NCLEX PN ACTUAL EXAM 2025/PN NCLEX ACTUAL EXAM
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
.above knee amputation /ANSWER/elevate for first 24 hours on pillow, position
prone daily to provide for hip extension
.Addisons /ANSWER/down, down, down, up, down
.Addisons /ANSWER/hyponatremia, hypotension, decreased blood vol,
hyperkalemia, hypoglycemia
.administration of enema /ANSWER/position patient in left side lying (sim's)
with knew flexed
.after cataract surgery /ANSWER/patient will sleep on unaffected side with
night shield for 1-4 weeks
.after infatentorial surgery (incision at nape of neck) /ANSWER/position pt flat
and lateral on eithe rside
.After Lumbar Puncture /ANSWER/and also oil myelogram . . .patient lies flat
supine (to prevent headache and leaking of CSF)
,.after myringotomy /ANSWER/position on side of affected ear after surgery
(allow for drainage of secretions)
.after supratentorial surgery (incision behind hairline) /ANSWER/elevate HOB
30-45 degrees
.after thyroidectomy /ANSWER/low or semi fowlers, support head, neck and
shoulders
.after total hip replacement /ANSWER/don't sleep on operated side, don't flex
hip more than 45-60 degrees, don't elevate HOB more than 45 degrees.
maintain hip abduction by seperating thighs with pillows
.afterload affects /ANSWER/is the resistance the blood has to overcome when
leaving the heart.
.Air/Pulmonary Embolism /ANSWER/S&S;chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
.AIRBORNE /ANSWER/MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember . . .
MTV=Airborne
, Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
.alcohol withdrawl /ANSWER/librium
.ammonia /ANSWER/lactulose
.amphojel /ANSWER/tx of GERD and kidney stones . . . watch out for
constipation
.amynoglycosides (like vancomycin) /ANSWER/cause nephrotoxicity and
ototoxicity
.angina /ANSWER/low oxygen to heart tissues=no dead heart tissues
.APGAR /ANSWER/A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
.apresoline (hydralazine) /ANSWER/tx of HTN or CHF, report flu like symptoms,
rise slowly from sittin/lying position; take with meals
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
.above knee amputation /ANSWER/elevate for first 24 hours on pillow, position
prone daily to provide for hip extension
.Addisons /ANSWER/down, down, down, up, down
.Addisons /ANSWER/hyponatremia, hypotension, decreased blood vol,
hyperkalemia, hypoglycemia
.administration of enema /ANSWER/position patient in left side lying (sim's)
with knew flexed
.after cataract surgery /ANSWER/patient will sleep on unaffected side with
night shield for 1-4 weeks
.after infatentorial surgery (incision at nape of neck) /ANSWER/position pt flat
and lateral on eithe rside
.After Lumbar Puncture /ANSWER/and also oil myelogram . . .patient lies flat
supine (to prevent headache and leaking of CSF)
,.after myringotomy /ANSWER/position on side of affected ear after surgery
(allow for drainage of secretions)
.after supratentorial surgery (incision behind hairline) /ANSWER/elevate HOB
30-45 degrees
.after thyroidectomy /ANSWER/low or semi fowlers, support head, neck and
shoulders
.after total hip replacement /ANSWER/don't sleep on operated side, don't flex
hip more than 45-60 degrees, don't elevate HOB more than 45 degrees.
maintain hip abduction by seperating thighs with pillows
.afterload affects /ANSWER/is the resistance the blood has to overcome when
leaving the heart.
.Air/Pulmonary Embolism /ANSWER/S&S;chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
.AIRBORNE /ANSWER/MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember . . .
MTV=Airborne
, Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
.alcohol withdrawl /ANSWER/librium
.ammonia /ANSWER/lactulose
.amphojel /ANSWER/tx of GERD and kidney stones . . . watch out for
constipation
.amynoglycosides (like vancomycin) /ANSWER/cause nephrotoxicity and
ototoxicity
.angina /ANSWER/low oxygen to heart tissues=no dead heart tissues
.APGAR /ANSWER/A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
.apresoline (hydralazine) /ANSWER/tx of HTN or CHF, report flu like symptoms,
rise slowly from sittin/lying position; take with meals
