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NCLEX-RN EXAM REVIEW questions with correct answers

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NCLEX-RN EXAM REVIEW questions with correct answers

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NCLEX-RN EXAM REVIEW questions with
correct answers

WhenselectinganNCLEXanswerordeterminingtheorderofprioritywhatshouldyourememberoruseandwha
tistheexception?-
✔✔UsetheABCrule:Airwaybreathing,andcirculation.TheexceptiontotheruleiswithactualCPR,useC-A-
BforCPR.Alsoremembersafetyfirstandacutebeforechronic.Ifthept.isnotindistressthenyouassess.Iftheptisi
ndistressthenyoushoulddosomething.Ifthepthasdiaphorisisyoushouldalwaysdosomething.

HowshouldyouaddressquestionsrelatedtoMaslow'sHierarchyofNeeds-
✔✔Addressphysiologicalneedsfirst,followedbysafetyandsecurityneeds,loveandbelongingneeds,selfestee
mneedsandfinallyselfactualizationneeds.*Whenaphysiologicalneedisnotaddressedinthequestion,lookfor
theoptionthataddressessafety.

Ifaquestionisrelatedtothenursingprocess,readthequestiontodeterminethestepofthenursingprocess.What
arethestepsinthenursingprocessandwhatkindofquestionmightberelatedtothatstep.-
✔✔Assessmentquestionaddressthegatheringandverificationofdata.



Analysisquestionsrequirethenurseto:interpretdata,collectadditionalinformation,identifyandcommunicat
enursingdiagnosesanddeterminethehealthteam'sabilitytomeettheptsneeds.



Planningquestionsaskaboutdetermining,prioritizing,andmodifyingoutcomesofcare.



Implementationquestionsreflectthemanagementandorganizationofcareandtheassignmentanddelegation
oftasks.Bepreparedforquestionsonclientteaching.



Evaluationquestionsfocusoncomparingtheactualoutcomesofcarewiththeexpectedoutcomesandoncomm
unicatinganddocumentingfindings.

WhatarethenormalrangesforH&H?Whatarethenursingimplications-✔✔Hemoglobin-Male14-
18Female12-16Newborn14-24



Highaltitudelivingincreasesvalue,slightdecreaseduringpregnancy.Drugtherapycanaltervalues.



Hematocrit-Male42-52Female37-47Newborn44-64

,Prolongedstasisfromvasoconstrictionsecondarytothetourniquetcanaltervalues.AbnormalitiesinRBCsizem
ayalterHctvalues

WhatarethenormalrangesforWBC?

Whatcanincreasevalues?

Whatcandecreasevalues?

Howlongdoesthepostpartumperiodofpregnancyaffectnormalranges?
Whatrangeisnormalduringthepostpartumperiod?-✔✔Bothgenders5000-10000Newborn9000-30000



Anesthetics,stress,exercise,andconvulsionscanincreasedvalues.



Drugtherapycandecreasevalues.



24-28hrpostpartum:acountashighas25000isnormal

WhatarethenormalrangesforRBC?

Whatcanincreaselevels

Whathappenstolevelsduringpregnancy?-✔✔Males:4.7-6.1million

Female:4.2-5.4million

Exerciseandhighaltitudescancauseanincreaselevels

pregnancyusuallylowervalues

drugtherapycanaltervalues

NeverdrawaspecimenfromanarmwithaninfusingIV.

WhatarethenormalrangesforPLATELETS?

Whatmayincreasevalues?

Whatmaydecreasevalues?

Whatdrugsdecreasevalues?-✔✔BothGenders:150000-400000



Livingathighaltitudes,exercisingstrenuouslyortakingoralcontraceptivesmayincreasevalues

, decreasedvaluesmaybecausedbyhemorrhage,DIC,reducedproductionofplatelets,infections,useofprosthe
ticheartvalves,anddrugs.



Drugsthatdecreaseplatelets:acetaminophen,aspirin,chemotherapy,H2blockers,INH,Levaquin,streptomyc
in,sulfonamides,thiazidediuretics.

WhatarethenormalrangesforK+?Whatshouldyoukeepinmindwhengettingaspecimen?-✔✔3.5-
5isnormalrangeforpotassium

Exerciseoftheforearmwithtourniquetinplacemaycauseanincreasedlevel.Hemolysisofspecimencanresultin
afalselyelevatedvalue

WhatarethenormalrangesforNa+?Whatshouldyouconsiderwhencollectingaspecimen?-✔✔136-
145isanormalsodiumrange

DoNotcollectfromanarmwithaninfusingIVsolution

WhatarethenormalrangesforCa+?

Whattypeofdrugcanincreasecalciumlevels?

Whataretwotestswithpositiveresultsthatareassociatedwithhypocalcemia?

Howdoyoupreformthetwotests?-✔✔9-10.5foradults.slightlylowerintheelder

Useofthiazidediureticscancauseincreasedlevelsofcalcium



PositiveChvostekandTrousseautestsareassociatedwithhypocalcemia.



•Chvosteksign:contractionofipsilateralfacialmuscleswhenthefacialnerveistappedjustinfrontoftheear.



•Trousseausign:carpopedalspasmelicitedbyinflatingasphygmomanometerabovesystolicBPfor3minutes.

WhatarethenormalrangesforMg+?

Whatmayhighmagnesiumlevelsindicate?

Whatmaylowmagnesiumlevelsindicate?-✔✔1.7-2.2



Ahighmagnesiumlevelmayindicate:Addisondisease

Chronicrenalfailure,Dehydration,Diabeticacidosis

Oliguria

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