NCLEX-RN IV EXAM QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS BRAND 2026
Alkaline Phosphatase - CORRECT ANSWER >>50-120u/L
(increased=liver damage)
Creatine Kinase - CORRECT ANSWER >>MM bands present= skeletal
muscle damage
MB bands present= cardiac muscle damage
elevated= MI (>336 Males, >176 Females)
Albumin - CORRECT ANSWER >>3.5-5.5
ALT and AST - CORRECT ANSWER >>10-40 (high=liver damage/failure)
Bilirubin - CORRECT ANSWER >><5 in newborns
0.3-1 in adults
Therapeutic Digoxin Level - CORRECT ANSWER >>0.5-2
Sodium - CORRECT ANSWER >>135-145
Potassium - CORRECT ANSWER >>3.5-5
Calcium - CORRECT ANSWER >>8.6-10.2
,Magnesium - CORRECT ANSWER >>1.3-2.3
Cranial Nerves - CORRECT ANSWER >>1- Olfactory (smell)
2- Optic (vision)
3- Oculomotor (pupil constriction, raising eyelid)
4- Throclear (down and inward eye movement)
5- Trigminal (jaw movement; face/neck sensation)
6- Abducens (lateral eye movement)
7- Facial (movement/taste)
8- Acoustic (hearing/balance)
9- Glossopharyngeal (pharyngeal/movement, taste)
10- Vagus (swallow/speaking)
11- Spinal Accessory (flex/roatation of the head and shoulder shrugging)
12- Hypoglossal (tongue movement)
What do you do for a transfusion reaction? - CORRECT ANSWER >>Stop,
Restart NS, Save blood/tubing and return to blood bank, Draw blood
sample, Urine sample, Monitor for hematuria
Hemolytic Reaction - CORRECT ANSWER >>From incompatibility--> have
N/V, chills, lower back pain, hypotension, increased HR
Isotonic Fluids - CORRECT ANSWER >>Same concentration as body
fluids (NS,LR,D5W)
Hypotonic Fluids - CORRECT ANSWER >>Less concentration than body
fluids- pulls water into the cell= cell bursts (1/2NS) given with dehydration
Hypertonic Fluids - CORRECT ANSWER >>More concentration than body
fluids- pulls water out of the cell= cell shrivels (10-15% D, NaBicarb 5%)
given for hyponatremia
IV Insertion - CORRECT ANSWER >>Using non dominant hand, place
tourniquet 4-6" above, warm area/hand over bed/make a fist to dilate vein
Clean with alcohol inside to outside then with iodine
, Insert at 10-30 degree angle and lessen, once you see blood lower 1/4"
and remove tourniquet, remove needle and advance catheter
Secure, tubing, infuse
Rapid Acting Insulin - CORRECT ANSWER >>O=10-30 min P=0.5-3 hr D=
3-6 hr
Lispro, Aspart, Glusine
Short Acting Insulin - CORRECT ANSWER >>O=30-60 min P= 1-5 hr D=
6-10 hr
Regular
Intermediate Insulin - CORRECT ANSWER >>O= 1-2 hr P= 6-12 hr D= 16
hr
NPH
Long Acting Insulin - CORRECT ANSWER >>O= 3-4 hr P= cont D= 24hr
Meds to take at night - CORRECT ANSWER >>Stating
H2Antagonists
Antisecretory
Tricyclic
Alpha Adrenergic Blockers
Meds that interact with grapefruit - CORRECT ANSWER >>Can increase
serum drug level- CCB, Statings, Caffeine, SSRIs, Dextromorphan,
Sirolimus, Carbamazepine, Buspirone, Midazolam, Sildenafil, Praziquantel,
Tacrolimus
Stoma Care - CORRECT ANSWER >>Will function 3-6 days post op~
want a low residue diet 6-8wks post op! Swelling normal in first few days
post op pouch opening 1/8 inch larger than stoma, skin barrier under all
tapes and to protect skin surrounding stoma, cleanse gently/pat dry, use
stoma adhesive/hold pouch for 30 sec when setting and change if seal
