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NCLEX-RN EXAM REVIEW TEST WITH COMPLETE SOLUTIONS
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NCLEX-RN EXAM REVIEW TEST WITH COMPLETE SOLUTIONS
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NCLEX-RN EXAMREVIEW TEST WITH
COMPLETE SOLUTIONS
nWhennselectingnannNCLEXnanswernorndeterminingnthenordernofnprioritynwhatnshouldny
ounremembernornusenandnwhatnisnthenexception?n-ncorrectnanswer-
UsenthenABCnrule:nAirwaynbreathing,nandncirculation.nThenexceptionntonthenrulenisnwith
nactualnCPR,nusenC-A-
BnfornCPR.nAlsonremembernsafetynfirstnandnacutenbeforenchronic.nIfnthenpt.nisnnotninndis
tressnthennyounassess.nIfnthenptnisninndistressnthennyounshouldndonsomething.nIfnthenptn
hasndiaphorisisnyounshouldnalwaysndonsomething.
HownshouldnyounaddressnquestionsnrelatedntonMaslow'snHierarchynofnNeedsn-
ncorrectnanswer-
Addressnphysiologicalnneedsnfirst,nfollowednbynsafetynandnsecuritynneeds,nlovenandnbe
longingnneeds,nselfnesteemnneedsnandnfinallynselfnactualizationnneeds.n*Whennanphysi
ologicalnneednisnnotnaddressedninnthenquestion,nlooknfornthenoptionnthatnaddressesnsaf
ety.
Ifnanquestionnisnrelatedntonthennursingnprocess,nreadnthenquestionntondeterminenthenste
pnofnthennursingnprocess.nWhatnarenthenstepsninnthennursingnprocessnandnwhatnkindnofn
questionnmightnbenrelatedntonthatnstep.n-ncorrectnanswer-
Assessmentnquestionnaddressnthengatheringnandnverificationnofndata.
Analysisnquestionsnrequirenthennursento:ninterpretndata,ncollectnadditionalninformation,n
identifynandncommunicatennursingndiagnosesnandndeterminenthenhealthnteam'snabilityn
tonmeetnthenptsnneeds.
Planningnquestionsnasknaboutndetermining,nprioritizing,nandnmodifyingnoutcomesnofnca
re.
,Implementationnquestionsnreflectnthenmanagementnandnorganizationnofncarenandnthen
assignmentnandndelegationnofntasks.nBenpreparednfornquestionsnonnclientnteaching.
Evaluationnquestionsnfocusnonncomparingnthenactualnoutcomesnofncarenwithnthenexpec
tednoutcomesnandnonncommunicatingnandndocumentingnfindings.
WhatnarenthennormalnrangesnfornH&H?nWhatnarenthennursingnimplicationsn-
ncorrectnanswer-Hemoglobin n-nMalen14-18nFemalen12-16nNewbornn14-24
Highnaltitudenlivingnincreasesnvalue,nslightndecreasenduringnpregnancy.nDrugntherapyn
cannalternvalues.n
Hematocritn-nMalen42-52nFemalen37-47nNewbornn44-64
Prolongednstasisnfromnvasoconstrictionnsecondaryntonthentourniquetncannalternvalues.n
AbnormalitiesninnRBCnsizenmaynalternHctnvalues
WhatnarenthennormalnrangesnfornWBC?n
Whatncannincreasenvalues?n
Whatncanndecreasenvalues?n
Hownlongndoesnthenpostpartumnperiodnofnpregnancynaffectnnormalnranges?
nWhatnrangenisnnormalnduringnthenpostpartumnperiod?n-ncorrectnanswer-
Bothngendersn5000-10000nNewbornn9000-30000n
Anesthetics,nstress,nexercise,nandnconvulsionsncannincreasednvalues.n
Drugntherapyncanndecreasenvalues.n
24-28nhrnpostpartum:nancountnasnhighnasn25000nisnnormal
WhatnarenthennormalnrangesnfornRBC?n
Whatncannincreasenlevels
Whatnhappensntonlevelsnduringnpregnancy?n-ncorrectnanswer-Males:n4.7-6.1nmillion
Female:n4.2-5.4nmillion
Exercisenandnhighnaltitudesncanncausenannincreasenlevels
pregnancynusuallynlowernvalues
drugntherapyncannalternvalues
NeverndrawnanspecimennfromnannarmnwithnanninfusingnIV.
