NCLEX RN | FROM QUESTION TO PERFECTION| STUDY
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,when fusing packed red blood cells, which solution is hung with the Y tubing? Answer: 0.9%
sodium in water (NS)
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
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
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 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
Which lab value is checked and how often, when TPN is initiated? Answer: blood glucose,
every 4-6 hours
Every 24 hours a new TPN bag is hung with a new filter. True or False? Answer: True
Non-Pharmocological Interventions: HOT Answer: on for 15min, off for 20min
acts as an analgesia (pain relief)
increase blood flow
relaxes muscles
diminishes muscles spasms
eases muscles & joint stiffness
Non-Pharmacological Interventions: COLD Answer: on for 15min, off for 20min
acts as an analgesia (pain relief)
decreases/prevents swelling
diminishes muscles spasms
Diseases that need Private rooms? Answer: varicella (chicken pox)
herpes zoster (shingles)
rubeola virus (measles)
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,when fusing packed red blood cells, which solution is hung with the Y tubing? Answer: 0.9%
sodium in water (NS)
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
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
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 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
Which lab value is checked and how often, when TPN is initiated? Answer: blood glucose,
every 4-6 hours
Every 24 hours a new TPN bag is hung with a new filter. True or False? Answer: True
Non-Pharmocological Interventions: HOT Answer: on for 15min, off for 20min
acts as an analgesia (pain relief)
increase blood flow
relaxes muscles
diminishes muscles spasms
eases muscles & joint stiffness
Non-Pharmacological Interventions: COLD Answer: on for 15min, off for 20min
acts as an analgesia (pain relief)
decreases/prevents swelling
diminishes muscles spasms
Diseases that need Private rooms? Answer: varicella (chicken pox)
herpes zoster (shingles)
rubeola virus (measles)
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
