NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
GI, Endocrine, Integumentary (Test Bank) Latest 2026, A+
Guide.
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - AMSNonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - AMSSodium
aminoglycosides (mycins) - AMS
Angiotensin II in the lungs is a potent? - AMSvasodialator
At what pain level should an Opioid Analgesic be considered? - AMSPain level of 6 or greater. Opioids
are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - AMStoo much fluid in the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - AMSE = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - AMSTB syringe
HIV Nursing and Collaborative Management includes... - AMS- Monitor disease progression and immune
function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
How do you convert Centigrade to Fahrenheit - AMSC+40, multiply 9/5 and subtract 40
How do you convert Fahrenheit to Centigrade - AMSF+40, multiply 5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive response? - AMSElicitation:
Tapping on the face at a point just anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive response? -
AMSElicitation: Inflating a sphygmomanometer cuff above
systolic blood pressure for several minutes
,Positive response: Muscular contraction including flexion of the wrist and metacarpophalangeal joints,
hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - AMSStrict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - AMSIt is the opposite of aldosterone, so it causes
excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - AMSup to 3 times (every 5
minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs - AMSAddress physiological
needs first, followed by safety and security needs, love and belonging needs, self esteem needs and
finally self actualization needs. *When a physiological need is not addressed in the question, look for the
option that addresses safety.
How would you treat fluid volume excess? - AMSGive Diuretics (Lasix), fluid restrictions, weigh daily,
monitor K+
If a question is related to the nursing process, read the question to determine the step of the nursing
process. What are the steps in the nursing process and what kind of question might be related to that
step. - AMSAssessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information, identify and
communicate nursing diagnoses and determine the health team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of care.
Implementation questions reflect the management and organization of care and the assignment and
delegation of tasks. Be prepared for questions on client teaching.
Evaluation questions focus on comparing the actual outcomes of care with the expected outcomes and
on communicating and documenting findings.
If PVC's are left untreated what can it lead to? - AMSVentricular fibrillation
Name 3 Invasive non-pharmacological pain relief techniques. - AMSNerve blocks
Interruption of neural pathways
Acupuncture
Name 3 types of IV fluids - AMSIsotonic: 0.9% NS, LR, and D5w
Hypotonic: 0.5% NS, 0.45% NS
Hypertonic: d5 0.45% NS, D5LR, D5NS
Name 4 types of Nonopioid Analgesics - AMS1. Acetaminophen: Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
Name 5 non-invasive non-pharmacological pain relief techniques (1st choice of pain relief) - AMSTen's
heat and cold application
,message therapy
relaxation techniques
guided imagery
biofeedback techniques
NeverzIVzpushzwhatzelectroyltez-zAMSK+
Nursingzassessmentzr/tzHIVz-zAMS-Positivezresultzonzenzyme-linkedzimmunosorbedzassayz(ELISA)
-zCONFIRMEDzWITHzWESTERNzBLOTzTEST
-Polymerasezchainzreactionz(PCR)z-zusedzwithzneonate
-zOraQuickzIn-
HomezHIVzTest:zpositivezresultziszonlyzpreliminary;zitzmustzbezconfirmedzbyzazhealthcarezprofessional.
**Ongoingzassessment,zinteractionzwithzthezclient,zandzclientzeducationzandzsupportzarezrequired.***
-zNCLEXztestingz-zneverzchoosezabstinence,zchoosezeducate!
RelatedztozmentalzHealth,zhowzlongzcanzanzinvoluntaryzadmissionzlast?z-zAMS72zhours
TozmuchzCO2zcauseszwhat?z-zAMSvasoconstriction
Whatzarezlowzriskztherapiesz-zAMSLow-
riskztherapieszareztherapieszthatzhaveznozadversezeffectszand,zwhenzimplementingzcare,zcanzbezusedz
byztheznursezwhozhasztrainingzandzexperiencezinztheirzuse.zLow-
riskztherapieszincludezmeditation,zrelaxationztechniques,zimagery,zmusicztherapy,zmassage,ztouch,zlaug
hterzandzhumor,zandzspiritualzmeasures,zsuchzaszprayer.
