Guide2026 Update| 200+Practice
Questions, Next Gen NCLEX Style Cases
& Expert Rationales
What type of communication and leadership is it if the person says "Lets consider the options
available."?
✓ Assertive communication/democratic leader
What are the five rights of delegation?
1. right task
2. right circumstance
3. right person
4. right direction/communication
5. right supervision
What skills are needed for Supervision
✓ Be able to:
give direction/guidance
evaluate/monitor
following up
What is the acronym S-BAR stand for?
✓ It is a interdisciplinary communication strategy that promotes effective communication
between caregivers
S = situation - State the issue or problem
B = background - provide history
A = assessment - most recent VS and current findings
R = recommendation - state what should be done
What are the normal ranges for RBC?
What can increase levels
What happens to levels during pregnancy?
, ✓ Males: 4.7-6.1 million
Female: 4.2-5.4 million
Exercise and high altitudes can cause an increase levels
pregnancy usually lower values
drug therapy can alter values
Never draw a specimen from an arm with an infusing IV.
What are the normal ranges for PLATELETS?
What may increase values?
What may decrease values?
What drugs decrease values?
✓ Both Genders: 150000-400000
Living at high altitudes, exercising strenuously or taking oral contraceptives may increase
values
decreased values may be caused by hemorrhage, DIC, reduced production of platelets,
infections, use of prosthetic heart valves, and drugs.
Drugs that decrease platelets: acetaminophen, aspirin, chemotherapy, H2 blockers, INH,
Levaquin, streptomycin, sulfonamides, thiazide diuretics.
What are the normal ranges for K+? What should you keep in mind when getting a specimen?
✓ 3.5-5 is normal range for potassium
Exercise of the forearm with tourniquet in place may cause an increased level. Hemolysis
of specimen can result in a falsely elevated value
What are the normal ranges for Na+? What should you consider when collecting a specimen?
✓ 136-145 is a normal sodium range
Do Not collect from an arm with an infusing IV solution
What are the normal ranges for WBC?
What can increase values?
What can decrease values?
How long does the postpartum period of pregnancy affect normal ranges? What range is
normal during the postpartum period?
✓ Both genders 5000-10000 Newborn 9000-30000
, Anesthetics, stress, exercise, and convulsions can increased values.
Drug therapy can decrease values.
24-28 hr postpartum: a count as high as 25000 is normal
What is required for informed consent to be valid?
✓ the patient giving consent must be competent and of legal age. The consent is given
voluntarily. The patient giving consent understands the procedure, risks/benefits, and
alternative procedures. The patient has the right to have all questions answered
satisfactorily. It is the duty of the HCP performing the procedure or treatment to obtain
informed consent and to answer any questions the patient might have about the
procedure. The RN is witnessing the signature not providing informed consent.
what type of communication and leadership is it if the person says "do it my way"?
✓ Aggressive communication/authoritarian leader
What type of communication and leadership is it if the persons says "Whatever...as long as
you like me."
✓ Passive communication/laissez-faire leader
What are the normal ranges for Ca+?
What type of drug can increase calcium levels?
What are two tests with positive results that are associated with hypocalcemia?
How do you preform the two tests?
✓ 9-10.5 for adults. slightly lower in the elder
Use of thiazide diuretics can cause increased levels of calcium
Positive Chvostek and Trousseau tests are associated with hypocalcemia.
• Chvostek sign: contraction of ipsilateral facial muscles when the facial nerve is tapped
just in front of the ear.
• Trousseau sign: carpopedal spasm elicited by inflating a sphygmomanometer above
systolic BP for 3 minutes.
What are the normal ranges for Mg+?
What may high magnesium levels indicate?
What may low magnesium levels indicate?