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RN Nursing

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Exam of 26 pages for the course RN nursing at RN nursing (RN Nursing)

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NCLEX-RN EXAM REVIEW. Comprehensive revision
questions with certified A+ answers



When selecting an NCLEX answer or determining the order of priority what should you
remember or use and what is the exception? - Correct Answers-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 Answers-
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 Answers-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 Answers-
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 Answers-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 Answers-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 Answers-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 Answers-3.5-5 is normal range for potassium
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