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NCLEX-RN Exam Study Guide | 2026/2027 | Graded A+

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This NCLEX-RN exam study guide contains verified answers and explanations for core nursing concepts tested on the licensing exam. Topics covered include pharmacology (acetaminophen, opioids, aminoglycosides), fluid and electrolyte balance, vital signs conversion, physical assessment techniques (Chvostek and Trousseau's signs), HIV management, cardiac arrhythmias, and the nursing process framework. Ideal for NCLEX-PN and NCLEX-RN preparation, this guide systematically breaks down high-yield content with correct answers marked, helping students pass their licensing exam with confidence.

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NCLEX-RN EXAM WITH CORRECT
ANSWERS 2026/2027 PASS
GUIDE ,GRADED A+


Acetaminophen (Tylenol) is what type of drug?

What is the maximum recommended dosage?

What should you monitor? - ANS ✅✅-Nonopioid Analgesics.

Max dose: 4000 mg (4 g) in 24 hrs

Monitor liver function



Aldosterone attracts what? - ANS ✅✅-Sodium



aminoglycosides (mycins) - ANS ✅✅-



Angiotensin II in the lungs is a potent? - ANS ✅✅-vasodialator



At what pain level should an Opioid Analgesic be considered? - ANS ✅✅-
Pain level of 6 or greater. Opioids are used for moderate to severe pain.



Define fluid volume excess: Hypervolemia - ANS ✅✅-too much fluid in the
vascular space (first).

Vascular equals the vessels --> veins, arteries, capillaries, heart chambers,
etc.



DO NOT delegate what you can EAT - ANS ✅✅-E = evaluate

A = assess

,T = teach



EPI is always given in what type of syringe - ANS ✅✅-TB syringe



HIV Nursing and Collaborative Management includes... - ANS ✅✅-- 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 - ANS ✅✅-C+40, multiply 9/5
and subtract 40



How do you convert Fahrenheit to Centigrade - ANS ✅✅-F+40, multiply 5/9
and subtract 40



How do you test for the Chvostek sign and what happens if there is a positive
response? - ANS ✅✅-Elicitation: 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? - ANS ✅✅-Elicitation: 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? - ANS ✅✅-Strict I&O

Replace with isotonic fluids

monitor Bp

weight daily



How does atrial natriuretic peptide (ANP) work? - ANS ✅✅-It 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? -
ANS ✅✅-up 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 -
ANS ✅✅-Address 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.

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