Ngn Nclex Review Study Guide Updated 2025/2026 Complete Questions And Verified Correct Already Graded Solutions || 100% Guaranteed Pass Latest Version

NGN NCLEX Review STUDY GUIDE UPDATED 2025/2026 COMPLETE QUESTIONS AND VERIFIED CORRECT ALREADY GRADED SOLUTIONS || 100% GUARANTEED PASS LATEST VERSION 1. Normal Sodium level - ANSWER 135-145 2. Decerebrate posturing - ANSWER posturing in which the neck is extended with jaw clenched; arms are pronated, extended, and close to the sides; legs are extended straight out; more ominous sign of brain stem damage. Most Severe. 3. Decorticate posturing - ANSWER characterized by upper extremities flexed at the elbows and held closely to the body and lower extremities that are externally rotated and extended. occurs when the brainstem is not inhibited by the motor function of the cerebral cortex. 4. signs of shock - ANSWER decreased BP increased pulse increased RR 5. ECG abnormalities - ANSWER *P wave abnormal configuration, atrial irregularity *PR Interval prolonged; heart block *QRS wide and bizarre; ventricular arrhythmia *ST segment elevated: MI; depressed: ischemia/hypoxia *T wave peaked: hyperkalemia 6. v. fib - ANSWER CPR, defib them, intubate, ACLS 7. normal sinus rhythm - ANSWER do nothing :) 8. v tach - ANSWER treat with lidocaine pulse: amiodorone, antiarhythmics and cardioversion pulseless: immediate defib a. fib - ANSWER cardioversion if under 48 hours, dysrhythmic drugs, pacers, warfarin because we are worried about clots irregular 9. Asystole - ANSWER cpr, epi 10. a flutter - ANSWER cardioversion if it doesn't correct itself within 24 hours, interventions - adenosine (Adenocard), other antiarryhthmics, cardioversion if unstable, anticoagulants regular 11. u wave - ANSWER low potassium 12. peds cardiology - ANSWER With 1st breath = pressure changes result in closure of fetal heart structures -Point of maximal impact *Located at 4th intercostal space until age 4 *Located at the fifth intercostal space in children ages 7 and over 13. asthma - ANSWER intermittent reversible airway obstruction Hypoxemia, increased restlessness, tachypnea 14. asthma attack - ANSWER cough, increased mucus, shortness of breath, chest tightness, EARLY attack low PaO2, LATE increased PaO2, wheezing and prolonged expiration, retractions 15. when is asthma an emergency? - ANSWER if the usual treatment does not work within 30 minutes. Status Asthmaticus can be life threatening 16. fluticasone (flovent) predisone (deltasone), methylprednisolone(solu-medrol) - ANSWER corticosteroid used for more severe signs of asthma. Teaching: may lower ability to fight infection, cause hyperglycemia, fluid retention, weight gain, do not stop suddenly 17. ipratropium (atrovent) - ANSWER bronchodilator inhaler (anticholinergic): long acting. Teaching: can cause dry mouth, increased water intake, heart rate should be monitored. 18. albuterol (proventil, ventolin) - ANSWER bronchodilator inhaler (short-acting beta2 agonist) teaching: rapid relief of acute symptoms/prevent exercise induced asthma. 19. Zileuton (zyflo), zafirlukast (accolate), montelukast (singulair) - ANSWER leukotriene modifier: long term management/ prevention of exercised induced bronchospasm. Not used for acute attacks. Teaching: specific LMs can cause liver disease and increase warfarin/theophylline toxicity 20. salmeterol (severent) - ANSWER bronchodilator inhaler (long acting beta2 agonist) prevention of attack and not at onset of an attack 21. Theophylline - ANSWER a bronchodilator that is used to prevent and treat wheezing shortness of breath and chest tightness r/t asthma 22. chest tubes - ANSWER wet suction: continuous bubbling, loud, the amount of water controls suction, level of water= the amount. "Ocean" dry suction: bubbles with tidaling (breathing), continuous bubbling is BAD. Use the dial to adjust the suction. "oasis" it has a bellows (the orange balloon) 23. can you milk or strip chest tubing? - ANSWER NO 24. types of occlusive dressings - ANSWER tegaderm, petroleum gauze (zeroform), always be aseptic 25. four phases of acute kidney injury - ANSWER onset, oliguria, diuresis, recovery 26. types of AKI - ANSWER -Result of volume depletion and reduction blood flow to kidneys PRERENAL -Result of direct damage to the kidneys (lack of O2) INTRARENAL -Result of obstruction in areas leaving kidneys POSTRENAL 27. BUN value - ANSWER 28. creatinine value - ANSWER 0.6-1.2 mg/dL 29. hematocrit value - ANSWER 37%-50% 30. oliguric phase of AKI - ANSWER less than 400 ml per day within 1-7 days of kidney injury. UA has casts, RBCs, WBCs, sp gr at 1.010, metabolic acidosis, hyperkalemia and hyponatremia, elevated BUN and Creatinine, fatigue and malaise 31. diuretic phase of AKI - ANSWER gradual increase in urine output 1-3 L per day, may reach 3-5 L per day, hypovolemia, dehydration, hypotension, BUN creatinine levels begin to normalize 32. recovery phase of AKI - ANSWER begins when GFR increases, BUN and creatinine levels plateau then decrease 33. chronic renal failure - ANSWER Risks for CRF: 34. -Injury, DM, HTN, -Nephrotoxic medications, recurrent infections  Increasing age is a risk factor 5 stages of CRF (GFR) Stage 1 ( 90) Stage 2 (60-89) Stage 3 (30-59) Stage 4 (15-29) Stage 5 ( 15) Labs -UA, Serum Creatinine, BUN, Serum -Electrolytes (NA, Calcium and K+ phosphorus, magnesium), CBC Interventions -Diet, monitor weight, fluid intake restrict, control infection, administer medications, emotional support Treatments -Peritoneal Dialysis -Hemodialysis 35. Sterile - ANSWER surgical asepsis Inserting a foley 36. Clean - ANSWER also known as medical removing a foley 37. mandatory reporting - ANSWER suspected abuse of children, dependent adults and elderly communicable diseases: Anthrax, West Nile virus, botulism, Chlamydia, congenital syphilis, carbon monoxide poisoning, Foodborne disease outbreak, Gonorrhea, influenza, hepatitis (A,B, C), HIV/AIDS, elevated lead levels, malaria, measles/Rubeola, Meningitis, mumps, plague, rabies, rubella(German Measles), SARS, Shigellosis, small pox, toxic shock syndrome, syphilis, tetanus, tuberculosis, Varicella, Zika Virus 38. contact - ANSWER gown and gloves ex: C-diff, MRSA, VRE, Infected draining pressure, ulcer, Scabies, Shingles, Lice 39. droplet - ANSWER gown, gloves, surgical mask MRSA-nares, Influenza, Rubella, Streptococcus, pneumonia, Mumps, RSV 40. airborne - ANSWER gown, gloves, n95 mask, NEGATIVE PRESSURE ROOM Measles, Ebola, Tuberculosis, SARS, Varicella 41. neutropenic - ANSWER gown, gloves, mask, POSITIVE PRESSURE ROOM immunocompromised individuals 42. DONNING - ANSWER 1. gown 2. mask 3. goggles face shield 4. gloves 43. DOFFING - ANSWER 1. gloves 2. goggles or face shield 3. gown 4. mask or respirator 5. wash hands or you can combine 1 and 3 as the first step