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NCLEX-RN EXAM REVIEW Updated for 2023
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
diaphoresis you should always do something.
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.
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.
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
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?
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
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