NCLEX ACTUAL EXAM 2026
COMPREHENSIVE EXAM SOLVED 180
QUESTIONS WITH VERIFIED ANSWERS
AND EXPLANATIONS
⩥ Serum phenytoin. Answer: 10-20 mcg/ml
⩥ Normal glucose
Infant. Answer: 40-60mg/dl
⩥ Normal resp for infant. Answer: 30-60
⩥ Normal temp for infant. Answer: 97.7-99.7
⩥ What is the antidote for norepinephrine?. Answer: Phentolamine
(Regitine)
⩥ What is autonomic dysreflexia?. Answer: Life-threatening condition
in a client with high spinal cord injury
,⩥ Classic symptoms of autonomic dysreflexia?. Answer: Severe
hypotension, throbbing headache,diaphoresis,bradycardia,flushing and
piloerection.
⩥ Magnesium. Answer: 1.5-2.5 mEq
⩥ What is the therapeutic magnesium level to prevent seizures in a
preeclamptic client?. Answer: 4-7 mEq
⩥ Absent or decreased deep-tendon reflexes. Answer: Earliest sign of
magnesium toxicity
⩥ Calcium gluconate (antidote). Answer: Magnesium toxicity
⩥ Magnesium sulfate IV antidote?. Answer: Calcium gluconate IV
⩥ Acetaminophen. Answer: N-acetylcysteine
Most effective if given w/in 8hrs of ingesting acetaminophen
⩥ Anticholinergics. Answer: Physostigmine
⩥ Arsenic. Answer: Chelation therapy:
1.dimercarpol
,2.penincillamine
3.calcium disodium edetate
4. Succimer
⩥ Benzodiazepines. Answer: Flumazenil
⩥ Beta blockers. Answer: (High dose) glucagon
⩥ Calcium channel blockers. Answer: Glucagon, calcium chloride,
calcium gluconate
⩥ Cholinergics. Answer: Atropine,pralidoxime
⩥ Cyanide. Answer: Amyl nitrate
Sodium thiosulfate
Hyperbaric oxygen chamber
⩥ Digitalis/digoxin. Answer: Digoxin antibodies: digoxin immune fab,
digifab,digibind
⩥ Dnoxaparin. Answer: Protamine sulfate
, ⩥ Ethylene glycol. Answer: Ethanol
Fomepizole
Pyridoxine hydrochloride(vitamin b6)
⩥ Heparin. Answer: Protamine sulfate
⩥ Hypoglycemic agents. Answer: Glucagon
Octreotide
⩥ Iron. Answer: Deferoxamine mesylate
⩥ Lead. Answer: Chelation therapy
1. Dimercarpol
2. Penincillamine
3. Succimer
⩥ Mercury. Answer: Chelation therapy
⩥ Methanol. Answer: Folic acid and then folic acid fomepizole
⩥ Mushrooms,muscarinic. Answer: Atropine sulfate
COMPREHENSIVE EXAM SOLVED 180
QUESTIONS WITH VERIFIED ANSWERS
AND EXPLANATIONS
⩥ Serum phenytoin. Answer: 10-20 mcg/ml
⩥ Normal glucose
Infant. Answer: 40-60mg/dl
⩥ Normal resp for infant. Answer: 30-60
⩥ Normal temp for infant. Answer: 97.7-99.7
⩥ What is the antidote for norepinephrine?. Answer: Phentolamine
(Regitine)
⩥ What is autonomic dysreflexia?. Answer: Life-threatening condition
in a client with high spinal cord injury
,⩥ Classic symptoms of autonomic dysreflexia?. Answer: Severe
hypotension, throbbing headache,diaphoresis,bradycardia,flushing and
piloerection.
⩥ Magnesium. Answer: 1.5-2.5 mEq
⩥ What is the therapeutic magnesium level to prevent seizures in a
preeclamptic client?. Answer: 4-7 mEq
⩥ Absent or decreased deep-tendon reflexes. Answer: Earliest sign of
magnesium toxicity
⩥ Calcium gluconate (antidote). Answer: Magnesium toxicity
⩥ Magnesium sulfate IV antidote?. Answer: Calcium gluconate IV
⩥ Acetaminophen. Answer: N-acetylcysteine
Most effective if given w/in 8hrs of ingesting acetaminophen
⩥ Anticholinergics. Answer: Physostigmine
⩥ Arsenic. Answer: Chelation therapy:
1.dimercarpol
,2.penincillamine
3.calcium disodium edetate
4. Succimer
⩥ Benzodiazepines. Answer: Flumazenil
⩥ Beta blockers. Answer: (High dose) glucagon
⩥ Calcium channel blockers. Answer: Glucagon, calcium chloride,
calcium gluconate
⩥ Cholinergics. Answer: Atropine,pralidoxime
⩥ Cyanide. Answer: Amyl nitrate
Sodium thiosulfate
Hyperbaric oxygen chamber
⩥ Digitalis/digoxin. Answer: Digoxin antibodies: digoxin immune fab,
digifab,digibind
⩥ Dnoxaparin. Answer: Protamine sulfate
, ⩥ Ethylene glycol. Answer: Ethanol
Fomepizole
Pyridoxine hydrochloride(vitamin b6)
⩥ Heparin. Answer: Protamine sulfate
⩥ Hypoglycemic agents. Answer: Glucagon
Octreotide
⩥ Iron. Answer: Deferoxamine mesylate
⩥ Lead. Answer: Chelation therapy
1. Dimercarpol
2. Penincillamine
3. Succimer
⩥ Mercury. Answer: Chelation therapy
⩥ Methanol. Answer: Folic acid and then folic acid fomepizole
⩥ Mushrooms,muscarinic. Answer: Atropine sulfate
