1 | Page
NCLEX-RN EXAM REVIEW 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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.
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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
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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
, 4 | Page
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
NCLEX-RN EXAM REVIEW 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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.
,2 | Page
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
,3 | Page
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
, 4 | Page
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
