NCLEX EXAM ga ga
Exam Solution ga
NCLEX RN EXAM REVIEW 2026 A+ GRADE ASSURED CO ga ga ga ga ga ga ga ga
MPLETE SOLUTIONS AND VERIFIED ANSWERS ga ga ga ga
QUESTION 1 ga
When selecting an NCLEX answer or determining the order of priority what should you r
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emember or use and what is the exception? ga ga ga ga ga ga ga
ANSWER
Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-
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A-
B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you ass
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ess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do
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something.
ga
QUESTION 2 ga
How should you address questions related to Maslow's Hierarchy of Needs
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ANSWER
Address physiological needs first, followed by safety and security needs, love and belonging needs, self
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esteem needs and finally self actualization needs. *When a physiological need is not addressed in the q
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uestion, look for the option that addresses safety.
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QUESTION 3 ga
If a question is related to the nursing process, read the question to determine the step o
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f the nursing process. What are the steps in the nursing process and what kind of questi
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on might be related to that step.
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ANSWER
Assessment question address the gathering and verification of data. Analysis questions require the nurs
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e to: interpret data, collect additional information, identify and communicate nursing diagnoses and det
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ermine the health team's ability to meet the pts needs. Planning questions ask about determining, prior
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itizing, and modifying outcomes of care. Implementation questions reflect the management and organiz
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ation of care and the assignment and delegation of tasks. Be prepared for questions on client teaching.
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,Evaluation questions focus on comparing the actual outcomes of care with the expected outcomes and
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on communicating and documenting findings.
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QUESTION 4 ga
What are the normal ranges for H&H? What are the nursing implications
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ANSWER
Hemoglobin - Male 14-18 Female 12-16 Newborn 14-
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24 High altitude living increases value, slight decrease during pregnancy. Drug therapy can alter values.
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Hematocrit - Male 42-52 Female 37-47 Newborn 44-
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64 Prolonged stasis from vasoconstriction secondary to the tourniquet can alter values. Abnormalities i
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n RBC size may alter Hct values
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QUESTION 5 ga
What are the normal ranges for WBC? What can increase values? What can decrease val
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ues? How long does the postpartum period of pregnancy affect normal ranges? What ran
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ge is normal during the postpartum period?
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ANSWER
Both genders 5000-10000 Newborn 9000-
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30000 Anesthetics, stress, exercise, and convulsions can increased values. Drug therapy can decrease va
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lues. 24-28 hr postpartum: a count as high as 25000 is normal
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QUESTION 6 ga
What are the normal ranges for RBC? What can increase levels What happens to levels d
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uring pregnancy? ga
ANSWER
Males: 4.7-6.1 million Female: 4.2-
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5.4 million Exercise and high altitudes can cause an increase levels pregnancy usually lower values dru
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g therapy can alter values Never draw a specimen from an arm with an infusing IV.
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QUESTION 7 ga
What are the normal ranges for PLATELETS? What may increase values? What may decr
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ease values? What drugs decrease values?
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ANSWER
Both Genders: 150000-
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400000 Living at high altitudes, exercising strenuously or taking oral contraceptives may increase value
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s decreased values may be caused by hemorrhage, DIC, reduced production of platelets, infections, use
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, of prosthetic heart valves, and drugs. Drugs that decrease platelets: acetaminophen, aspirin, chemother
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apy, H2 blockers, INH, Levaquin, streptomycin, sulfonamides, thiazide diuretics.
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QUESTION 8 ga
What are the normal ranges for K+? What should you keep in mind when getting a speci
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men?
ANSWER
3.5-
5 is normal range for potassium Exercise of the forearm with tourniquet in place may cause an increas
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ed level. Hemolysis of specimen can result in a falsely elevated value
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QUESTION 9 ga
What are the normal ranges for Na+? What should you consider when collecting a speci
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men?
