NCLEX-RN Questions With Accurate Answers
2025\2026 A+ Grade.
laminectomy
- accurate answers-the surgical removal of a lamina, or posterior portion, of a
vertebra
Cervical Laminectomy
- accurate answers-Neck
Thoracic Laminectomy
- accurate answers-Upper back
Lumbar Laminectomy
- accurate answers-Lower back
Pre-op assessment: Cervical Laminectomy
- accurate answers-Innervates the diaphragm and arms
-need to check breathing and function of arms and hands
Pre-op assessment: Thoracic Laminectomy
- accurate answers-Innervates the abdominal muscles and gut muscles
-need to check cough mechanism and bowels
Pre-op assessment: Lumbar Laminectomy
- accurate answers-Innervates the bladder and legs
-need to check last time of void and function of legs
Post-op laminectomy considerations
- accurate answers-#1 answer is log rolling
-do not "dangle"- sit on edge of bed
-do not sit down for longer than 30 minutes
Post-op complications: Cervical
- accurate answers-PNA
Post-op complications: Thoracic
- accurate answers-PNA and ileus
, Post-op complications: Lumbar
- accurate answers-Urinary retention and problems with legs
Temporary Discharge Teaching for Laminectomy
- accurate answers--Do not sit for longer than 30 mins
-Lie flat and log roll for 6 weeks
-No driving for 6 weeks
-Do not lift more than 5 pounds for 6 weeks
Permanent Discharge Teaching for Laminectomy
- accurate answers--Do not bend at waist: bend with knees
-Do not lift things over head for rest of life
-No jerky car rides, roller coasters, or bike rides
5 D's
- accurate answers--ph in 6's
-K+ in 6's
-CO2 in the 60's
-PO2 in the 60's
-Plts in the <40,000s
PH in the 6's
- accurate answers--Assess vitals (pt is going down-resp)
-Need to get physician to determine the cause
-Stay with the patient
K+ in the 6's
- accurate answers--hold all K+
-assess the heart
-prepare to give Kayexalate and D5W with insulin
-Call MD
-Stay with patient
CO2 in the 60s
- accurate answers--Resp Failure
-Prepare to intubate and ventilate
-Stay with pt
-Call RT and MD
2025\2026 A+ Grade.
laminectomy
- accurate answers-the surgical removal of a lamina, or posterior portion, of a
vertebra
Cervical Laminectomy
- accurate answers-Neck
Thoracic Laminectomy
- accurate answers-Upper back
Lumbar Laminectomy
- accurate answers-Lower back
Pre-op assessment: Cervical Laminectomy
- accurate answers-Innervates the diaphragm and arms
-need to check breathing and function of arms and hands
Pre-op assessment: Thoracic Laminectomy
- accurate answers-Innervates the abdominal muscles and gut muscles
-need to check cough mechanism and bowels
Pre-op assessment: Lumbar Laminectomy
- accurate answers-Innervates the bladder and legs
-need to check last time of void and function of legs
Post-op laminectomy considerations
- accurate answers-#1 answer is log rolling
-do not "dangle"- sit on edge of bed
-do not sit down for longer than 30 minutes
Post-op complications: Cervical
- accurate answers-PNA
Post-op complications: Thoracic
- accurate answers-PNA and ileus
, Post-op complications: Lumbar
- accurate answers-Urinary retention and problems with legs
Temporary Discharge Teaching for Laminectomy
- accurate answers--Do not sit for longer than 30 mins
-Lie flat and log roll for 6 weeks
-No driving for 6 weeks
-Do not lift more than 5 pounds for 6 weeks
Permanent Discharge Teaching for Laminectomy
- accurate answers--Do not bend at waist: bend with knees
-Do not lift things over head for rest of life
-No jerky car rides, roller coasters, or bike rides
5 D's
- accurate answers--ph in 6's
-K+ in 6's
-CO2 in the 60's
-PO2 in the 60's
-Plts in the <40,000s
PH in the 6's
- accurate answers--Assess vitals (pt is going down-resp)
-Need to get physician to determine the cause
-Stay with the patient
K+ in the 6's
- accurate answers--hold all K+
-assess the heart
-prepare to give Kayexalate and D5W with insulin
-Call MD
-Stay with patient
CO2 in the 60s
- accurate answers--Resp Failure
-Prepare to intubate and ventilate
-Stay with pt
-Call RT and MD