Whatzareznosocomialzinfectionsz-
zAMSInfectionszacquiredzaszazresultzofzexposureztozazmicroorganism zinzthezhospitalzsetting
Whatzareznurseszresponsiblezforzrelatedztozthezstandardszofzcare?z-
zAMSNurseszarezresponsiblezforzperformingzprocedureszcorrectlyzandzexercisingzprofessionalzjudgment
zwhenzimplementingzhealthcarezproviderszprescriptions.
WhatzarezsomezexampleszofzNon-opioidzAnalgesiczpainzmedicationsz-zAMSAcetaminophenz(Tylenol)
Salicylates:z
-zAspirin
-zCholinezmagnesiumztrisalcylatez(Trilisate)
NSAIDs:z
-zIbuprofen
-zIndomethacin
-zKetorolac
-zDiclofenaczKz
Cyclooxygenase-2z(COX-2)zinhibitors
-zCelecoxib
WhatzarezsomezHIVzMedicationsz-zAMSNucleosidezreverseztranscriptasezinhibitorsz(NRTIs)
-zidovudinez(AZT,zZDV,zRetrovir)
-lamivudine
-abacavir
-emtricitabine
Nucleotidezreverseztranscriptasezinhibitorz(NtRTI)
-zTenofovirzDFz(Viread)
Whatzarezsomezsymptomszofzfluidzvolumezdeficitz-zAMSweightzloss
oliguriaz(notzenoughzurine)
, posturalzhypotension
WhatzarezsomeztypeszofzAnalgesicsz(usedzforzmoderateztozseverezpain)?z-zAMSMuzagonists
-zMorphine
-zHydromorphone
-zMethadone
-zLevorphanolz
-zFentanyl
-zOxycodonez
-zCodeinez(TylenolzNo.3)
Mixedzagonist-antagonists
-zPentazocinez
-Butorphanolz
Partialzagonists
-zNuprenorphine
-Buprenorphinezplusznaloxone
Adjuvantzdrugs
-zusedzforzneuropathiczpain
-
zAntiepilepticzdrugs,zantidepressants,zandzanestheticszarezprescribedzalonezorzinzcombinationzwithzopio
idszforzneuropathiczpain,
-zCorticosteroids
Whatzarezthez3zcategorieszofzpainzmedicationsz-zAMS1.znon-
opioids:zforzmildzpainzorzinzcombinationzforzmoderatezpain
2.zOpioids:zforzmoderateztozseverezpain
3.zCo-analgesiczorzadjuvantzdrugsz(i.e.zanticonvulsants,zantidepressants)zforzneuropathiczpain
Whatzarezthez5zstageszofzgriefz-zAMSDenial,zanger,zbargaining,zdepression,zandzacceptance
Whatzarezthez7zRightszofzmedicationzadministration?z-zAMS1.zRightzdrug
2.zrightzdose
3.zRightzroute
4.zRightztime
5.zRightzpatient
6.zRightzdocumentation
7.zRightztozrefuse
Whatzarezthezfivezrightszofzdelegation?z-zAMS1.zrightztask
2.zrightzcircumstance
3.zrightzperson
4.zrightzdirection/communication
5.zrightzsupervision
WhatzarezthezgoalszofzHIVzdrugztherapy?z-zAMS-Reducezthezviralzload
-maintainzorzraisezthezCD4+zTzcellzcounts.zTzcellzcountsz=z
zNormalz800-1200zHIVz500zAIDSzbelowz200
-DelayzthezdevelopmentzofzHIVzrelatedzsymptomszandzopportunisticzdiseases
**compliance**
WhatzareztheznormalzrangeszforzABGs?
z(pH,zpCO2,zHCO3)z-zAMSpHz(AC)z7.35-7.45z(AL)
pCo2z(AL)z35z-z45z(AC)
HCO3z(AC)z22z-z26z(AL)
WhatzareztheznormalzrangeszforzALPz(alkalinezphosphatase)?z-zAMS30-120z
GI, Endocrine, Integumentary (Test Bank) Latest 2026, A+
Guide.