ANSWER
136-145 is a normal sodium range Do Not collect from an arm with an infusing IV solution
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QUESTION 10 ga
What are the normal ranges for Ca+? What type of drug can increase calcium levels? Wh
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at are two tests with positive results that are associated with hypocalcemia? How do you
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preform the two tests?
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ANSWER
9-
10.5 for adults. slightly lower in the elder Use of thiazide diuretics can cause increased levels of calciu
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m Positive Chvostek and Trousseau tests are associated with hypocalcemia. • Chvostek sign: contractio
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n of ipsilateral facial muscles when the facial nerve is tapped just in front of the ear. • Trousseau sign:
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carpopedal spasm elicited by inflating a sphygmomanometer above systolic BP for 3 minutes.
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QUESTION 11 ga
What are the normal ranges for Mg+? What may high magnesium levels indicate? What
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may low magnesium levels indicate?
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ANSWER
1.7-
2.2 A high magnesium level may indicate: Addison disease Chronic renal failure, Dehydration, Diabetic a
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cidosis Oliguria A low magnesium level may indicate: Alcoholism Chronic diarrhea, Delirium tremens, H
ga ga ga ga ga ga ga ga ga ga ga ga ga
emodialysis Hepatic (liver) cirrhosis, Hyperaldosteronism Hypoparathyroidism, Pancreatitis, Too much i
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nsulin Toxemia of pregnancy, Ulcerative colitis
ga ga ga ga ga
Exam Solution ga
NCLEX RN EXAM REVIEW 2026 A+ GRADE ASSURED CO ga ga ga ga ga ga ga ga
MPLETE SOLUTIONS AND VERIFIED ANSWERS ga ga ga ga
QUESTION 1 ga
When selecting an NCLEX answer or determining the order of priority what should you r
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
emember or use and what is the exception? ga ga ga ga ga ga ga
ANSWER
Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
A-
B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you ass
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
something.
ga
QUESTION 2 ga
How should you address questions related to Maslow's Hierarchy of Needs
ga ga ga ga ga ga ga ga ga ga
ANSWER
Address physiological needs first, followed by safety and security needs, love and belonging needs, self
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
esteem needs and finally self actualization needs. *When a physiological need is not addressed in the q
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
uestion, look for the option that addresses safety.
ga ga ga ga ga ga ga
QUESTION 3 ga
If a question is related to the nursing process, read the question to determine the step o
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
f the nursing process. What are the steps in the nursing process and what kind of questi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
on might be related to that step.
ga ga ga ga ga ga
ANSWER
Assessment question address the gathering and verification of data. Analysis questions require the nurs
ga ga ga ga ga ga ga ga ga ga ga ga ga
e to: interpret data, collect additional information, identify and communicate nursing diagnoses and det
ga ga ga ga ga ga ga ga ga ga ga ga ga
ermine the health team's ability to meet the pts needs. Planning questions ask about determining, prior
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
itizing, and modifying outcomes of care. Implementation questions reflect the management and organiz
ga ga ga ga ga ga ga ga ga ga ga ga
ation of care and the assignment and delegation of tasks. Be prepared for questions on client teaching.
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
,Evaluation questions focus on comparing the actual outcomes of care with the expected outcomes and
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
on communicating and documenting findings.
ga ga ga ga
QUESTION 4 ga
What are the normal ranges for H&H? What are the nursing implications
ga ga ga ga ga ga ga ga ga ga ga
ANSWER
Hemoglobin - Male 14-18 Female 12-16 Newborn 14-
ga ga ga ga ga ga ga
24 High altitude living increases value, slight decrease during pregnancy. Drug therapy can alter values.
ga ga ga ga ga ga ga ga ga ga ga ga ga ga g
Hematocrit - Male 42-52 Female 37-47 Newborn 44-
a ga ga ga ga ga ga ga
64 Prolonged stasis from vasoconstriction secondary to the tourniquet can alter values. Abnormalities i
ga ga ga ga ga ga ga ga ga ga ga ga ga
n RBC size may alter Hct values
ga ga ga ga ga ga
QUESTION 5 ga
What are the normal ranges for WBC? What can increase values? What can decrease val
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ues? How long does the postpartum period of pregnancy affect normal ranges? What ran
ga ga ga ga ga ga ga ga ga ga ga ga ga
ge is normal during the postpartum period?
