Airway & Oxygenation
Respiratory Conditions
GI & GU Nursing
Fluids, Electrolytes, & Pharmacology
NCLEX Challenge Round
100

What is the maximum suction time when performing tracheostomy suctioning?

10–15 seconds

100

What is the rescue medication for acute asthma attacks?

Albuterol (SABA)

100

What should a new stoma look like post-colostomy surgery?

Red, moist, and protruding

100

What electrolyte imbalance can lisinopril cause?

Hyperkalemia

100

A COPD patient on 4 L/min becomes lethargic. What’s your priority action?

Lower O₂ to 2 L/min and notify provider

200

What are 2 signs of post-tonsillectomy bleeding?

Frequent swallowing, vomiting blood, restlessness

200

Name 2 common findings in COPD.

Barrel chest, clubbing, chronic cough, dyspnea

200

Name 2 signs of stoma ischemia.

Dark/purple color, dry, firm to touch

200

What is the IV potassium administration safety rule?

Must dilute; never give IV push

200

 post-op patient has sudden SOB, tachycardia, and SpO₂ 85%. What’s your first action?

Elevate HOB and apply oxygen

300

In COPD patients, what is the recommended target oxygen saturation range?

88–92%

300

Which lung sound is associated with pneumonia?

Crackles

300

What is a major risk factor for pancreatitis?

Alcohol use

300

What side effect is associated with albuterol?

Tachycardia, tremors, jitteriness

300

A patient receiving IV potassium has an infusion running too fast. What do you do first?

Stop the infusion immediately

400

What is the benefit of pursed-lip breathing?

Promotes CO₂ removal by prolonging exhalation

400

What is a key prevention measure for lung cancer?

Smoking cessation

400

What lab is elevated in hepatic encephalopathy?

Ammonia

400

What must be checked before giving a blood transfusion?

Blood type, patient ID, consent, vitals

400

A child post-tonsillectomy is frequently swallowing while sleeping. What’s your priority?

Wake the child and assess for bleeding

500

In chest tube care, what does continuous bubbling in the water-seal chamber indicate?

Air leak in the system

500

Name the classic triad of symptoms in pulmonary embolism.

Sudden shortness of breath, tachycardia, chest pain

500

How much fluid does a 1 kg weight gain represent?

1 liter of fluid

500

What lab values are monitored in nephropathy to assess kidney function?

BUN, Creatinine

500

A patient with pneumonia suddenly develops decreased breath sounds on one side and tracheal deviation.

Suspected pneumothorax; immediate action: apply oxygen and prepare for chest tube insertion or notify rapid response team.

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