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - AMSNonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - AMSSodium
aminoglycosides (mycins) - AMS
Angiotensin II in the lungs is a potent? - AMSvasodialator
At what pain level should an Opioid Analgesic be considered? - AMSPain level of 6 or greater. Opioids
are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - AMStoo much fluid in the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - AMSE = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - AMSTB syringe
HIV Nursing and Collaborative Management includes... - AMS- Monitor disease progression and immune
function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
How do you convert Centigrade to Fahrenheit - AMSC+40, multiply 9/5 and subtract 40
How do you convert Fahrenheit to Centigrade - AMSF+40, multiply 5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive response? - AMSElicitation:
Tapping on the face at a point just anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive response? -
AMSElicitation: Inflating a sphygmomanometer cuff above
systolic blood pressure for several minutes
,Positive response: Muscular contraction including flexion of the wrist and metacarpophalangeal joints,
hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - AMSStrict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - AMSIt is the opposite of aldosterone, so it causes
excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - AMSup to 3 times (every 5
minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs - AMSAddress physiological
needs first, followed by safety and security needs, love and belonging needs, self esteem needs and
finally self actualization needs. *When a physiological need is not addressed in the question, look for the
option that addresses safety.
How would you treat fluid volume excess? - AMSGive Diuretics (Lasix), fluid restrictions, weigh daily,
monitor K+
If a question is related to the nursing process, read the question to determine the step of the nursing
process. What are the steps in the nursing process and what kind of question might be related to that
step. - AMSAssessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information, identify and
communicate nursing diagnoses and determine the health team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of care.
Implementation questions reflect the management and organization of care and the assignment and
delegation of tasks. Be prepared for questions on client teaching.
Evaluation questions focus on comparing the actual outcomes of care with the expected outcomes and
on communicating and documenting findings.
If PVC's are left untreated what can it lead to? - AMSVentricular fibrillation
Name 3 Invasive non-pharmacological pain relief techniques. - AMSNerve blocks
Interruption of neural pathways
Acupuncture
Name 3 types of IV fluids - AMSIsotonic: 0.9% NS, LR, and D5w
Hypotonic: 0.5% NS, 0.45% NS
Hypertonic: d5 0.45% NS, D5LR, D5NS
Name 4 types of Nonopioid Analgesics - AMS1. Acetaminophen: Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
Name 5 non-invasive non-pharmacological pain relief techniques (1st choice of pain relief) - AMSTen's
heat and cold application
,message therapy
relaxation techniques
guided imagery
biofeedback techniques
NeverzIVzpushzwhatzelectroyltez-zAMSK+
Nursingzassessmentzr/tzHIVz-zAMS-Positivezresultzonzenzyme-linkedzimmunosorbedzassayz(ELISA)
-zCONFIRMEDzWITHzWESTERNzBLOTzTEST
-Polymerasezchainzreactionz(PCR)z-zusedzwithzneonate
-zOraQuickzIn-
HomezHIVzTest:zpositivezresultziszonlyzpreliminary;zitzmustzbezconfirmedzbyzazhealthcarezprofessional.
**Ongoingzassessment,zinteractionzwithzthezclient,zandzclientzeducationzandzsupportzarezrequired.***
-zNCLEXztestingz-zneverzchoosezabstinence,zchoosezeducate!
RelatedztozmentalzHealth,zhowzlongzcanzanzinvoluntaryzadmissionzlast?z-zAMS72zhours
TozmuchzCO2zcauseszwhat?z-zAMSvasoconstriction
Whatzarezlowzriskztherapiesz-zAMSLow-
riskztherapieszareztherapieszthatzhaveznozadversezeffectszand,zwhenzimplementingzcare,zcanzbezusedz
byztheznursezwhozhasztrainingzandzexperiencezinztheirzuse.zLow-
riskztherapieszincludezmeditation,zrelaxationztechniques,zimagery,zmusicztherapy,zmassage,ztouch,zlaug
hterzandzhumor,zandzspiritualzmeasures,zsuchzaszprayer.
