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Exam (elaborations)

NCLEX NGN RN EXAM QUESTIONS AND VERIFIED ANSWERS || LATEST UPDATE 2024/2025

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NCLEX NGN RN EXAM QUESTIONS AND VERIFIED ANSWERS || LATEST UPDATE 2024/2025

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NCLEX NGN RN
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NCLEX NGN RN











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NCLEX NGN RN
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NCLEX NGN RN

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Uploaded on
December 19, 2024
Number of pages
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Written in
2024/2025
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NCLEX NGN RN EXAM QUESTIONS AND VERIFIED
ANSWERS || LATEST UPDATE 2024/2025




When selecting an NCLEX answer or determining the order of priority
what should you remember or use and what is the exception? -
CORRECT ANSWER Use the ABC rule: Airway breathing, and
circulation. The exception to the rule is with actual CPR, use C-A-B for
CPR. Also remember safety first and acute before chronic. If the pt. is
not in distress then you assess. If the pt is in distress then you should do
something. If the pt has diaphorisis you should always do something.


How should you address questions related to Maslow's Hierarchy of
Needs - CORRECT ANSWER Address physiological needs first,
followed by safety and security needs, love and belonging needs, self
esteem needs and finally self actualization needs. *When a physiological
need is not addressed in the question, look for the option that addresses
safety.


If a question is related to the nursing process, read the question to
determine the step of the nursing process. What are the steps in the
nursing process and what kind of question might be related to that step. -
CORRECT ANSWER Assessment question address the gathering and
verification of data.


Analysis questions require the nurse to: interpret data, collect additional
information, identify and communicate nursing diagnoses and determine
the health team's ability to meet the pts needs.

,Planning questions ask about determining, prioritizing, and modifying
outcomes of care.


Implementation questions reflect the management and organization of
care and the assignment and delegation of tasks. Be prepared for
questions on client teaching.


Evaluation questions focus on comparing the actual outcomes of care
with the expected outcomes and on communicating and documenting
findings.


What are the normal ranges for H&H? What are the nursing implications
- CORRECT ANSWER Hemoglobin - Male 14-18 Female 12-16
Newborn 14-24


High altitude living increases value, slight decrease during pregnancy.
Drug therapy can alter values.


Hematocrit - Male 42-52 Female 37-47 Newborn 44-64


Prolonged stasis from vasoconstriction secondary to the tourniquet can
alter values. Abnormalities in RBC size may alter Hct values


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? -
CORRECT ANSWER 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 are the normal ranges for RBC?
What can increase levels
What happens to levels during pregnancy? - CORRECT ANSWER
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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 136-145 is a normal
sodium range
Do Not collect from an arm with an infusing IV solution


What are the normal ranges for Ca+?

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