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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