1. When selecting an NCLEX answer or determining the order of priority
what should you remember or use and what is the exception?: 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.
2. How should you address questions related to Maslow's Hierarchy of
Needs: 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.
3. If a question is related to the nursing process, read the question to de-
,termine 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.:
Assessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect
additional informa- tion, 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.
4. What are the normal ranges for H&H? What are the nursing
implications: -
Hemoglobin - Male 14-18 Female 12-16 Newborn 14-24
High altitude living increases value, slight decrease during pregnancy.
Drug ther- apy 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
5. 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?: 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
6. What are the normal ranges for
RBC? What can increase levels
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