of learning a different culture to adapt to a new or
changing environment.
2. Ethnic identity
It is a subjective perspective of the person's heritage and a sense of
belonging to a group
3. Low-risk therapies:
Include meditation, relaxation techniques, imagery, music therapy,
massage, touch, laughter, humor, & spiritual measures (prayer).
4. High risk of obesity & diabetes mellitus
Because of their health & dietary practices, Native Americans, Latino
Americans, Hispanic Americans, & African Americans.
5. 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.
Jehovah's Witnesses
6. 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.
Orthodox Judaism
7. Five categories of complementary and alternative medicine (CAM):
include whole medical systems, mind-body medicine, biologically
based practices, manipulative & body-based practices, & energy
medicine.
8. Autocratic leader
, 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
9. Democratic leader
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.
10. Laissez-faire leader
Passive and nondirective. Would state what the problem was &
inform staff that the staff needed to come up with a plan to "fix it."
11. 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.
Overhydration or fluid overload & occurs when fluid intake or fluid
retention
12. Common food sources of potassium:
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges,
potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes
13. Hyponatremia
Muscle weakness, increased urinary output, & decreased specific
gravity of the urine would be noted
14. Hypophosphatemia
Causative factors relate to malnutrition or starvation & the use of
aluminum hydroxide-based or magnesium-based antacids.
Malnutrition is associated with alcoholism.
15. Hyperphosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome;
causative factors. Should avoid foods high in phosphates; fish, eggs,
milk products, vegetables, whole grains, & carbonated beverages.
16. Causes of a fluid volume deficit
, 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.
17. Causes of overhydration or fluid overload:
Decreased kidney function, heart failure, hypotonic fluids to replace
isotonic fluid losses, excessive irrigation of wounds & body cavities,
& excessive ingestion of sodium.
18. Hyperkalemia causes:
Trauma, burns, sepsis, or metabolic or respiratory acidosis.
19. Hypokalemia causes:
Cushing's syndrome or colitis & over use of laxatives.
20. Metabolic acidotic
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.
21. Metabolic alkalosis
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to
increase. Symptoms experienced would include hypoventilation &
tachycardia.
22. Respiratory acidotic
Decreased pH and an increased CO2. Hypoventalation & COPD
23. Respiratory alkalotic
Increased pH & decreased CO2. Hyperventalation, Lethargy,
lightheadedness, confusion, tachycardia, dysrhythmias related to
hypokalemia, nausea, vomiting, epigastric pain, numbness & tingling
of extremities. Hyperventilation (tachypnea) occurs.
24. Warfarin (Coumadin)
Sample for PT & INR level to determine anticoagulation status & risk
for bleeding
25. Heparin
, aPTT monitors the effects. Anticoagulant used most often during
hemodialysis. Monitors extent of anticoagulation checking PTT,
which is appropriate measure heparin effect. Protamine sulfate is
antidote.
26. Iron deficiency anemia foods in diet:
Dark green leafy vegetables good source iron, oranges are a good
source of vitamin C, which enhances iron absorption.
27. Vegans
May lack B12 in diet.
28. Low sodium foods:
Include fruits & vegetables
29. High Sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal),
Saltwater fish & shellfish. Smoked foods,
30. Clear liquid diet:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard
candy, lemonade, ice pops, and regular or decaffeinated coffee or tea.
31. Full liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet,
breakfast drinks, milk, pudding & custard, soups that are strained,
refined cooked cereals, & strained vegetable juices.
32. High Thiamine foods
Pork products rich in this vitamin. Other good food sources include
nuts, whole grain cereals, & legumes.
33. Suspects air embolism. Should immediately place client in which
position?
On the left side, with the head lower than the feet. This position used
to minimize effect of air traveling as a bolus to lungs by trapping it in
right side of heart.
34. Fat emulsion (lipids)
Assess for known allergies to eggs to prevent anaphylaxis.
35. Hyperglycemia:
