KAPLAN NCLEX-RN ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉Hemoglobin normal range. Answer: male 13-18
female 12-16
◉RBC count. Answer: male 4.6 - 6.2
female 4.2 - 5.4
◉Hematocrit range. Answer: Male 42-52%
Female 35-47%
◉PTT purpose. Answer: monitors effectiveness of heparin therapy;
detects coagulation disorders
◉PTT (partial thromboplastin time). Answer: lower limit of normal:
20-25 sec
upper limit of normal: 32-39
,◉Platelet count. Answer: 150,000-400,000
◉Prothrombin Time (PT). Answer: 9.5-12 seconds
◉INR (international normalized ratio). Answer: 1 sec
2-3 sec for afib therapy, DVT, and PE
2.5-3.5 sec for prosthetic heart valve therapy
◉glucose tolerance test (GTT). Answer: fasting: 70-99
1 h: 190
2 h: 140
3 h: 125
◉total cholesterol. Answer: 150-200 mg/dL
◉LDL. Answer: <100 mg/dL
The lower the better
◉HDL. Answer: male: 35-70
female: 35-85
,◉creatinine (CR). Answer: 0.7-1.4 mg/dL
◉BUN normal range. Answer: 10-20 mg/dL
◉serum albumin. Answer: 3.5-5.5 g/dL
nutritional status
◉Triglycerides. Answer: detect for atherosclerosis
100-200 mg/dL
◉ALT range. Answer: 7-56 units/L
◉AST range. Answer: 10-40 units/L
◉What is diabetes inspidus (DI)?. Answer: decrease in secretion of
ADH (or vasopressin) by the pituitary
◉Effects of DI. Answer: diuresis increases; dehydration
◉DI treatment. Answer: give IV fluids, electrolyte replacement,
DDVAP (desmopressin) to prevent further dehydration
, ◉S/s of DI. Answer: increased urine output, increased plasma
osmolarity, urine specific gravity 1.001-1.005, excessive thirst, wt
loss, weakness, constipation
◉systemic lupus erythematosus (SLE). Answer: chronic
inflammatory (multisystem) autoimmune disease involving joints,
skin, kidneys, CNS, vascular/lymphatic problems, heart, and lungs
◉SLE interventions. Answer: Monitor for fever, relieve pain (NSAIDs,
acetaminophen), antimalarial meds, protect from UV rays/sunlight,
corticosteroids, teach lifestyle changes to prevent infection and
decrease risk of CAD
◉hypotonic solution. Answer: Solute concentration is less than that
inside the cell; cell gains water
0.45%
◉isotonic solution. Answer: same concentration as ECF
0.9% NaCl
Lactated Ringers
5% dextrose in water (starts as this)
◉hypertonic solution. Answer: solute concentration is greater than
than inside of cell; cell lose water
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉Hemoglobin normal range. Answer: male 13-18
female 12-16
◉RBC count. Answer: male 4.6 - 6.2
female 4.2 - 5.4
◉Hematocrit range. Answer: Male 42-52%
Female 35-47%
◉PTT purpose. Answer: monitors effectiveness of heparin therapy;
detects coagulation disorders
◉PTT (partial thromboplastin time). Answer: lower limit of normal:
20-25 sec
upper limit of normal: 32-39
,◉Platelet count. Answer: 150,000-400,000
◉Prothrombin Time (PT). Answer: 9.5-12 seconds
◉INR (international normalized ratio). Answer: 1 sec
2-3 sec for afib therapy, DVT, and PE
2.5-3.5 sec for prosthetic heart valve therapy
◉glucose tolerance test (GTT). Answer: fasting: 70-99
1 h: 190
2 h: 140
3 h: 125
◉total cholesterol. Answer: 150-200 mg/dL
◉LDL. Answer: <100 mg/dL
The lower the better
◉HDL. Answer: male: 35-70
female: 35-85
,◉creatinine (CR). Answer: 0.7-1.4 mg/dL
◉BUN normal range. Answer: 10-20 mg/dL
◉serum albumin. Answer: 3.5-5.5 g/dL
nutritional status
◉Triglycerides. Answer: detect for atherosclerosis
100-200 mg/dL
◉ALT range. Answer: 7-56 units/L
◉AST range. Answer: 10-40 units/L
◉What is diabetes inspidus (DI)?. Answer: decrease in secretion of
ADH (or vasopressin) by the pituitary
◉Effects of DI. Answer: diuresis increases; dehydration
◉DI treatment. Answer: give IV fluids, electrolyte replacement,
DDVAP (desmopressin) to prevent further dehydration
, ◉S/s of DI. Answer: increased urine output, increased plasma
osmolarity, urine specific gravity 1.001-1.005, excessive thirst, wt
loss, weakness, constipation
◉systemic lupus erythematosus (SLE). Answer: chronic
inflammatory (multisystem) autoimmune disease involving joints,
skin, kidneys, CNS, vascular/lymphatic problems, heart, and lungs
◉SLE interventions. Answer: Monitor for fever, relieve pain (NSAIDs,
acetaminophen), antimalarial meds, protect from UV rays/sunlight,
corticosteroids, teach lifestyle changes to prevent infection and
decrease risk of CAD
◉hypotonic solution. Answer: Solute concentration is less than that
inside the cell; cell gains water
0.45%
◉isotonic solution. Answer: same concentration as ECF
0.9% NaCl
Lactated Ringers
5% dextrose in water (starts as this)
◉hypertonic solution. Answer: solute concentration is greater than
than inside of cell; cell lose water