Whatzareznosocomialzinfectionsz-
zAMSInfectionszacquiredzaszazresultzofzexposureztozazmicroorganism zinzthezhospitalzsetting
Whatzareznurseszresponsiblezforzrelatedztozthezstandardszofzcare?z-
zAMSNurseszarezresponsiblezforzperformingzprocedureszcorrectlyzandzexercisingzprofessionalzjudgment
zwhenzimplementingzhealthcarezproviderszprescriptions.
WhatzarezsomezexampleszofzNon-opioidzAnalgesiczpainzmedicationsz-zAMSAcetaminophenz(Tylenol)
Salicylates:z
-zAspirin
-zCholinezmagnesiumztrisalcylatez(Trilisate)
NSAIDs:z
-zIbuprofen
-zIndomethacin
-zKetorolac
-zDiclofenaczKz
Cyclooxygenase-2z(COX-2)zinhibitors
-zCelecoxib
WhatzarezsomezHIVzMedicationsz-zAMSNucleosidezreverseztranscriptasezinhibitorsz(NRTIs)
-zidovudinez(AZT,zZDV,zRetrovir)
-lamivudine
-abacavir
-emtricitabine
Nucleotidezreverseztranscriptasezinhibitorz(NtRTI)
-zTenofovirzDFz(Viread)
Whatzarezsomezsymptomszofzfluidzvolumezdeficitz-zAMSweightzloss
oliguriaz(notzenoughzurine)
, posturalzhypotension
WhatzarezsomeztypeszofzAnalgesicsz(usedzforzmoderateztozseverezpain)?z-zAMSMuzagonists
-zMorphine
-zHydromorphone
-zMethadone
-zLevorphanolz
-zFentanyl
-zOxycodonez
-zCodeinez(TylenolzNo.3)
Mixedzagonist-antagonists
-zPentazocinez
-Butorphanolz
Partialzagonists
-zNuprenorphine
-Buprenorphinezplusznaloxone
Adjuvantzdrugs
-zusedzforzneuropathiczpain
-
zAntiepilepticzdrugs,zantidepressants,zandzanestheticszarezprescribedzalonezorzinzcombinationzwithzopio
idszforzneuropathiczpain,
-zCorticosteroids
Whatzarezthez3zcategorieszofzpainzmedicationsz-zAMS1.znon-
opioids:zforzmildzpainzorzinzcombinationzforzmoderatezpain
2.zOpioids:zforzmoderateztozseverezpain
3.zCo-analgesiczorzadjuvantzdrugsz(i.e.zanticonvulsants,zantidepressants)zforzneuropathiczpain
Whatzarezthez5zstageszofzgriefz-zAMSDenial,zanger,zbargaining,zdepression,zandzacceptance
Whatzarezthez7zRightszofzmedicationzadministration?z-zAMS1.zRightzdrug
2.zrightzdose
3.zRightzroute
4.zRightztime
5.zRightzpatient
6.zRightzdocumentation
7.zRightztozrefuse
Whatzarezthezfivezrightszofzdelegation?z-zAMS1.zrightztask
2.zrightzcircumstance
3.zrightzperson
4.zrightzdirection/communication
5.zrightzsupervision
WhatzarezthezgoalszofzHIVzdrugztherapy?z-zAMS-Reducezthezviralzload
-maintainzorzraisezthezCD4+zTzcellzcounts.zTzcellzcountsz=z
zNormalz800-1200zHIVz500zAIDSzbelowz200
-DelayzthezdevelopmentzofzHIVzrelatedzsymptomszandzopportunisticzdiseases
**compliance**
WhatzareztheznormalzrangeszforzABGs?
z(pH,zpCO2,zHCO3)z-zAMSpHz(AC)z7.35-7.45z(AL)
pCo2z(AL)z35z-z45z(AC)
HCO3z(AC)z22z-z26z(AL)
WhatzareztheznormalzrangeszforzALPz(alkalinezphosphatase)?z-zAMS30-120z
