Mark Klimek NCLEX Review UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Serum creatinine range = _#_ to _#_ (Same as ______) - CORRECT ANSWER - 0.6, 1.2,
lithium
A serum creatinine level that is out of range (0.6-1.2) is a level ____ priority except when a
patient has a procedure that involves _____. - CORRECT ANSWER - A, dyes
If a patient is on Coumadin, the lab value that the nurse should be monitoring is ______ -
CORRECT ANSWER - INR
The normal range for the lab value INR is _#_ to _#_ 's. A value > or = _#_ is a priority level
_____. - CORRECT ANSWER - 2, 3, 4, C
A lab value of INR > or = _#_ is critical and requires action. Follow these steps:
1) always _______
2) assess/ focused assessment
3) prepare to give ______ ______
4) call the physician - CORRECT ANSWER - 4, hold, vitamin k
A potassium level < 3.5 is a priority level ____. Follow these steps:
1) not necessary to hold anything
2) assess _______
3) prepare to give ________
4) call - CORRECT ANSWER - C, heart, potassium
A potassium level > 5.3 to _#_ is a priority level C. Follow these steps:
,1) hold _______
2) assess ______
3) prepare to give _______ & ______
4. call - CORRECT ANSWER - 5.9, potassium, heart, kayexalate, D5W
A potassium level > or = _#_ is a priority level D. The most important thing is to _____ _____
_____ _____ while performing all of the following tasks:
1) hold K+
2) assess heart / ______
3) prepare to give ______ & ______
4) call - CORRECT ANSWER - 6, stay with the patient, EKG, kayexalate, D5W
A pH in the __#__'s is a priority D. Follow these steps:
1) stay with patient
2) call the doctor
3) check vitals (to see if they're alive)
4) treat underlying cause - CORRECT ANSWER -6
The normal range for BUN is _#_ to _#_ - CORRECT ANSWER - 10, 20
With an elevated BUN, the nurse should assess for ________ - CORRECT ANSWER -
dehydration
The normal range for Hgb is _#_ to _#_ - CORRECT ANSWER - 12, 18
A Hgb between 8-11 is a priority level _____ and the nurse should assess for _______ and/or
_______ - CORRECT ANSWER - B, anemia, malnutrition
,A Hgb less than 8 is a priority level _____ and the nurse should assess for ______, prepare
______, and call the doctor. - CORRECT ANSWER - C, bleeding, blood
A normal CO2 level is __#__ to __#__ - CORRECT ANSWER - 35, 45
A CO2 level in the __#__'s is a priority level C (for people without COPD) and the nurse should
assess _______, prepare the client for _____ ______ _____, and call if that does not work. -
CORRECT ANSWER - 50, respirations, pursed lip breathing
A CO2 in the __#__'s is criteria for respiratory failure. The nurse should stay with the patient,
assess respiratory status, prepare for _____ and ______, and call RRT and physician -
CORRECT ANSWER - 60, intubation, ventilation
A normal hematocrit level is __#__ to __#__ or __#__ times the Hgb - CORRECT
ANSWER - 36, 54, 3
An increased level of Hct (> _#_) is a priority level B and the nurse should assess for ________ -
CORRECT ANSWER - 54, dehydration
A PaO2 normal range is __#__ to __#__ - CORRECT ANSWER - 78, 100
A PaO2 between __#__ and __#__ is a priority level C and the nurse should assess respiratory
status, prepare and give ______ until dyspnea goes away. - CORRECT ANSWER - 70, 77,
O2
A PaO2 in the __#__'s is a priority level D and is criteria for respiratory failure. Follow these
steps in this emergency:
1) not necessary to hold anything
2) Assess resp status
3) give ______
4) prepare for intubation
, 5) call RRT and physician - CORRECT ANSWER - 60, O2
If your patient is hypoxic, which vital sign will go up first, heart rate or respiratory rate?
A. heart rate
B. respiratory rate - CORRECT ANSWER -A
What are the 2 most common causes of episodic tachycardia in coronary care patients? -
CORRECT ANSWER - hypoxia and dehydration
An oxygen level <_#_ is a priority level C and the nurse's action would be to ______ and apply
_____ - CORRECT ANSWER - 93, assess, O2
Which of the following falsely elevates a patient's SaO2? (select all that apply)
A. tachycardia
B. anemia
C. kidney disease
D. dye procedures - CORRECT ANSWER - B, D
An SaO2 saturation of < _#_% in a pediatric patient is considered bad. - CORRECT
ANSWER - 95
The normal measurement of BNP should be < _#_ - CORRECT ANSWER - 100
An elevated BNP (>_#_) is an indicator of a chronic condition or ______(abbrev.) - CORRECT
ANSWER - 100, CHF
A normal sodium level is _#_ to _#_. If it is elevated the nurse should assess for _______. If it is
decreased, the nurse should assess for ______ _____. If it is abnormal and there is a change in
LOC, it is a priority level ____. - CORRECT ANSWER - 135, 145, dehydration, fluid
overload, C
ACTUAL Exam Questions and CORRECT
Answers
Serum creatinine range = _#_ to _#_ (Same as ______) - CORRECT ANSWER - 0.6, 1.2,
lithium
A serum creatinine level that is out of range (0.6-1.2) is a level ____ priority except when a
patient has a procedure that involves _____. - CORRECT ANSWER - A, dyes
If a patient is on Coumadin, the lab value that the nurse should be monitoring is ______ -
CORRECT ANSWER - INR
The normal range for the lab value INR is _#_ to _#_ 's. A value > or = _#_ is a priority level
_____. - CORRECT ANSWER - 2, 3, 4, C
A lab value of INR > or = _#_ is critical and requires action. Follow these steps:
1) always _______
2) assess/ focused assessment
3) prepare to give ______ ______
4) call the physician - CORRECT ANSWER - 4, hold, vitamin k
A potassium level < 3.5 is a priority level ____. Follow these steps:
1) not necessary to hold anything
2) assess _______
3) prepare to give ________
4) call - CORRECT ANSWER - C, heart, potassium
A potassium level > 5.3 to _#_ is a priority level C. Follow these steps:
,1) hold _______
2) assess ______
3) prepare to give _______ & ______
4. call - CORRECT ANSWER - 5.9, potassium, heart, kayexalate, D5W
A potassium level > or = _#_ is a priority level D. The most important thing is to _____ _____
_____ _____ while performing all of the following tasks:
1) hold K+
2) assess heart / ______
3) prepare to give ______ & ______
4) call - CORRECT ANSWER - 6, stay with the patient, EKG, kayexalate, D5W
A pH in the __#__'s is a priority D. Follow these steps:
1) stay with patient
2) call the doctor
3) check vitals (to see if they're alive)
4) treat underlying cause - CORRECT ANSWER -6
The normal range for BUN is _#_ to _#_ - CORRECT ANSWER - 10, 20
With an elevated BUN, the nurse should assess for ________ - CORRECT ANSWER -
dehydration
The normal range for Hgb is _#_ to _#_ - CORRECT ANSWER - 12, 18
A Hgb between 8-11 is a priority level _____ and the nurse should assess for _______ and/or
_______ - CORRECT ANSWER - B, anemia, malnutrition
,A Hgb less than 8 is a priority level _____ and the nurse should assess for ______, prepare
______, and call the doctor. - CORRECT ANSWER - C, bleeding, blood
A normal CO2 level is __#__ to __#__ - CORRECT ANSWER - 35, 45
A CO2 level in the __#__'s is a priority level C (for people without COPD) and the nurse should
assess _______, prepare the client for _____ ______ _____, and call if that does not work. -
CORRECT ANSWER - 50, respirations, pursed lip breathing
A CO2 in the __#__'s is criteria for respiratory failure. The nurse should stay with the patient,
assess respiratory status, prepare for _____ and ______, and call RRT and physician -
CORRECT ANSWER - 60, intubation, ventilation
A normal hematocrit level is __#__ to __#__ or __#__ times the Hgb - CORRECT
ANSWER - 36, 54, 3
An increased level of Hct (> _#_) is a priority level B and the nurse should assess for ________ -
CORRECT ANSWER - 54, dehydration
A PaO2 normal range is __#__ to __#__ - CORRECT ANSWER - 78, 100
A PaO2 between __#__ and __#__ is a priority level C and the nurse should assess respiratory
status, prepare and give ______ until dyspnea goes away. - CORRECT ANSWER - 70, 77,
O2
A PaO2 in the __#__'s is a priority level D and is criteria for respiratory failure. Follow these
steps in this emergency:
1) not necessary to hold anything
2) Assess resp status
3) give ______
4) prepare for intubation
, 5) call RRT and physician - CORRECT ANSWER - 60, O2
If your patient is hypoxic, which vital sign will go up first, heart rate or respiratory rate?
A. heart rate
B. respiratory rate - CORRECT ANSWER -A
What are the 2 most common causes of episodic tachycardia in coronary care patients? -
CORRECT ANSWER - hypoxia and dehydration
An oxygen level <_#_ is a priority level C and the nurse's action would be to ______ and apply
_____ - CORRECT ANSWER - 93, assess, O2
Which of the following falsely elevates a patient's SaO2? (select all that apply)
A. tachycardia
B. anemia
C. kidney disease
D. dye procedures - CORRECT ANSWER - B, D
An SaO2 saturation of < _#_% in a pediatric patient is considered bad. - CORRECT
ANSWER - 95
The normal measurement of BNP should be < _#_ - CORRECT ANSWER - 100
An elevated BNP (>_#_) is an indicator of a chronic condition or ______(abbrev.) - CORRECT
ANSWER - 100, CHF
A normal sodium level is _#_ to _#_. If it is elevated the nurse should assess for _______. If it is
decreased, the nurse should assess for ______ _____. If it is abnormal and there is a change in
LOC, it is a priority level ____. - CORRECT ANSWER - 135, 145, dehydration, fluid
overload, C
