NCLEX RN Exam Questions With Accurate Answers A+ Grade.

NCLEX RN Exam Questions With Accurate
Answers 2025\2026 A+ Grade.
If pH & bicarb are in same direction
- accurate answers--metabolic
-"bicarb both bolic"

if pH & bicarb are in different directions
- accurate answers--respiratory

normal pH
- accurate answers-7.35 to 7.45

normal bicarb
- accurate answers-22 to 26

when pH increases...
- accurate answers--"patient increases"
-become irritable, hyperexcitable

when pH decreases...
- accurate answers--"patient decreases"
-shuts down

alkalosis will cause patient to
- accurate answers--seize
-need suction at bed side

acidosis will cause patient to
- accurate answers--respiratory arrest
-need ambu bag

what S/S only occurs with metabolic acidosis
- accurate answers-kussmaul respirations

overventilation =
- accurate answers-alkalosis

,underventilation =
- accurate answers-acidosis

what would indicate the need for a PCA pump to be d/c
- accurate answers-respiratory acidosis

what is high pressure alarm on vent triggered by
- accurate answers--increased resistance to airflow
-machine has to push too hard to get air into lungs
-due to obstructions

obstructions that trigger high pressure alarm
- accurate answers--kink in tubing... unkink!
-water condensation in tube... empty!
-mucus in airway... change position!

when should you suction
- accurate answers-ONLY AS NEEDED

low pressure alarm on ventilator
- accurate answers--decreased resistance to airflow

disconnections that cause low pressure alarm on ventilator
- accurate answers--disconnection of main tubing... reconnect!
-disconnection in O2 sensing tubing

if ventilator settings are too high, what can occur
- accurate answers-respiratory alkalosis

what is the #1 psychological problem in all abuse
- accurate answers--denial
-treat it by confronting it... not with agression

when confronting denial
- accurate answers--NEVER attack the person
-address the problem only

when a question involves an issue with someone else...
- accurate answers--pick answer with "I"

,-avoid answer with "you"

when is denial operative?
- accurate answers--loss & grief
-support denial only in these situations

manipulation
- accurate answers--abuser gets someone to do something that is usually not
good for them

how to treat manipulation
- accurate answers--setting limits
-enforcing limits

Wernicke's syndrome
- accurate answers--encephalopathy
-occurs in alcoholics

Korsokoff's syndrome
- accurate answers--psychosis
-occurs in alcoholics

what is psychosis due to r/t Wernicke's
- accurate answers--vitamin B1 or thiamine deficiency
-"patient goes insane"

#1 symptom of psychosis due to Wernicke's
- accurate answers-amnesia with confabulation (making up stories)

how to treat pt with psychosis r/t Wernicke's
- accurate answers--do not confront or present reality
-REDIRECT the patient

Wernicke's is...
- accurate answers--preventable! take vitamin B1, pt can drink if they comply
-arrestable! take vitamin B1
-irreversible! 70% of time (for boards go with majority)

, antiabuse
- accurate answers--disulfiram
-aversion therapy... if pt drinks they will become horribly sick

onset of antiabuse
- accurate answers--2 weeks
-have to be off drug for 2 weeks in order to drink again

avoid ALL forms of alcohol while on antiabuse
- accurate answers--mouthwash
-aftershave
-perfume/cologne
-insect repellants
-any OTC with "elixer" in name
-alcohol-based hand sanitizer
-uncooked icing

upper
- accurate answers--caffeine
-cocaine
-PCP/LSD
-methamphetamines
-adderol

if an abused drug is not an upper...
- accurate answers-it is a downer

S/S of uppers
- accurate answers--euphoria
-tachycardia
-restlessness
-irritable
-diarrhea
-hyperreflexia
-spastic
-respiratory seize (suction needed)

S/S of downers
- accurate answers--lethargy