NCLEX PN COMPREHENSIVE FORM A, B, AND C
EXAM (3 VERSIONS) | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIons
Placenta previa
implantation of the placenta over the cervical opening or in the
lower region of the uterus
Painless, bright red bleeding
Potassium (K+) normal range
Think # of bananas you buy from a store
3.5-5
Chloride (Cl-) normal range
Think of swimming pool, it has to be 95-105 degrees to go
swimming
95-105
Hemoglobin (Hgb) normal range
Think ages of puberty
Females 12-16
Males 14-18
Magnesium (Mg) normal range
Think of magnum cond*m, they're for men usually 1.5-2.5x bigger
1.5-2.5
BUN normal range
Think if someone has a nice "bun" they're usually a perfect 10 or
20
10-20
Calcium (Ca) normal range
,You "Cal" 9-11 in an emergency
9-11
Phosphate normal range
Think of fossils, they are usually 2.5-4.5 million years old
2.5-4.5
Creatinine normal range
0.6-1.2
WBC normal range
Think of kids aged 4-11 always get sick
4,000-11,000
Sodium (Na) normal range
Think of a can of soda, it costs 1.35-1.45
135-145
Critical Lab Values (Think 6)
PH- 6
Potassium- 6
CO2- greater than >60
O2- less than <60
Platelets- less than <40,000
Neutropenic precautions WBC and Neutrophils
WBC less than <1,000
or
Neutrophils less than < 500
HCO3 (Basic) value
22-26
PaCO2 (carbon dioxide) value
35-45
,Blood pH value
7.35-7.45
A blood pH value above 7.45 is termed?
alkalosis
Blood pH value less than 7.35 is termed?
acidotic
Alkalosis (Increased HCO3) is caused by what?
vomiting, hyperventilation, suctioning
Acidosis (Increased PaCO2) is caused by what?
Diarrhea, shock, DKA
Droplet precautions PPE
Standard precautions + surgical mask
Private room if available. If no private room then w/ another pt
also on droplet precautions
Airborne precautions PPE
Standard precautions + N95 mask, negative pressure room
Contact precautions PPE
Standard precautions + gown and gloves
Standard precautions PPE
Hand hygiene, gloves, gown, mask, goggles or face shield
Airborne precautions are for what 4 diseases?
Severe acute respiratory syndrome (SARS)
TB
Measles
Varicella (chickenpox)
Contact precautions are used for what diseases?
C-diff
VRE
MRSA
VRSA
Herpes
Scabies
Droplet precautions are used for what diseases?
, Pertussis
PNA
Influenza
Mumps
Taking off PPE order (remember it goes alphabetical)
Gloves
Goggles
Gown
Mask
Putting on PPE order (remember it goes biggest items to
smallest)
Gown
Mask
Goggles
Gloves
Crutches need to be ___ fingers below axilla
2
When using crutches, ________ side moves first
Affected/ weak
Crutches on stairs
When going up, good leg first
When going down, bad leg first
Good goes to UP to heaven
Bad goes DOWN to hell
How long can you keep a pt in restraints?
less than <9 y.o = 1 hour
9-17 y.o = 2 hours
18+ = 4 hours
IV medication onset
5-15 min
IM and SubQ onset
35-45 minutes
Pull pinna down and back for kids under ____ years old
3
EXAM (3 VERSIONS) | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIons
Placenta previa
implantation of the placenta over the cervical opening or in the
lower region of the uterus
Painless, bright red bleeding
Potassium (K+) normal range
Think # of bananas you buy from a store
3.5-5
Chloride (Cl-) normal range
Think of swimming pool, it has to be 95-105 degrees to go
swimming
95-105
Hemoglobin (Hgb) normal range
Think ages of puberty
Females 12-16
Males 14-18
Magnesium (Mg) normal range
Think of magnum cond*m, they're for men usually 1.5-2.5x bigger
1.5-2.5
BUN normal range
Think if someone has a nice "bun" they're usually a perfect 10 or
20
10-20
Calcium (Ca) normal range
,You "Cal" 9-11 in an emergency
9-11
Phosphate normal range
Think of fossils, they are usually 2.5-4.5 million years old
2.5-4.5
Creatinine normal range
0.6-1.2
WBC normal range
Think of kids aged 4-11 always get sick
4,000-11,000
Sodium (Na) normal range
Think of a can of soda, it costs 1.35-1.45
135-145
Critical Lab Values (Think 6)
PH- 6
Potassium- 6
CO2- greater than >60
O2- less than <60
Platelets- less than <40,000
Neutropenic precautions WBC and Neutrophils
WBC less than <1,000
or
Neutrophils less than < 500
HCO3 (Basic) value
22-26
PaCO2 (carbon dioxide) value
35-45
,Blood pH value
7.35-7.45
A blood pH value above 7.45 is termed?
alkalosis
Blood pH value less than 7.35 is termed?
acidotic
Alkalosis (Increased HCO3) is caused by what?
vomiting, hyperventilation, suctioning
Acidosis (Increased PaCO2) is caused by what?
Diarrhea, shock, DKA
Droplet precautions PPE
Standard precautions + surgical mask
Private room if available. If no private room then w/ another pt
also on droplet precautions
Airborne precautions PPE
Standard precautions + N95 mask, negative pressure room
Contact precautions PPE
Standard precautions + gown and gloves
Standard precautions PPE
Hand hygiene, gloves, gown, mask, goggles or face shield
Airborne precautions are for what 4 diseases?
Severe acute respiratory syndrome (SARS)
TB
Measles
Varicella (chickenpox)
Contact precautions are used for what diseases?
C-diff
VRE
MRSA
VRSA
Herpes
Scabies
Droplet precautions are used for what diseases?
, Pertussis
PNA
Influenza
Mumps
Taking off PPE order (remember it goes alphabetical)
Gloves
Goggles
Gown
Mask
Putting on PPE order (remember it goes biggest items to
smallest)
Gown
Mask
Goggles
Gloves
Crutches need to be ___ fingers below axilla
2
When using crutches, ________ side moves first
Affected/ weak
Crutches on stairs
When going up, good leg first
When going down, bad leg first
Good goes to UP to heaven
Bad goes DOWN to hell
How long can you keep a pt in restraints?
less than <9 y.o = 1 hour
9-17 y.o = 2 hours
18+ = 4 hours
IV medication onset
5-15 min
IM and SubQ onset
35-45 minutes
Pull pinna down and back for kids under ____ years old
3
