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Rn Nclex Alternate Item Format Test Four 2026 Complete Solutions Top Grade

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RN NCLEX ALTERNATE ITEM FORMAT TEST FOUR 2026 COMPLETE SOLUTIONS TOP GRADE

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RN NCLEX ALTERNATE ITEM FORMAT TEST
FOUR 2026 COMPLETE SOLUTIONS TOP
GRADE

⩥ Severe Preeclampsia, what are expected findings? Answer:
proteinuria, facial edema, blurred vision


⩥ DM and glucose monitoring, what will increase blood flow and
decrease risk of infection, before taking the sample? Answer: washing
clients hands with soap and warm water


⩥ What is an expecting finding of Hyperthyroidism? Answer: Tremors


⩥ What is an expected finding of Hypothyroidism? Answer: Periorbital
Edema


⩥ Coping Strategies Answer:


⩥ Verapamil Answer: CCB, treats hypertension, angina, arrhythmia. Do
not take with Grapefruit (may cause hypotension).


⩥ what should be administered for a Benzodiazepine overdose? Answer:
Flumazenil

,⩥ Which side does a cane go on? Weak side or Strong side? Answer:
Strong side


⩥ Na+ Answer: Electrolytes, Sodium 136-145


⩥ K+ Answer: Electrolytes, Potassium 3.5-5


⩥ Ca++ Answer: Electrolytes, Calcium 9-10.5


⩥ pH Answer: ABG, 7.35-7.45


⩥ PaCO2 Answer: ABG, 35-45


⩥ HCO3 Answer: ABG, bicarbonate, 21-28


⩥ PaO2 Answer: ABG, oxygen, 80-100


⩥ SaO2 Answer: ABG, Oxygen Saturation, 95%-100%


⩥ Hgb Answer: CBC, Hemoglobin, 12-16 (F) 14-18 (M)

,⩥ Hct Answer: CBC, Hematocrit, 42-52% (M) 37-47% (F)


⩥ RBC Answer: 4.7 (M) 6.1 (F)


⩥ WBC Answer: CBC, White Blood Cell, 5000-10,000


⩥ ESR Answer: erythrocyte sedimentation rate, < 20 mm/hr


⩥ Cholesterol, Total Answer: < 200 (risk for cardiac or stroke > 150)


⩥ Platelets Answer: 150,000-400,000


⩥ PT Answer: 11-12.5 seconds


therapeutic range is 1.5 - 2 times the normal


⩥ aPTT Answer: partial thromboplastin time, 30-40 seconds


therapeutic range is 1.5 - 2 times the normal


⩥ INR Answer: 0.7-1.8 (unless on drug, therapeutic range 2-3)

, ⩥ Glucose, Fasting Answer: Endocrine, 70-105


⩥ HbA1c, glycosylated hemoglobin Answer: Endocrine, Hemoglobin
A1c, 4-6%


under 6% for normal


under 7% for Diabetes Control


⩥ BUN Answer: GU, 10-20


⩥ Creatinine Answer: GU, 0.6-1.2 (M) 0.5-1.1 (F)


⩥ Creatinine Clearance Test Answer: 90 - 139 (M) 80 -125 (F)


calculation of GFR
best indicator of overall renal function


⩥ What type of solution is TPN? Answer: hypertonic


⩥ How can TPN be given and when is it prepared? Answer: Through a
PICC line or tunneled catheter and prepared daily

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