breaks or if 1/4 full
GUARANTEED PASS BRAND 2026
Alkaline Phosphatase - CORRECT ANSWER >>50-120u/L
(increased=liver damage)
Creatine Kinase - CORRECT ANSWER >>MM bands present= skeletal
muscle damage
MB bands present= cardiac muscle damage
elevated= MI (>336 Males, >176 Females)
Albumin - CORRECT ANSWER >>3.5-5.5
ALT and AST - CORRECT ANSWER >>10-40 (high=liver damage/failure)
Bilirubin - CORRECT ANSWER >><5 in newborns
0.3-1 in adults
Therapeutic Digoxin Level - CORRECT ANSWER >>0.5-2
Sodium - CORRECT ANSWER >>135-145
Potassium - CORRECT ANSWER >>3.5-5
Calcium - CORRECT ANSWER >>8.6-10.2
,Magnesium - CORRECT ANSWER >>1.3-2.3
Cranial Nerves - CORRECT ANSWER >>1- Olfactory (smell)
2- Optic (vision)
3- Oculomotor (pupil constriction, raising eyelid)
4- Throclear (down and inward eye movement)
5- Trigminal (jaw movement; face/neck sensation)
6- Abducens (lateral eye movement)
7- Facial (movement/taste)
8- Acoustic (hearing/balance)
9- Glossopharyngeal (pharyngeal/movement, taste)
10- Vagus (swallow/speaking)
11- Spinal Accessory (flex/roatation of the head and shoulder shrugging)
12- Hypoglossal (tongue movement)
What do you do for a transfusion reaction? - CORRECT ANSWER >>Stop,
Restart NS, Save blood/tubing and return to blood bank, Draw blood
sample, Urine sample, Monitor for hematuria
Hemolytic Reaction - CORRECT ANSWER >>From incompatibility--> have
N/V, chills, lower back pain, hypotension, increased HR
Isotonic Fluids - CORRECT ANSWER >>Same concentration as body
fluids (NS,LR,D5W)
Hypotonic Fluids - CORRECT ANSWER >>Less concentration than body
fluids- pulls water into the cell= cell bursts (1/2NS) given with dehydration
Hypertonic Fluids - CORRECT ANSWER >>More concentration than body
fluids- pulls water out of the cell= cell shrivels (10-15% D, NaBicarb 5%)
given for hyponatremia
IV Insertion - CORRECT ANSWER >>Using non dominant hand, place
tourniquet 4-6" above, warm area/hand over bed/make a fist to dilate vein
Clean with alcohol inside to outside then with iodine
, Insert at 10-30 degree angle and lessen, once you see blood lower 1/4"
and remove tourniquet, remove needle and advance catheter
Secure, tubing, infuse
Rapid Acting Insulin - CORRECT ANSWER >>O=10-30 min P=0.5-3 hr D=
3-6 hr
Lispro, Aspart, Glusine
Short Acting Insulin - CORRECT ANSWER >>O=30-60 min P= 1-5 hr D=
6-10 hr
Regular
Intermediate Insulin - CORRECT ANSWER >>O= 1-2 hr P= 6-12 hr D= 16
hr
NPH
Long Acting Insulin - CORRECT ANSWER >>O= 3-4 hr P= cont D= 24hr
Meds to take at night - CORRECT ANSWER >>Stating
H2Antagonists
Antisecretory
Tricyclic
Alpha Adrenergic Blockers
Meds that interact with grapefruit - CORRECT ANSWER >>Can increase
serum drug level- CCB, Statings, Caffeine, SSRIs, Dextromorphan,
Sirolimus, Carbamazepine, Buspirone, Midazolam, Sildenafil, Praziquantel,
Tacrolimus
Stoma Care - CORRECT ANSWER >>Will function 3-6 days post op~
want a low residue diet 6-8wks post op! Swelling normal in first few days
post op pouch opening 1/8 inch larger than stoma, skin barrier under all
tapes and to protect skin surrounding stoma, cleanse gently/pat dry, use
stoma adhesive/hold pouch for 30 sec when setting and change if seal
breaks or if 1/4 full
