NCLEX Cram Guide
®
what is the nclex?
test tips
The NCLEX exam is the licensure examination that
nursing school graduates in the US and Canada
have to take to recieve their license. There are two
types: the NCLEX -RN and the NCLEX -PN.
®
®
®
Questions
• Minimum questions: 75
• Maximum questions: 145
Time Limit
• 6 hours
Breaks
• 2 optional breaks:
• First break @ 2 hours
• Second break @ 3.5 hours
You can take
unscheduled brea
ks
at any time! It jus
t
counts against yo
ur
testing time.
Day of the exam
• Have your ATT email ready
• Arrive 30 minutes before the exam
• Bring an acceptable ID
4,500 - 11,000 /µL
RBCs
4.5 - 5.5 x10 /µL
PLTs
150,000 - 450,000 /µL
Hemoglobin (Hgb)
Female: 12 - 16 g/dL
Male: 13 - 18 g/dL
Hematocrit (HCT)
Female: 36% - 48%
Male: 39% - 54%
6
Do not ignore or “PASS THE BUCK”
• If there is a nursing task you can do to fix the
problem BEFORE contacting the HCP, do that!
Don't add information
• There are no “hidden meanings” in the
questions. Don't add something to the
scenario that's not written.
How long to study for
• You don't want to study for too long.
Aim to study anywhere from 4 - 6 weeks.
This way, all the things you have studied
are fresh for the exam.
Avoid answers with absolutes
• Avoid answers with absolutes like always,
never, every, none, only, all, etc.
Schedule Mock exams
• Take a few mock exams. Put your phone
away, don't get up, and do 75 random
questions. This will truly prepare you for the
NCLEX exam. You will get questions that
bounce from pediatrics to pharmacology to
mental health. Train your brain to bounce
between these different subjects.
Saved by the suffix
• Don't memorize every medication name;
know the suffixes & prefixes for each
mediation class.
vital signs
®
must-know numbers
maternity
Therapeutic Drug Levels
Blood Pressure (BP)
Systolic 120 mmHg
Diastolic 80 mmHg
Fetal heart rate
120 - 160 BPM
Fetal respiratory rate
30 - 60 breaths/min
Heart Rate (HR)
60 - 100 bpm
Amniotic fluids
500 - 1200 mL
Respiratory rate (RR)
12 - 20 breaths/min
Temperature (T)
97.8 - 99 °F
(36.5 - 37.2 °C)
Contraction
Oxygen (O2)
95 - 100%
Duration:
2 - 5 minutes apart with
duration of < 90 seconds
Intensity:
<100 mmHg
Apgar score
7 - 10 = excellent condition
4 - 6 = moderately depressed
0 - 3 = severely depressed
electrolytes
ANTICOAGULANT THERAPY
Sodium
135 - 145 mEq/L
PT
10 - 13 sec
Potassium
3.5 - 5 mEq/L
PTT
25 - 35 sec
Phosphorus
2.5 - 4.5 mg/dL
Calcium
9 - 11 mg/dL
aPTT
Not on heparin: 30-40 sec
On heparin: 47 - 70 sec
Magnesium
1.5 - 2.5 mg/dL
Chloride
95 - 105 mEq/L
© 2022 NurseInTheMaking LLC
Practice questions
• Do a lot of practice questions. Have a goal
for how many you want to do each day.
• Read all the rationales, even if you got
it correct.
Don't read into the questions
• Don't assume or add information that is
not there. Take the question for as it is.
