SAUNDERS COMPREHENSIVE REVIEW FOR THE
NCLEX PN ACTUAL TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ formula to convert fahrenheit to celsius.
Answer: degrees fahrenheit - 32 x 5/9 = degrees celsius
◉ formula to convert celsius to fahrenheit.
Answer: degrees celsius x 9/5 + 32 = degrees fahrenheit
◉ how does physical exercise affect body temp?.
Answer: use of the large muscles creates heat, causing an increase in
body temp
◉ how does the menstrual cycle affect body temp?.
Answer: temp decreases slightly just before ovulation but may
increase to 1 degree F above normal during ovulation
◉ why should an inability to obtain a temp not be ignored?.
Answer: because it could represent a condition of hypothermia, a
life-threatening condition in very young and older clients
,◉ the nurse must wait 15 - 30 minutes to take an oral temp when
the client has recently....
Answer: *consumed hot or cold foods or liquids
*smoked
*chewed gum
◉ sims position.
Answer: sims position: the client is lying on the side with the body
turned prone at 45 degrees. The lower leg is extended, with the
upper leg flexed at the hip and knee to a 45-90 degree angle
◉ when should a rectal temp be taken?.
Answer: *when an accurate temp cannot be obtained orally
*the client has nasal congestion
*has undergone nasal or oral surgery, or had jaw wired
*has a nasogastric tube in place
*is unable to keep mouth closed
*is at risk for seizures
◉ when should a rectal temp be avoided?.
Answer: *in cardiac clients
*the client who has undergone rectal surgery
,*the client with diarrhea
*fecal impaction
*rectal bleeding
*clients at risk for bleeding
◉ normal pulse.
Answer: 60-100 bpm
◉ stimulation of the sympathetic nervous system does what to the
heart rate?.
Answer: it increases it
◉ when the BP is low, the heart rate is usually....
Answer: increased
◉ grading scale for pulses.
Answer: 4+ = strong and bounding
3+ = full pulse, increased
2+ = normal, easily palpable
1+ = weak, barely palpable
0 = absent, not palpable
, ◉ what is a pulse deficit?.
Answer: the peripheral pulse rate (radial) is less than the ventricular
contraction rate (apical)
◉ what does a pulse deficit indicate?.
Answer: *a lack of peripheral perfusion, because cardiac
contractions are ineffective
*may indicate cardiac dysrhythmias
◉ normal respiratory rate.
Answer: 12-20 bpm
◉ how does an increased level of CO2 or a lower level of O2 affect
the respiratory rate?.
Answer: increases respiratory rate
◉ how will a head injury or increased intracranial pressure affect
respiration?.
Answer: by depressing the respiratory center in the brain, resulting
in shallow respiration or slowed breathing
◉ normal BP.
Answer: below 120/80
NCLEX PN ACTUAL TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ formula to convert fahrenheit to celsius.
Answer: degrees fahrenheit - 32 x 5/9 = degrees celsius
◉ formula to convert celsius to fahrenheit.
Answer: degrees celsius x 9/5 + 32 = degrees fahrenheit
◉ how does physical exercise affect body temp?.
Answer: use of the large muscles creates heat, causing an increase in
body temp
◉ how does the menstrual cycle affect body temp?.
Answer: temp decreases slightly just before ovulation but may
increase to 1 degree F above normal during ovulation
◉ why should an inability to obtain a temp not be ignored?.
Answer: because it could represent a condition of hypothermia, a
life-threatening condition in very young and older clients
,◉ the nurse must wait 15 - 30 minutes to take an oral temp when
the client has recently....
Answer: *consumed hot or cold foods or liquids
*smoked
*chewed gum
◉ sims position.
Answer: sims position: the client is lying on the side with the body
turned prone at 45 degrees. The lower leg is extended, with the
upper leg flexed at the hip and knee to a 45-90 degree angle
◉ when should a rectal temp be taken?.
Answer: *when an accurate temp cannot be obtained orally
*the client has nasal congestion
*has undergone nasal or oral surgery, or had jaw wired
*has a nasogastric tube in place
*is unable to keep mouth closed
*is at risk for seizures
◉ when should a rectal temp be avoided?.
Answer: *in cardiac clients
*the client who has undergone rectal surgery
,*the client with diarrhea
*fecal impaction
*rectal bleeding
*clients at risk for bleeding
◉ normal pulse.
Answer: 60-100 bpm
◉ stimulation of the sympathetic nervous system does what to the
heart rate?.
Answer: it increases it
◉ when the BP is low, the heart rate is usually....
Answer: increased
◉ grading scale for pulses.
Answer: 4+ = strong and bounding
3+ = full pulse, increased
2+ = normal, easily palpable
1+ = weak, barely palpable
0 = absent, not palpable
, ◉ what is a pulse deficit?.
Answer: the peripheral pulse rate (radial) is less than the ventricular
contraction rate (apical)
◉ what does a pulse deficit indicate?.
Answer: *a lack of peripheral perfusion, because cardiac
contractions are ineffective
*may indicate cardiac dysrhythmias
◉ normal respiratory rate.
Answer: 12-20 bpm
◉ how does an increased level of CO2 or a lower level of O2 affect
the respiratory rate?.
Answer: increases respiratory rate
◉ how will a head injury or increased intracranial pressure affect
respiration?.
Answer: by depressing the respiratory center in the brain, resulting
in shallow respiration or slowed breathing
◉ normal BP.
Answer: below 120/80
