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Exam (elaborations)

NCLEX-RN EXAM REVIEW UPDATED ACTUAL Questions and CORRECT Answers

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  • Course
  • NCLEX-RN
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  • NCLEX-RN

NCLEX-RN EXAM REVIEW UPDATED ACTUAL Questions and CORRECT Answers When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - CORRECT ANSWER- Use the ABC rule: Airway breathing, and circulation. The exception to the rule i...

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  • October 15, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX-RN
  • NCLEX-RN
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NCLEX-RN EXAM REVIEW UPDATED
ACTUAL Questions and CORRECT
Answers
When selecting an NCLEX answer or determining the order of priority what should you
remember or use and what is the exception? - CORRECT ANSWER- ✔✔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
ANSWER- ✔✔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 ANSWER- ✔✔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
ANSWER- ✔✔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 ANSWER- ✔✔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 ANSWER- ✔✔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 ANSWER- ✔✔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 ANSWER- ✔✔3.5-5 is normal range for potassium
Exercise of the forearm with tourniquet in place may cause an increased level. Hemolysis of
specimen can result in a falsely elevated value


What are the normal ranges for Na+? What should you consider when collecting a specimen?
- CORRECT ANSWER- ✔✔136-145 is a normal sodium range
Do Not collect from an arm with an infusing IV solution


What are the normal ranges for Ca+?
What type of drug can increase calcium levels?
What are two tests with positive results that are associated with hypocalcemia?

How do you preform the two tests? - CORRECT ANSWER- ✔✔9-10.5 for adults. slightly
lower in the elder
Use of thiazide diuretics can cause increased levels of calcium


Positive Chvostek and Trousseau tests are associated with hypocalcemia.

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