complete blood count (cbc)
WBCs
study tips
INR
Not on warfarin: < 1 sec
On warfarin: 2 - 3 sec
Cardiac Biomarkers
CK-MB
0 - 5 ng/mL
Troponin T
<0.1 ng/mL
Troponin I
<0.03 ng/mL
Myoglobin
5 - 70 ng/mL
BNP
<100 pg/mL
acid-base balance
pH
7.35 - 7.45
PaCO2
35 - 45 mmHg
PaO2
80 - 100 mmHg
HCO3
22 - 26 mEq/L
Digoxin
0.5 - 2.0 ng/mL
(> 2 = Toxic)
Lithium
0.6 - 1.2 mEq/L
Theophylline
10 - 20 mcg/mL
Dilantin (Phenytoin)
10 - 20 mcg/mL
Magnesium sulfate
4 - 7 mg/dL
Acetaminophen (Tylenol)
10 - 20 mcg/mL
Gentamicin
5 - 10 mg/L
Salicylate (aspirin)
100 - 300 mcg/mL
Vancomycin
Peak: 20 - 40 mcg/mL
Trough: 5 - 15 mcg/mL
Valproic acid
50 - 100 mcg/mL
NCLEX Cram Guide
®
Common Signs & Symptoms
Angina
Chest pain relieved by NTG
Myocardial Infarction
(MI)
Crushing pain, pressure &
tightness unrelieved by NTG
Diabetic Ketoacidosis
Acetone breath
Parkinson’s Disease
Pill-rolling tremors
Cerebrospinal Fluid
(CSF) Leakage
A "halo” or “ring” will occur
when CSF is mixed with blood
(commonly seen on a gauze)
Osteomyelitis
High fever
Acute Respiratory
Distress Syndrome
(ARDS)
Refractory hypoxemia
Pulmonary Tuberculosis
(TB)
Night sweats
Gastric Ulcer
Pain immediately after eating
Duodenal Ulcer
Relief of pain after eating
(2-3 hours after)
Any Renal Damage
↑ BUN & creatinine
Bladder Cancer
Painless hematuria
Depression
Anhedonia
(loss of pleasure in activities
usually found enjoyable)
Constipation
↑ fiber, ↑ fluid, ↑ fruits
Diarrhea
↓ fiber, ↑ fluid and
electrolyte replacement
Celiac Disease
Gluten-free
diet
Burns
↑ protein, ↑ calories
Acute Kidney Injury
Protein-restricted, ↑ calories
COPD
Small, frequent meals
↑ calories, ↑ fat
Pancreatitis
Small, frequent meals, ↓-fat
Vomiting or Diarrhea
↑ fluids & electrolyte replacement
Gallbladder Issues
(cholecystitis)
↓ fat
Underweight
↑ protein, ↑ calories
Hyperlipidemia
↓ fat, ↓ calories
Hypertension
↓ fat, ↓ sodium, heart-healthy diet
Cystic Fibrosis
↑ fluids
Kidney Stones
↑ fluids
fluid restriction
Sickle Cell Anemia
↑ fluids
Clients with
Ostomies
↑ fluids & ↓ intake of
odorous & gas forming foods
(onions, broccoli, spinach, etc)
Gout
↓ intake of purine foods
(seafood, shellfish, organ meats)
Strawberry tongue
& sandpaper rash
Cirrhosis
↓ heart &
↓ blood pressure
Avoid foods high in protein
(milk products, broccoli, eggs,
tuna, chicken breasts, etc.)
Ulcerative Colitis
↓ fiber (low-residue diet)
Beefy (red), smooth tongue
Fetal Alcohol Syndrome
Thin upper lip
& smooth philtrum
Spina Bifida Occulta
Small tuft of hair, a dimple,
or a hemangioma at the
base of the spine
Epiglottitis
Tripod position
Scarlet Fever
Neurogenic Shock
Miscellaneous Tips
Delegation
Only the RN can do the initial
teaching and the
discharge education.
The RN should care for
unstable clients & the LPN
should care for stable clients
Potassium
Never give potassium IV push
Cardiac
Catheterization
Assess for allergy
to iodine or shellfish
NSAIDs
NSAIDs (naproxen, ibuprofen,
celecoxib) should be
avoided in those with a
cardiovascular history
(stroke, MI, coronary artery
disease, etc.)
Pheochromocytoma
Do not palpate these clients'
abdomens, it can cause a
hypertensive crisis
Meningitis
If a client is suspected to have
meningitis, place them on droplet
precaution right away
Traction
The weights must always
be free-hanging
(not resting on anything)
COPD
It’s typical for COPD clients to
have lower than normal O2 levels.
BUT any O2 level less than 60
mmHg indicates hypoxia
Barley
rye
oat
NO BROW wheat
Heart Failure
Pernicious Anemia
© 2022 NurseInTheMaking LLC
common diet modifications
NCLEX
®
Study Notebook
or click here so you
can be the first to be
notified when it's released!
Scan
coming
Mid-ma
y
2022
What’s included?
• Study Calendar
• NCLEX Quick Guides
®
(“Must-knows” for the NCLEX exam)
• Practice Questions for each section
• NCLEX overview
®
They will
sell out
quickly!
• NCLEX topic checklist
®
• How to make a study plan
• How to answer NCLEX questions
®
• Exam day tips
Did you know...
)
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You may be stressed, you may feel tired,
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