NCLEX-PN EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Tube feeding w/decreased LOC - ANS ✓position patient on the right side
(promote emptying of the stomach) with HOB elevated (to prevent aspiration)
During Epidural Puncture - ANS ✓side lying
After Lumbar Puncture - ANS ✓and also oil myelogram . . .patient lies flat
supine (to prevent headache and leaking of CSF)
patient with heat stroke - ANS ✓lie flat w/legs elevated
during continuous bladder irrigation (CBI) - ANS ✓catheter is taped to thigh
so leg should be straight. no other position restrictions
after myringotomy - ANS ✓position on side of affected ear after surgery (allow
for drainage of secretions)
after cataract surgery - ANS ✓patient will sleep on unaffected side with night
shield for 1-4 weeks
after thyroidectomy - ANS ✓low or semi fowlers, support head, neck and
shoulders
infant with spina bifida - ANS ✓position prone (on abdomen) so that sac
doesn't rupture
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bucks traction (skin traction) - ANS ✓elevate foot of bed for counter-traction
after total hip replacement - ANS ✓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
prolapsed cord - ANS ✓knee chest position or trendelenburg
infant with cleft lip - ANS ✓position on back or in infant seat to prevent trauma
to suture line. while feeding, hold in upright position.
to prevent dumping syndrome - ANS ✓post operative ulcer/stomach surgeries
. . . eat reclining position, lie down after meals for 20-30 minutes (also restrict
fluids during meals, low CHO and fiber diet, small frequent meals
above knee amputation - ANS ✓elevate for first 24 hours on pillow, position
prone daily to provide for hip extension
below knee amputation - ANS ✓foot of bed elevated for first 24 hours, position
prone daily to provide for hip extension
detached retina - ANS ✓area of detachment should be in the dependent position
administration of enema - ANS ✓position patient in left side lying (sim's) with
knew flexed
after supratentorial surgery (incision behind hairline) - ANS ✓elevate HOB
30-45 degrees
after infatentorial surgery (incision at nape of neck) - ANS ✓position pt flat
and lateral on eithe rside
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NCLEX-PN
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during internal radiation - ANS ✓on bed rest while implant in place
autonomic dysrelexia/hyperreflexia - ANS ✓S&S; pounding headache, profuse
sweating, nasal congestion, goose flesh, bradycardia, hypertension . . . place pt. in
sitting position (elevate HOB first before any other implentation)
shock - ANS ✓bedrest with extremities elevated 20 degrees, knees straight, head
slightly elevated (modified trendelenburg)
head injury - ANS ✓elevate HOB 30 degrees to decrease intacranial pressure
peritoneal dialysis when outflow is inadequate - ANS ✓turn pt. from side to
side BEFORE checking the tubing for kinks
lumbar puncture - ANS ✓after the procedure, the client should be placed in the
supine position for 4-12 hours as prescribed
demorol for pancreatitis - ANS ✓DO NOT GIVE MORPHINE SULFATE
myasthenia gravis - ANS ✓worsens with excercise and improves with rest
myasthenia crisis - ANS ✓a positive reaction to tensilon . . .will improve
symptoms
cholinergic crisis - ANS ✓caused by excessive medication . . stop med giving
tension will make it worse
head injury medication - ANS ✓mannitol (osmotic diuretic) crystallizes at
room temp so ALWAYS usse filter needle
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NCLEX-PN
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