WhatnarenthennormalnrangesnfornPLATELETS?n
Whatnmaynincreasenvalues?n
Whatnmayndecreasenvalues?
Whatndrugsndecreasenvalues?n-ncorrectnanswer-BothnGenders:n150000-400000
Livingnatnhighnaltitudes,nexercisingnstrenuouslynorntakingnoralncontraceptivesnmaynincr
easenvalues
decreasednvaluesnmaynbencausednbynhemorrhage,nDIC,nreducednproductionnofnplatel
ets,ninfections,nusenofnprostheticnheartnvalves,nandndrugs.
, Drugsnthatndecreasenplatelets:nacetaminophen,naspirin,nchemotherapy,nH2nblockers,nI
NH,nLevaquin,nstreptomycin,nsulfonamides,nthiazidendiuretics.
WhatnarenthennormalnrangesnfornK+?
nWhatnshouldnyounkeepninnmindnwhenngettingnanspecimen?n-ncorrectnanswer-3.5-
5nisnnormalnrangenfornpotassium
Exercisenofnthenforearmnwithntourniquetninnplacenmayncausenannincreasednlevel.nHemo
lysisnofnspecimenncannresultninnanfalselynelevatednvalue
WhatnarenthennormalnrangesnfornNa+?
nWhatnshouldnyounconsidernwhenncollectingnanspecimen?n-ncorrectnanswer-136-
145nisnannormalnsodiumnrange
DonNotncollectnfromnannarmnwithnanninfusingnIVnsolution
WhatnarenthennormalnrangesnfornCa+?n
Whatntypenofndrugncannincreasencalciumnlevels?n
Whatnarentwontestsnwithnpositivenresultsnthatnarenassociatednwithnhypocalcemia?n
Howndonyounpreformnthentwontests?n-ncorrectnanswer-9-
10.5nfornadults.nslightlynlowerninnthenelder
Usenofnthiazidendiureticsncanncausenincreasednlevelsnofncalcium
PositivenChvosteknandnTrousseauntestsnarenassociatednwithnhypocalcemia.
•nChvosteknsign:ncontractionnofnipsilateralnfacialnmusclesnwhennthenfacialnnervenisntapp
ednjustninnfrontnofnthenear.
•nTrousseaunsign:ncarpopedalnspasmnelicitednbyninflatingnansphygmomanometernabov
ensystolicnBPnforn3nminutes.
WhatnarenthennormalnrangesnfornMg+?n
Whatnmaynhighnmagnesiumnlevelsnindicate?n
Whatnmaynlownmagnesiumnlevelsnindicate?n-ncorrectnanswer-1.7-2.2n
Anhighnmagnesiumnlevelnmaynindicate:nAddisonndisease
Chronicnrenalnfailure,nDehydration,nDiabeticnacidosis
Oliguria
Anlownmagnesiumnlevelnmaynindicate:nAlcoholism
Chronicndiarrhea,nDeliriumntremens,nHemodialysis
Hepaticn(liver)ncirrhosis,nHyperaldosteronism
Hypoparathyroidism,nPancreatitis,nToonmuchninsulin
Toxemianofnpregnancy,nUlcerativencolitis
WhatnarenthennormalnrangesnfornCl-n-ncorrectnanswer-98-
106nisnthennormalnrangenfornchloride
WhatnarenthennormalnrangesnfornALPn(alkalinenphosphatase)?n-ncorrectnanswer-30-
120n
slightlynincreasedninnthenelderly
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