ga ga ga ga ga ga
ANSWER
Both genders 5000-10000 Newborn 9000-
ga ga ga ga
30000 Anesthetics, stress, exercise, and convulsions can increased values. Drug therapy can decrease va
ga ga ga ga ga ga ga ga ga ga ga ga ga
lues. 24-28 hr postpartum: a count as high as 25000 is normal
ga ga ga ga ga ga ga ga ga ga ga
QUESTION 6 ga
What are the normal ranges for RBC? What can increase levels What happens to levels d
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
uring pregnancy? ga
ANSWER
Males: 4.7-6.1 million Female: 4.2-
ga ga ga ga
5.4 million Exercise and high altitudes can cause an increase levels pregnancy usually lower values dru
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
g therapy can alter values Never draw a specimen from an arm with an infusing IV.
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 7 ga
What are the normal ranges for PLATELETS? What may increase values? What may decr
ga ga ga ga ga ga ga ga ga ga ga ga ga
ease values? What drugs decrease values?
ga ga ga ga ga
ANSWER
Both Genders: 150000-
ga ga
400000 Living at high altitudes, exercising strenuously or taking oral contraceptives may increase value
ga ga ga ga ga ga ga ga ga ga ga ga ga
s decreased values may be caused by hemorrhage, DIC, reduced production of platelets, infections, use
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
, of prosthetic heart valves, and drugs. Drugs that decrease platelets: acetaminophen, aspirin, chemother
ga ga ga ga ga ga ga ga ga ga ga ga
apy, H2 blockers, INH, Levaquin, streptomycin, sulfonamides, thiazide diuretics.
ga ga ga ga ga ga ga ga
QUESTION 8 ga
What are the normal ranges for K+? What should you keep in mind when getting a speci
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
men?
ANSWER
3.5-
5 is normal range for potassium Exercise of the forearm with tourniquet in place may cause an increas
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ed level. Hemolysis of specimen can result in a falsely elevated value
ga ga ga ga ga ga ga ga ga ga ga
QUESTION 9 ga
What are the normal ranges for Na+? What should you consider when collecting a speci
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
men?
ANSWER
136-145 is a normal sodium range Do Not collect from an arm with an infusing IV solution
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 10 ga
What are the normal ranges for Ca+? What type of drug can increase calcium levels? Wh
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
at are two tests with positive results that are associated with hypocalcemia? How do you
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
preform the two tests?
ga ga ga ga
ANSWER
9-
10.5 for adults. slightly lower in the elder Use of thiazide diuretics can cause increased levels of calciu
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
m Positive Chvostek and Trousseau tests are associated with hypocalcemia. • Chvostek sign: contractio
ga ga ga ga ga ga ga ga ga ga ga ga ga
n of ipsilateral facial muscles when the facial nerve is tapped just in front of the ear. • Trousseau sign:
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
carpopedal spasm elicited by inflating a sphygmomanometer above systolic BP for 3 minutes.
ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 11 ga
What are the normal ranges for Mg+? What may high magnesium levels indicate? What
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
may low magnesium levels indicate?
ga ga ga ga
ANSWER
1.7-
2.2 A high magnesium level may indicate: Addison disease Chronic renal failure, Dehydration, Diabetic a
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
cidosis Oliguria A low magnesium level may indicate: Alcoholism Chronic diarrhea, Delirium tremens, H
ga ga ga ga ga ga ga ga ga ga ga ga ga
emodialysis Hepatic (liver) cirrhosis, Hyperaldosteronism Hypoparathyroidism, Pancreatitis, Too much i
ga ga ga ga ga ga ga ga ga
nsulin Toxemia of pregnancy, Ulcerative colitis
ga ga ga ga ga
