NCLEX-RN EXAM 2026 WITH
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.
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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?
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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
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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