THE ULTIMATE NCLEX STUDY GUIDE (ACTUAL
EXAM)
QUESTIONS AND VERIFIED ANSWERS
NEWEST UPDATE LEARNING TEST
LATEST VERSION 2025 2026 RATED
100%
#1 Priority:
Physiological Needs- Airway, Breathing, Circulation, Food, Water,
Shelter, Clothing, Rest, Sex, Warmth)
#2 Priority:
Safety
Normal Adult Vitals
BP: 120/180
Pulse: 60-100
Respirations: 12-20
,Temperature: 98.6 F
SP02: 94%-100%
Hypertension "Silent Killer"
High Blood pressure:
Anything over 140, the heart says "OH LORDY!"
Hypertension Crisis=
Anything over 180 systolic
Anything over 120 diastolic
High BP can cause a brain bleed (CVA Stroke) due to the constant
pressure. It's like punching the organs repeatedly.
*Indication of a brain bleed:
Headache!
When bringing down BP, you want to bring it down nice and steady.
Like landing a plane. You don't want the pt to seize if the bp comes
down too quick
Hypotension
Systolic less than 100
Low BP can KILL the pt because low bp means low oxygen to the body!
1st indication of HYPOXIA
Change in mental status!
Keywords:
Agitation
Restlessness
,Decreased level of consciousness
Confusion
Indications of internal bleeding
Hard-board like abdomen
Platelets less than 150,000
Bright red blood "Bright is never right"
PTT and INR too HIGH= the pt will die!
Delegation
LPN's take care of stable pts
LPN's can monitor and maintain
LPN's can do secondary teaching
LPN's can do follow up assessments
LPN's can't do first, primary, or initial assessments
LPN's can't do first, primary, or initial teachings
LPN's can't trend vitals
LPN's can't evaluate
LPN's can't do interpretations
LPN's can't titrate
UAP's can only do "VAPER"
Vitals
Ambulation
Position
Eating/positioning
, Record I&Os
TERMS:
Negligence
Malpractice
Assault
Battery
False Imprisonment
Libel
Slander
Negligence- Failing to provide adequate care for your patient
Malpractice- Bad practice by a healthcare professional, that results in
provable damage
Assault- A threat to harm (Threats make you an ASS!)
Battery- Physical Harm (I physically hurt you with a bat)
False Imprisonment- Keeping stable pts against their will (Could be with
restraints or sedation)
Libel- Written slander (Written Bible and Libel rhyme)
Slander- Spoken slander
TERMS:
Autonomy
Beneficence
Fidelity
Justice
Non-maleficence
Veracity
Autonomy- The pt has the right to make their own medical decisions
EXAM)
QUESTIONS AND VERIFIED ANSWERS
NEWEST UPDATE LEARNING TEST
LATEST VERSION 2025 2026 RATED
100%
#1 Priority:
Physiological Needs- Airway, Breathing, Circulation, Food, Water,
Shelter, Clothing, Rest, Sex, Warmth)
#2 Priority:
Safety
Normal Adult Vitals
BP: 120/180
Pulse: 60-100
Respirations: 12-20
,Temperature: 98.6 F
SP02: 94%-100%
Hypertension "Silent Killer"
High Blood pressure:
Anything over 140, the heart says "OH LORDY!"
Hypertension Crisis=
Anything over 180 systolic
Anything over 120 diastolic
High BP can cause a brain bleed (CVA Stroke) due to the constant
pressure. It's like punching the organs repeatedly.
*Indication of a brain bleed:
Headache!
When bringing down BP, you want to bring it down nice and steady.
Like landing a plane. You don't want the pt to seize if the bp comes
down too quick
Hypotension
Systolic less than 100
Low BP can KILL the pt because low bp means low oxygen to the body!
1st indication of HYPOXIA
Change in mental status!
Keywords:
Agitation
Restlessness
,Decreased level of consciousness
Confusion
Indications of internal bleeding
Hard-board like abdomen
Platelets less than 150,000
Bright red blood "Bright is never right"
PTT and INR too HIGH= the pt will die!
Delegation
LPN's take care of stable pts
LPN's can monitor and maintain
LPN's can do secondary teaching
LPN's can do follow up assessments
LPN's can't do first, primary, or initial assessments
LPN's can't do first, primary, or initial teachings
LPN's can't trend vitals
LPN's can't evaluate
LPN's can't do interpretations
LPN's can't titrate
UAP's can only do "VAPER"
Vitals
Ambulation
Position
Eating/positioning
, Record I&Os
TERMS:
Negligence
Malpractice
Assault
Battery
False Imprisonment
Libel
Slander
Negligence- Failing to provide adequate care for your patient
Malpractice- Bad practice by a healthcare professional, that results in
provable damage
Assault- A threat to harm (Threats make you an ASS!)
Battery- Physical Harm (I physically hurt you with a bat)
False Imprisonment- Keeping stable pts against their will (Could be with
restraints or sedation)
Libel- Written slander (Written Bible and Libel rhyme)
Slander- Spoken slander
TERMS:
Autonomy
Beneficence
Fidelity
Justice
Non-maleficence
Veracity
Autonomy- The pt has the right to make their own medical decisions
