75 FREE NCLEX EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 – 2026
The nurse is caring for a patient in the ICU who has had a
spinal cord injury. She observes that his last blood pressure
was 100/55, and his pulse is 48. These have both trended
downwards from the baseline. What should the nurse
expect to be the next course of action ordered by the
physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG - ANSWERS-1. Assess the
patient for decreased level of consciousness
Incorrect - An assessment has already been made, and an
intervention is warranted.
,2. Administer Normal Saline
Correct - The patient is entering neurogenic shock. Normal
saline will replace fluid volume, treating the hypotension
and bradycardia symptomatically. Atropine sulfate is also
commonly used to increase the heart rate.
3. Insert an NG Tube
Incorrect - An NG tube would not be relevant in this
situation.
4. Connect and read an EKG
Incorrect - An EKG would not be needed in this situation.
A nurse is caring for a patient who is suspected to have
sustained a spinal cord injury. What best describes the
overarching principles used to guide the care for this type of
condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent
neurologic deterioration
,3. Help the patient with activities of daily living and provide
emotional and physical support to help them adjust to their
injury
4. Facilitate tissue perfusion to the spinal cord while
maintaining airway and breathing - ANSWERS-1. Immobilize
the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a
spinal cord injury, it does not adequately describe guiding
principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent
neurologic deterioration
Incorrect - While this is an essential part of caring for a
spinal cord injury, it does not adequately describe guiding
principles for a complete plan of care
3. Help the patient with activities of daily living and provide
emotional and physical support to help them adjust to their
injury
Incorrect - These are important in the later stages of a spinal
cord injury after the patient has been stabilized, but at this
point would be premature.
, 4. Facilitate tissue perfusion to the spinal cord while
maintaining airway and breathing
Correct - Maintaining airway, breathing, and circulation is
both essential and guides the overall plan of care for a
patient with a spinal cord injury.
A nurse is providing discharge teaching for a patient with
severe Gastroesophogeal Reflux Disease. Which of these
statements by the patient indicates a need for more
teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid
secretion."
2. "I'm going to make sure to remain upright after meals and
elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate any
more."
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 – 2026
The nurse is caring for a patient in the ICU who has had a
spinal cord injury. She observes that his last blood pressure
was 100/55, and his pulse is 48. These have both trended
downwards from the baseline. What should the nurse
expect to be the next course of action ordered by the
physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG - ANSWERS-1. Assess the
patient for decreased level of consciousness
Incorrect - An assessment has already been made, and an
intervention is warranted.
,2. Administer Normal Saline
Correct - The patient is entering neurogenic shock. Normal
saline will replace fluid volume, treating the hypotension
and bradycardia symptomatically. Atropine sulfate is also
commonly used to increase the heart rate.
3. Insert an NG Tube
Incorrect - An NG tube would not be relevant in this
situation.
4. Connect and read an EKG
Incorrect - An EKG would not be needed in this situation.
A nurse is caring for a patient who is suspected to have
sustained a spinal cord injury. What best describes the
overarching principles used to guide the care for this type of
condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent
neurologic deterioration
,3. Help the patient with activities of daily living and provide
emotional and physical support to help them adjust to their
injury
4. Facilitate tissue perfusion to the spinal cord while
maintaining airway and breathing - ANSWERS-1. Immobilize
the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a
spinal cord injury, it does not adequately describe guiding
principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent
neurologic deterioration
Incorrect - While this is an essential part of caring for a
spinal cord injury, it does not adequately describe guiding
principles for a complete plan of care
3. Help the patient with activities of daily living and provide
emotional and physical support to help them adjust to their
injury
Incorrect - These are important in the later stages of a spinal
cord injury after the patient has been stabilized, but at this
point would be premature.
, 4. Facilitate tissue perfusion to the spinal cord while
maintaining airway and breathing
Correct - Maintaining airway, breathing, and circulation is
both essential and guides the overall plan of care for a
patient with a spinal cord injury.
A nurse is providing discharge teaching for a patient with
severe Gastroesophogeal Reflux Disease. Which of these
statements by the patient indicates a need for more
teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid
secretion."
2. "I'm going to make sure to remain upright after meals and
elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate any
more."
