NCLEX ARCHER REVIEW ACTUAL TEST PAPER
2026 COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ ECT what should be preformed prior? Answer: apply BP cuff to
arm/ankle and inflate above sys pressure before NMBA injected
(preventing sedative to enter foot/arm to monitor seizure activity in
that extremity)
• ECT creates generalized seizure so must give IV sedation or
general anesthesia (barbiturates, propofol, etomidate) +
neuromuscular block agent (succinylcholine)
◉ succinylcholine Answer: neuromuscular blocking agent
paralytic agent (used after sedative)
◉ thiopental Answer: Barbiturate
◉ Methohexital Answer: Barbiturate
◉ Prior to IV contrast dye, what medication must be held and
questioned? Answer: metformin
,◉ Fresh frozen plasma Answer: replaces coagulation factors in
active bleeding, DIC, reversal of warfarin.
◉ PRBC should be infused Answer: over 2-4 hours using Y tubing
◉ Magnesium sulfate is for preeclampsia and placental abruption it
is also for Answer: seizure prophylaxis, continue med 12-24 hours
after delivery
◉ Pulmonary edema is a medical emergency
pt desat 72% room air use Answer: Nonrebreather mask (80% p to
95% Fio2)
then bipap/cpap, intubation with mech vent if not working
◉ CPAP Answer: continuous positive airway pressure
a treatment for OBstructive sleep apnea involving single set
consistent level face mask
◉ BiPAP Answer: two pressure settings for inhale and exhale
set rate of breaths per minute
,for complex breathing problems: central sleep apnea,
heart/lung/neuro disorders (CHF, COPD, Parkinson, ALS)
◉ Oxytocin given Answer: piggyback IV most proximal port of
mainline IV
◉ Hypothermic client receiving warmed IV fluids... must be done
slowly due to which primary reason? Answer: Prevent V fib and
cardiovascular collapse
◉ Relaxin hormone released during pregnancy for uterine ligaments
and fetal growth but it leads to Answer: clumsiness = injury
indigestion and urinary frequency
◉ shallow, partial skin thickness, eroded area but no necrotic areas.
The nurse would treat the area with which dressing? Answer:
Hydrocolloid
◉ alginate used for Answer: wounds with significant drainage
◉ Fondaparinux use, given, monitor Answer: treats VTE
SubQ once daily
- renal impairment! (Cr for prolonged use)
, ◉ acculturation vs assimilation Answer: members of another culture
adopt culture of host/predominant religion (retains own culture)
develop a NEW cultural identity
◉ Lithium administration Answer: take with milk or food (minimize
GI upset) and maintain sodium
◉ Hypoparathyroidism diet should be Answer: high ca+ low
phosphorus (inversely related)
◉ Echinacea and HIV Answer: reported to support the immune
system activity
but interferes with antiretrovirals and increases viral load
◉ Cetrizine Answer: OTC pain reliever and antihistamine for
seasonal allergies
◉ Ultrasound preformed in 8-10 week can determine and cannot
Answer: due date, pelvic shape and health but NOT fetal
abnormalities
◉ RA medications Answer: DMARDS (methotrexate, plaqueni),
NSAIDS, steroids (prednisone)
2026 COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ ECT what should be preformed prior? Answer: apply BP cuff to
arm/ankle and inflate above sys pressure before NMBA injected
(preventing sedative to enter foot/arm to monitor seizure activity in
that extremity)
• ECT creates generalized seizure so must give IV sedation or
general anesthesia (barbiturates, propofol, etomidate) +
neuromuscular block agent (succinylcholine)
◉ succinylcholine Answer: neuromuscular blocking agent
paralytic agent (used after sedative)
◉ thiopental Answer: Barbiturate
◉ Methohexital Answer: Barbiturate
◉ Prior to IV contrast dye, what medication must be held and
questioned? Answer: metformin
,◉ Fresh frozen plasma Answer: replaces coagulation factors in
active bleeding, DIC, reversal of warfarin.
◉ PRBC should be infused Answer: over 2-4 hours using Y tubing
◉ Magnesium sulfate is for preeclampsia and placental abruption it
is also for Answer: seizure prophylaxis, continue med 12-24 hours
after delivery
◉ Pulmonary edema is a medical emergency
pt desat 72% room air use Answer: Nonrebreather mask (80% p to
95% Fio2)
then bipap/cpap, intubation with mech vent if not working
◉ CPAP Answer: continuous positive airway pressure
a treatment for OBstructive sleep apnea involving single set
consistent level face mask
◉ BiPAP Answer: two pressure settings for inhale and exhale
set rate of breaths per minute
,for complex breathing problems: central sleep apnea,
heart/lung/neuro disorders (CHF, COPD, Parkinson, ALS)
◉ Oxytocin given Answer: piggyback IV most proximal port of
mainline IV
◉ Hypothermic client receiving warmed IV fluids... must be done
slowly due to which primary reason? Answer: Prevent V fib and
cardiovascular collapse
◉ Relaxin hormone released during pregnancy for uterine ligaments
and fetal growth but it leads to Answer: clumsiness = injury
indigestion and urinary frequency
◉ shallow, partial skin thickness, eroded area but no necrotic areas.
The nurse would treat the area with which dressing? Answer:
Hydrocolloid
◉ alginate used for Answer: wounds with significant drainage
◉ Fondaparinux use, given, monitor Answer: treats VTE
SubQ once daily
- renal impairment! (Cr for prolonged use)
, ◉ acculturation vs assimilation Answer: members of another culture
adopt culture of host/predominant religion (retains own culture)
develop a NEW cultural identity
◉ Lithium administration Answer: take with milk or food (minimize
GI upset) and maintain sodium
◉ Hypoparathyroidism diet should be Answer: high ca+ low
phosphorus (inversely related)
◉ Echinacea and HIV Answer: reported to support the immune
system activity
but interferes with antiretrovirals and increases viral load
◉ Cetrizine Answer: OTC pain reliever and antihistamine for
seasonal allergies
◉ Ultrasound preformed in 8-10 week can determine and cannot
Answer: due date, pelvic shape and health but NOT fetal
abnormalities
◉ RA medications Answer: DMARDS (methotrexate, plaqueni),
NSAIDS, steroids (prednisone)
