NCLEX RN ACTUAL EXAM 2025 TEST BANK
QUESTIONS AND CORRECT DETAILED WITH
RATIONALES ANSWERS
Is a process of learning a different culture to adapt to a new or changing environment. -
answer☑️✔️..Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging to a group -
answer☑️✔️..Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter,
humor, & spiritual measures (prayer). - answer☑️✔️..Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic
Americans, & African Americans. - 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. -
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. -
answer☑️✔️..Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative
& body-based practices, & energy medicine. - 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 - 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. - 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." - 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. - 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 - answer☑️✔️..Common food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be
noted - answer☑️✔️..Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or
magnesium-based antacids. Malnutrition is associated with alcoholism. -
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. - 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. - 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. -
answer☑️✔️..Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - answer☑️✔️..Hyperkalemia
causes:
Cushing's syndrome or colitis & over use of laxatives. - 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. -
answer☑️✔️..Metabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced
would include hypoventilation & tachycardia. - answer☑️✔️..Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - 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. - answer☑️✔️..Respiratory
alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding -
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. - answer☑️✔️..Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - answer☑️✔️..Iron deficiency anemia foods in diet:
May lack B12 in diet. - answer☑️✔️..Vegans
Include fruits & vegetables - answer☑️✔️..Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish.
Smoked foods, - answer☑️✔️..High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops,
and regular or decaffeinated coffee or tea. - 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.
- answer☑️✔️..Full liquid diet:
QUESTIONS AND CORRECT DETAILED WITH
RATIONALES ANSWERS
Is a process of learning a different culture to adapt to a new or changing environment. -
answer☑️✔️..Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging to a group -
answer☑️✔️..Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter,
humor, & spiritual measures (prayer). - answer☑️✔️..Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic
Americans, & African Americans. - 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. -
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. -
answer☑️✔️..Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative
& body-based practices, & energy medicine. - 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 - 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. - 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." - 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. - 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 - answer☑️✔️..Common food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be
noted - answer☑️✔️..Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or
magnesium-based antacids. Malnutrition is associated with alcoholism. -
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. - 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. - 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. -
answer☑️✔️..Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - answer☑️✔️..Hyperkalemia
causes:
Cushing's syndrome or colitis & over use of laxatives. - 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. -
answer☑️✔️..Metabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced
would include hypoventilation & tachycardia. - answer☑️✔️..Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - 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. - answer☑️✔️..Respiratory
alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding -
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. - answer☑️✔️..Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - answer☑️✔️..Iron deficiency anemia foods in diet:
May lack B12 in diet. - answer☑️✔️..Vegans
Include fruits & vegetables - answer☑️✔️..Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish.
Smoked foods, - answer☑️✔️..High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops,
and regular or decaffeinated coffee or tea. - 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.
- answer☑️✔️..Full liquid diet:
