NCLEX-RN Exam 2025 | Actual Complete Questions with
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Is a process of learning a different culture to adapt to a new or changing environment.
- CORRECT ANSWER>>>>Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging to a group
- CORRECT ANSWER>>>>Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter,
humor, & spiritual measures (prayer). - CORRECT ANSWER>>>>Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic
Americans, & African Americans. - CORRECT ANSWER>>>>High risk of obesity &
diabetes mellitus
Surgery is not prohibited, but the administration of blood and blood products is forbidden.
This religious group believes the soul cannot live after death. Administration of medication is
an acceptable practice except if the medication is derived from blood products. - CORRECT
ANSWER>>>>Jehovah's Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is
unacceptable. Only fish that have scales and fins are allowed; meats that are allowed
include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered. -
CORRECT ANSWER>>>>Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative
& body-based practices, & energy medicine. - CORRECT ANSWER>>>>Five categories
of complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group
& commands, rather than seeks suggestions or input. Manager addresses problem (quality
improvement) with taff, designs a plan without input, & wants all problems reported directly
back to her - CORRECT ANSWER>>>>Autocratic leader
Participative & would likely meet with each staff person individually to determine staff
member's perception of problem. Would also speak with the staff about any issues & ask
the staff for input with developing a plan. - CORRECT ANSWER>>>>Democratic leader
,Passive and nondirective. Would state what the problem was & inform staff that the staff
needed to come up with a plan to "fix it." - CORRECT ANSWER>>>>Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated
blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein
distention, altered LOC, & decreased hematocrit. - CORRECT
ANSWER>>>>Overhydration or fluid overload & occurs when fluid intake or fluid retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal,
raisins, spinach, strawberries, & tomatoes - CORRECT ANSWER>>>>Common food
sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would
be noted - CORRECT ANSWER>>>>Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based
or magnesium-based antacids. Malnutrition is associated with alcoholism. - CORRECT
ANSWER>>>>Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors.
Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains,
& carbonated beverages. - CORRECT ANSWER>>>>Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased urinary output,
insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or
colostomy. Diuretics, & gastrointestinal suctioning. - CORRECT ANSWER>>>>Causes of a
fluid volume deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses,
excessive irrigation of wounds & body cavities, & excessive ingestion of sodium. -
CORRECT ANSWER>>>>Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. -
CORRECT ANSWER>>>>Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. -
CORRECT ANSWER>>>>Hypokalemia causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat
diet; insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as
acetylsalicylic acid (aspirin); malnutrition; severe diarrhea. Intestinal secretion high in
bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea. -
CORRECT ANSWER>>>>Metabolic acidotic
,Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced
would include hypoventilation & tachycardia. - CORRECT ANSWER>>>>Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD -
CORRECT ANSWER>>>>Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion,
tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness
& tingling of extremities. Hyperventilation (tachypnea) occurs. - CORRECT
ANSWER>>>>Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding -
CORRECT ANSWER>>>>Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during hemodialysis. Monitors extent
of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine
sulfate is antidote. - CORRECT ANSWER>>>>Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - CORRECT ANSWER>>>>Iron deficiency anemia foods in diet:
May lack B12 in diet. - CORRECT ANSWER>>>>Vegans
Include fruits & vegetables - CORRECT ANSWER>>>>Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish.
Smoked foods, - CORRECT ANSWER>>>>High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops,
and regular or decaffeinated coffee or tea. - CORRECT ANSWER>>>>Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast drinks, milk,
pudding & custard, soups that are strained, refined cooked cereals, & strained vegetable juices.
- CORRECT ANSWER>>>>Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts, whole grain cereals,
& legumes. - CORRECT ANSWER>>>>High Thiamine foods
On the left side, with the head lower than the feet. This position used to minimize effect of
air traveling as a bolus to lungs by trapping it in right side of heart. - CORRECT
ANSWER>>>>Suspects air embolism. Should immediately place client in which position?
Assess for known allergies to eggs to prevent anaphylaxis. - CORRECT
ANSWER>>>>Fat emulsion (lipids)
, Signs include excessive thirst, fatigue, restlessness, confusion, weakness, Kussmaul's
respirations, diuresis, & coma when severe. If has these symptoms, blood glucose level should
be checked immediately. - CORRECT ANSWER>>>>Hyperglycemia:
Temperature and weight: Temperature monitored to detect infection, potential complication of
therapy. Infection also could result in sepsis because catheter in blood vessel. Weight
monitored for effectiveness nutritional therapy & detect hypervolemia. - CORRECT
ANSWER>>>>Parenteral nutrition; PN monitor
Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to chemotherapy.
