NCLEX-RN Review Pack 2025 – High-Yield Topic Mastery for Sections 1, 4, 6–10, & 12 | Updated Exam Questions, Rationales & Test Strategies to Pass the NCLEX the First Time

NCLEX-RN REVIEW PACK 2025




NCLEX-RN Review Pack 2025 – High-Yield Topic
Mastery for Sections 1, 4, 6–10, & 12 | Updated
Exam Questions, Rationales & Test Strategies to
Pass the NCLEX the First Time

, NCLEX-RN REVIEW PACK 2025

What does obtunded mean?- CORRECT ANSWER ✔✔ A little more than lethargic



What does clonus mean?- CORRECT ANSWER ✔✔ Muscle spasm



Potassium (hyper/hypo)- CORRECT ANSWER ✔✔ Same as prefix except urine output and HR



Calcium (hyper/hypo)- CORRECT ANSWER ✔✔ Opposite of prefix



Chevostek and Trousseau signs- CORRECT ANSWER ✔✔ Hypocalcemia

Chevostek: tap cheek elict muscle spasm

Trousseau: tight BP cuff, hand turns inside




Magnesium (hyper/hypo)- CORRECT ANSWER ✔✔ Opposite of prefix



Aldosterone- CORRECT ANSWER ✔✔ Hold onto sodium and water and rids potassium



Do cushing’s patients need a private room? - CORRECT ANSWER ✔✔ Yes



What diseases do we see with hypernatremia? - CORRECT ANSWER ✔✔ DI, DKA, HHNK



What diseases do we see with hyponatremia? - CORRECT ANSWER ✔✔ SIADH

,Hypernatremia/Hyponatremia- CORRECT ANSWER ✔✔ Hyper: dehydration

Hypo: fluid volume excess



What can high potassium do? What do we do to treat it? - CORRECT ANSWER ✔✔ Stop the
heart

Give D5 with regular insulin to move potassium into the cell and out of the blood.




What is circumoral paraethesia? - CORRECT ANSWER ✔✔ Numbness and tingling of the lips



What is the universal sign of electrolyte disorder? - CORRECT ANSWER ✔✔ Paresis: muscle
weakness


Patient has low potassium, when giving potassium what do we not do?- CORRECT ANSWER
✔✔ Give IV push and give over 40



What drug works overtime for hyperkalemia? What can it cause? - CORRECT ANSWER ✔✔
Kayexalate makes potassium exit the body, can cause hypernatremia so we give fluids



What are the two treatments for hyperthyroidism? - CORRECT ANSWER ✔✔ Radioactive
Iodine and PTU



What do we need to know about radioactive iodine? - CORRECT ANSWER ✔✔ Patient needs
to be alone for 24 hours

When they pee flush 3 times
The pee is high risk because that is the way it is excreted

, What is the risks for a total thyroidectomy versus partial thyroidectomy? - CORRECT ANSWER
✔✔ Total: hypocalcemia

Partial: thyroid storm or thyroid crisis



What are the four markers of thyroid storm? What do you do? - CORRECT ANSWER ✔✔ High
bp, tachycardia, high temp and psychotic delirium
Give oxygen, ice packs and cooling blankets




When is infection a priority in any post op patient? - CORRECT ANSWER ✔✔ Passed 72 hours



What drug do you give to a patient that has hypothyroidsm?- CORRECT ANSWER ✔✔
Levothyroxine


If a patient is getting surgery and is NPO what is one exception and why? - CORRECT
ANSWER ✔✔ Thyroid medication, because they will be getting sedated.



What happens in addisions? How do you treat? - CORRECT ANSWER ✔✔ Not enough
corticosteroids, they are tan and do not adapt to stress so bp and glucose drop and they will die.
Treat with steroids




What are the symptoms of cushings? - CORRECT ANSWER ✔✔ Hyperglycemic, moon face,
retain sodium and water and loose potassium, straie, truncal obesity, hirtusin, gynenocomastia,
immunosuppressed, skinny arms and legs and buffalo hump.