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14 Preparing for the NCLEX

Calling in reinforcementsDeciding when to notify a physician, a social worker, or another hospital staff member is an important element of nursing care. On the NCLEX, however, choices that involve notifying the physician are usually incorrect. Remember that the NCLEX wants to see you, the nurse, at work.

If youre sure the correct answer is to notify the physician, though, make sure the clients safety has been addressed before noti-fying a physician or another staff member. On the NCLEX, the clients safety has a higher priority than notifying other health care providers.

Normal laboratory values Blood urea nitrogen: 8 to 25 mg/dl Creatinine: 0.6 to 1.5 mg/dl Sodium: 135 to 145 mmol/L Potassium: 3.5 to 5.5 mEq/L Chloride: 97 to 110 mmol/L Glucose (fasting plasma): 70 to 110 mg/dl Hemoglobin Male: 13.8 to

17.2 g/dl Female: 12.1 to

15.1 g/dl Hematocrit Male: 40.7% to

50.3% Female: 36.1% to

44.3%

The NCLEX occasionally asks a particular kind of question called the further teaching question, which involves client-teaching situations. These questions can be tricky. Youll have to choose the response that suggests the client has not learned the correct information. Heres an example:

37. A client undergoes a total hip replacement. Which statement by the client indicates he requires further teaching?

1. Ill need to keep several pillows between my legs at night.2. Ill need to remember not to cross my legs. Its such a bad habit.3. The occupational therapist is showing me how to use a sock puller to help me get

dressed.4. I dont know if Ill be able to get off that low toilet seat at home by myself.

The option you should choose here is 4 because it indicates that the client has a poor understanding of the precautions required after a total hip replacement and that he needs further teaching. Remember: If you see the phrase further teaching or further instruction, youre looking for a wrong answer by the client.

Advice from the experts

A tricky question

Knowing laboratory values

Some NCLEX questions supply laboratory results without indicating normal levels. As a result, answering questions involving labora-tory values requires you to have the normal range of the most common laboratory values memorized to make an informed decision (See Normal laboratory values.)

313419NCLEX-RN_Chap01.indd 14313419NCLEX-RN_Chap01.indd 14 4/7/2010 5:09:00 PM4/7/2010 5:09:00 PM

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