Had extensive surgery, multiple fractures, are septic, have advanced cancer or AIDS.
(Electronic infusion pump used to administer) - CORRECT ANSWER>>>>Parenteral
nutrition; Patients needing
10% dextrose in water until new PN solution becomes available. -
CORRECT ANSWER>>>>Parenteral nutrition; If PN bag empty hang
IV dislodged from vein & is lying in subcutaneous tissue. Pallor, coolness, & swelling are
results of IV fluid being deposited in tissue. Corrective action is remove catheter & start new IV
line at another site. - CORRECT ANSWER>>>>Infiltrated IV
Discomfort at site, redness, warmth, & swelling proximal to catheter. If phlebitis occurs,
discontinue IV line & insert new IV line at different site. Apply warm moist compresses to
area speed resolution of inflammation. Notify (HCP). Document occurrence, actions taken, &
client response. - CORRECT ANSWER>>>>Phlebitis at IV site:
Produces a rash, redness, & itching. - CORRECT ANSWER>>>>An allergic reaction at IV site:
Characterized by ecchymosis, swelling, & leakage at IV insertion site, as well as hard &
painful lumps at site. - CORRECT ANSWER>>>>Hematoma
Dyspnea, a swollen tongue, & cyanosis. - CORRECT ANSWER>>>>Hypersensitivity reaction:
Taught minor activity restrictions apply with this type of catheter. Protect site during bathing &
should carry or wear Medic-Alert ID. Have repair kit in home for use as needed because
catheter is for long-term use. - CORRECT ANSWER>>>>PICC line
Before beginning administration IV solution, assess whether chest radiograph reveals central
catheter is in proper place. Portable chest X-ray. - CORRECT ANSWER>>>>Central
venous catheter insertion:
Characterized by chills, fever, malaise, headache, nausea, vomiting, backache, & tachycardia.
- CORRECT ANSWER>>>>Systemic infection
Characterized by tachycardia, dyspnea, hypotension, cyanosis, decreased LOC, anxiety, feelings of
impending doom, chest pain, & hypotension. Place left side in Trendelenburg's position.
Correct Verified Answers | Already Graded A+ Latest
Study Guide for Guaranteed Success
Is a process of learning a different culture to adapt to a new or changing environment.
- CORRECT ANSWER>>>>Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging to a group
- CORRECT ANSWER>>>>Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter,
humor, & spiritual measures (prayer). - CORRECT ANSWER>>>>Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic
Americans, & African Americans. - CORRECT ANSWER>>>>High risk of obesity &
diabetes mellitus
Surgery is not prohibited, but the administration of blood and blood products is forbidden.
This religious group believes the soul cannot live after death. Administration of medication is
an acceptable practice except if the medication is derived from blood products. - CORRECT
ANSWER>>>>Jehovah's Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is
unacceptable. Only fish that have scales and fins are allowed; meats that are allowed
include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered. -
CORRECT ANSWER>>>>Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative
& body-based practices, & energy medicine. - CORRECT ANSWER>>>>Five categories
of complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group
& commands, rather than seeks suggestions or input. Manager addresses problem (quality
improvement) with taff, designs a plan without input, & wants all problems reported directly
back to her - CORRECT ANSWER>>>>Autocratic leader
Participative & would likely meet with each staff person individually to determine staff
member's perception of problem. Would also speak with the staff about any issues & ask
the staff for input with developing a plan. - CORRECT ANSWER>>>>Democratic leader
,Passive and nondirective. Would state what the problem was & inform staff that the staff
needed to come up with a plan to "fix it." - CORRECT ANSWER>>>>Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated
blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein
distention, altered LOC, & decreased hematocrit. - CORRECT
ANSWER>>>>Overhydration or fluid overload & occurs when fluid intake or fluid retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal,
raisins, spinach, strawberries, & tomatoes - CORRECT ANSWER>>>>Common food
sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would
be noted - CORRECT ANSWER>>>>Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based
or magnesium-based antacids. Malnutrition is associated with alcoholism. - CORRECT
ANSWER>>>>Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors.
Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains,
& carbonated beverages. - CORRECT ANSWER>>>>Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased urinary output,
insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or
colostomy. Diuretics, & gastrointestinal suctioning. - CORRECT ANSWER>>>>Causes of a
fluid volume deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses,
excessive irrigation of wounds & body cavities, & excessive ingestion of sodium. -
CORRECT ANSWER>>>>Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. -
CORRECT ANSWER>>>>Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. -
CORRECT ANSWER>>>>Hypokalemia causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat
diet; insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as
acetylsalicylic acid (aspirin); malnutrition; severe diarrhea. Intestinal secretion high in
bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea. -
CORRECT ANSWER>>>>Metabolic acidotic
,Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced
would include hypoventilation & tachycardia. - CORRECT ANSWER>>>>Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD -
CORRECT ANSWER>>>>Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion,
tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness
& tingling of extremities. Hyperventilation (tachypnea) occurs. - CORRECT
ANSWER>>>>Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding -
CORRECT ANSWER>>>>Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during hemodialysis. Monitors extent
of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine
sulfate is antidote. - CORRECT ANSWER>>>>Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - CORRECT ANSWER>>>>Iron deficiency anemia foods in diet:
May lack B12 in diet. - CORRECT ANSWER>>>>Vegans
Include fruits & vegetables - CORRECT ANSWER>>>>Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish.
Smoked foods, - CORRECT ANSWER>>>>High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops,
and regular or decaffeinated coffee or tea. - CORRECT ANSWER>>>>Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast drinks, milk,
pudding & custard, soups that are strained, refined cooked cereals, & strained vegetable juices.
- CORRECT ANSWER>>>>Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts, whole grain cereals,
& legumes. - CORRECT ANSWER>>>>High Thiamine foods
On the left side, with the head lower than the feet. This position used to minimize effect of
air traveling as a bolus to lungs by trapping it in right side of heart. - CORRECT
ANSWER>>>>Suspects air embolism. Should immediately place client in which position?
Assess for known allergies to eggs to prevent anaphylaxis. - CORRECT
ANSWER>>>>Fat emulsion (lipids)
, Signs include excessive thirst, fatigue, restlessness, confusion, weakness, Kussmaul's
respirations, diuresis, & coma when severe. If has these symptoms, blood glucose level should
be checked immediately. - CORRECT ANSWER>>>>Hyperglycemia:
Temperature and weight: Temperature monitored to detect infection, potential complication of
therapy. Infection also could result in sepsis because catheter in blood vessel. Weight
monitored for effectiveness nutritional therapy & detect hypervolemia. - CORRECT
ANSWER>>>>Parenteral nutrition; PN monitor
Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to chemotherapy.
Had extensive surgery, multiple fractures, are septic, have advanced cancer or AIDS.
(Electronic infusion pump used to administer) - CORRECT ANSWER>>>>Parenteral
nutrition; Patients needing
10% dextrose in water until new PN solution becomes available. -
CORRECT ANSWER>>>>Parenteral nutrition; If PN bag empty hang
IV dislodged from vein & is lying in subcutaneous tissue. Pallor, coolness, & swelling are
results of IV fluid being deposited in tissue. Corrective action is remove catheter & start new IV
line at another site. - CORRECT ANSWER>>>>Infiltrated IV
Discomfort at site, redness, warmth, & swelling proximal to catheter. If phlebitis occurs,
discontinue IV line & insert new IV line at different site. Apply warm moist compresses to
area speed resolution of inflammation. Notify (HCP). Document occurrence, actions taken, &
client response. - CORRECT ANSWER>>>>Phlebitis at IV site:
Produces a rash, redness, & itching. - CORRECT ANSWER>>>>An allergic reaction at IV site:
Characterized by ecchymosis, swelling, & leakage at IV insertion site, as well as hard &
painful lumps at site. - CORRECT ANSWER>>>>Hematoma
Dyspnea, a swollen tongue, & cyanosis. - CORRECT ANSWER>>>>Hypersensitivity reaction:
Taught minor activity restrictions apply with this type of catheter. Protect site during bathing &
should carry or wear Medic-Alert ID. Have repair kit in home for use as needed because
catheter is for long-term use. - CORRECT ANSWER>>>>PICC line
Before beginning administration IV solution, assess whether chest radiograph reveals central
catheter is in proper place. Portable chest X-ray. - CORRECT ANSWER>>>>Central
venous catheter insertion:
Characterized by chills, fever, malaise, headache, nausea, vomiting, backache, & tachycardia.
- CORRECT ANSWER>>>>Systemic infection
Characterized by tachycardia, dyspnea, hypotension, cyanosis, decreased LOC, anxiety, feelings of
impending doom, chest pain, & hypotension. Place left side in Trendelenburg's position.
