All NCLEX Resources
Example Questions
Example Question #31 : Procedures
What is considered the normal reference range for an adult female hematocrit?
The normal reference range for an adult female hematocrit is . Anything below this may indicate anemia, elevated white blood cell count, or blood loss, while numbers above this may indicate dehydration, chronic oxygen deficiency, or a condition of excess red blood cell production (such as polycythemia vera).
Example Question #32 : Procedures And Care
A 67-year-old male presents to your clinic with a blood pressure of , temperature is , and heart rate is 82 beats per minute. Blood work shows a cholesterol level of , fasting blood glucose of , and WBC count of .
His history is significant for ST-segment elevation myocardial infarction (STEMI) seven years prior. What, if anything, would you counsel him regarding his vitals and blood work?
WBC count is elevated
His cholesterol is too high
Fasting blood glucose is too high
His heart rate is elevated
His cholesterol is too high
All of his vitals and blood work are within normal range except his cholesterol. Normally, cholesterol is considered within normal range if it is under , but in the case of patients with past history of cardiac event or stroke, cholesterol should be maintained at under .
Example Question #32 : Procedures
Which of the following is considered the normal range for platelet count on a complete blood count (CBC)?
The normal range for a platelet count on a CBC is . Numbers below may result in poor clotting ability, while numbers above may increase risk of stroke or thrombosis.
Example Question #33 : Procedures
Which of the following values would be considered a normal erythrocyte sedimentation rate (ESR)?
A normal erythrocyte sedimentation rate should be below . Anything above this indicates some sort of inflammatory process.
Example Question #34 : Procedures
Which of the following is considered the normal rage for specific gravity on urinalysis?
While adults may have a specific gravity that ranges anywhere from 1.000 to 1.030, the normal reference range is generally considered to be 1.005 to 1.025. A specific gravity below 1.005 could indicate very dilute urine (the specific gravity of water is 1.000) and anything higher than 1.030 may be present in the case of dehydration, kidney disease, infection, or glucose in the urine.
Example Question #35 : Procedures
Blood pH is maintained by the body in a very close range. What is the normal range for pH of the blood?
The normal range for pH of blood is 7.35 to 7.45. Anything below that range is considered to be acidosis, while values above that range would be considered alkalosis. Recall that the main blood buffer system involves carbonic acid, bicarbonate, and carbon dioxide. The equilibrium equation is as follows:
Example Question #36 : Procedures
Which of the following is not determined by urinalysis?
Specific gravity
Presence of blood
Presence of bacteria
pH
All of these are determined by urinalysis
All of these are determined by urinalysis
A urinalysis can be an important tool in diagnosis conditions such as the presence of kidney stones, urinary tract infection and even dehydration. A typical urinalysis will contain information on all of the parameters indicated. The presence of glucose, ketones, crystals, casts, and leukocyte esterase may also be included.
Example Question #36 : Procedures And Care
Washed red blood cells are generally administered to which of the following patient populations?
Patients with metastatic disease
Patients with chronic kidney disease
Patients who are immunocompromised
Patients with a history of allergic reactions to transfusions
Patients with a history of allergic reactions to transfusions
Washed red blood cells are generally prepared for patients with a history of severe allergic reaction to blood transfusion. Washed red blood cells are not generally required in patients with kidney disease, patient who are immunocompromised, or patients with metastatic disease.
Example Question #41 : Procedures
Before administration, all plasma products must be tested for which of the following?
ABO compatibility
Rh compatibility and ABO compatibility
Rh compatibility
None of these are correct
Rh compatibility and ABO compatibility
Before administration, plasma products must be checked for ABO compatibility and Rh compatibility.
ABO blood type does not have to be an exact match, but blood types must be compatible. An Rh positive individual, for example, is compatible with either Rh negative blood or positive blood, while an Rh negative individual is only compatible with Rh negative blood.
Example Question #42 : Procedures
A nurse is performing standard cardiac auscultation on a 47 year old male with normal heart size.
Where would the nurse listen to evaluate the pulmonic valve?
The second right intercostal space
The first left intercostal space
The first right intercostal space
The second left intercostal space
The second left intercostal space
The pulmonic valve can be auscultated to the left of the sternum at the second intercostal space. Auscultation at this space can aid in the identification of pulmonary murmurs such as pulmonary stenosis or regurgitation. The second right intercostal space is the location at which the nurse would be able to evaluate the aortic valve. The first intercostal space is not generally auscultated in a normal heart exam.