preparation Questions and Must have solutions Updated
version 2025/2026
Tetrology of Fallot - correct answer DROP (Defect, septal, right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis)
Autonomic Dysreflexia - correct answer (potentially life-threatening emergency!) HOB
elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel
impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure)
FHR patterns for OB - correct answer Think VEAL CHOP!
V-variable decels; C- cord compression caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
what to check with pregnancy - correct answer Never check the monitor or machine as
a first action. Always assess the patient first. Ex.. listen to fetal heart tones with
stethoscope.
Position of the baby by fetal heart sounds - correct answer Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
Ventilatory alarms - correct answer HOLD
High alarm--Obstruction due to secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
, ICP and Shock - correct answer ICP- Increased BP, decreased pulse, decreased resp
Shock--Decreased BP, increased pulse, increased resp
Cor pumonae - correct answer Right sided heart failure caused by left ventricular
failure (edema, jugular vein distention)
Heroin withdrawal neonate - correct answer irritable, poor sucking
brachial pulse - correct answer pulse area on an infant
lead poisoning - correct answer test at 12 months of age
Before starting IV antibiotics - correct answer obtain cultures!
pt with leukemia may have - correct answer epistaxis due to low platelets
when a pt comes in and is in active labor - correct answer first action of nurse is to
listen to fetal heart tones/rate
for phobias - correct answer use systematic desensitization
NCLEX answer tips - correct answer choose assessment first! (assess, collect,
auscultate, monitor, palpate) only choose intervention in an emergency or stress
situation. If the answer has an absolute, discard it. Give priority to the answers that deal
with the patient's body, not machines, or equipment.
ARDS and DIC - correct answer are always secondary to another disease or trauma
In an emergency - correct answer patients with a greater chance to live are treated first