NCLEX-RN 2025 exam with complete
solutions
Delegation - ANSWER-Right Person, Right Task, Right Circumstance, Right
Communication, Right Supervision
AP's: vitals and ALDs
PN: stable clients and the expected outcome
PR
Bleeding - ANSWER-Stabilize object
Colorectal Screening - ANSWER-Sigmoid: 5 yrs Colon: 10 years ages 50-75
O
Manual BP - ANSWER-1 Inch above antecubital space
FD
Manual Systolic Measurement - ANSWER-Palpate radial pulse, inflate until
pulse disappears, inflate another 30 mmHg, release and note when pulse is
O
palpable again
C
Clear Diet - ANSWER-Fruit juices, gelatin, broth
Cane Use - ANSWER-On Stronger side. Move can, move weak leg, move
stronger leg past cane
Move 6-10 inches forward
Infiltration - ANSWER-pallor, swelling, decrease skin temp
,@PROFDOCDIGITALLIBRARIES
stop, remove, elevate, ROM, cold compress, restart
hypoxemia - ANSWER-early: Tachypnea, increased BP
Late: Bradypnea, decrease BP
Hypernatermia Risk Factors - ANSWER-older age, decrease total body water
content, inadequate fluid intake, altered thirst
PR
Seizure precautions - ANSWER-Rescue equipment at bedside
Fire Safety - ANSWER-R: Rescue A: Alarm C: contain E: extinguish
O
P: Pull A: Aim S: Squeeze S: Sweep
FD
Radiation Precautions - ANSWER-wear monitoring badge for exposure
O
Client Transfer - ANSWER-Fold arms of patient across chest while lifting head
C
Positioning - ANSWER-Prone: on stomach, post lumbar puncture, tonsillectomy
Supine: On back, spinal cord injury
Crutches - ANSWER-3 inch widths between axilla and top of crutch, hand grips
with elbows at 30 degree
Walker - ANSWER-Wrist even with hand grips
, @PROFDOCDIGITALLIBRARIES
Standard Precautions - ANSWER-Teir One
protective equipment when in contact with blood and bodily fluids, dispose
PPE in clients room, clean spills with bleach water
Transmission Precautions - ANSWER-Airborne: N95 mask
Droplet: Mask within 3 feet of patient
Contact: gloves and gown
PR
Order of PPE - ANSWER-On: gown, mask, goggles, gloves
OFF: gloves, goggles, gown, mask
O
Precautions for Diseases - ANSWER-AIDS/HIV: standard
Varicella: airborne
FD
C-diff: contact
Hep A: standard
Hep B: standard
O
Hep C: standard
C
Herpes simplex: standard
shingles: airborne
Measles: airborne
Meningococcal: droplet
MRSA: contact
Pneumonia: droplet
Respiratory syncytial virus: droplet
Rotovirus: contact
Rubella: droplet