NCLEX NGN 2024 ACTUAL EXAM| NEW EXAM
TEST BANK 500 QUESTIONS AND CORRECT
DETAILED ANSWERS| ALREADY GRADED A+
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). - answerLow-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans,
& African Americans. - answerHigh 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. - answerJehovah'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, clovenhoofed, and ritually slaughtered. - answerOrthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative & body-
based practices, & energy medicine. - answerFive 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 -
,answerAutocratic 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. - answerDemocratic 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." - answerLaissez-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. - answerOverhydration 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 - answerCommon food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted -
answerHyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or
magnesium-based antacids. Malnutrition is associated with alcoholism. -
answerHypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods
high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages. -
answerHyperphosphatemia
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. - answerCauses 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. - answerCauses of overhydration
or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - answerHyperkalemia causes:
, Cushing's syndrome or colitis & over use of laxatives. - answerHypokalemia 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. - answerMetabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced would
include hypoventilation & tachycardia. - answerMetabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - answerRespiratory 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. - answerRespiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding -
answerWarfarin (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. - answerHeparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - answerIron deficiency anemia foods in diet:
May lack B12 in diet. - answerVegans
Include fruits & vegetables - answerLow sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish. Smoked
foods, - answerHigh Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops, and
regular or decaffeinated coffee or tea. - answerClear liquid diet:
TEST BANK 500 QUESTIONS AND CORRECT
DETAILED ANSWERS| ALREADY GRADED A+
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). - answerLow-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans,
& African Americans. - answerHigh 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. - answerJehovah'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, clovenhoofed, and ritually slaughtered. - answerOrthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative & body-
based practices, & energy medicine. - answerFive 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 -
,answerAutocratic 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. - answerDemocratic 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." - answerLaissez-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. - answerOverhydration 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 - answerCommon food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted -
answerHyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or
magnesium-based antacids. Malnutrition is associated with alcoholism. -
answerHypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods
high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages. -
answerHyperphosphatemia
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. - answerCauses 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. - answerCauses of overhydration
or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - answerHyperkalemia causes:
, Cushing's syndrome or colitis & over use of laxatives. - answerHypokalemia 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. - answerMetabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced would
include hypoventilation & tachycardia. - answerMetabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - answerRespiratory 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. - answerRespiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding -
answerWarfarin (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. - answerHeparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - answerIron deficiency anemia foods in diet:
May lack B12 in diet. - answerVegans
Include fruits & vegetables - answerLow sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish. Smoked
foods, - answerHigh Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops, and
regular or decaffeinated coffee or tea. - answerClear liquid diet:
