NCLEX-RN EXAM REVIEW Questions and
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When selecting an NCLEX answer or determining the order of priority
what should you remember or use and what is the exception?
Ans: 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
Ans: 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.
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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.
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Ans: 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.
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What are the normal ranges for H&H? What are the nursing
implications
Ans: 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?