NCLEX® Lab Values Review - Simple Nursing (2023)

A major part of being a nurse is to have a good idea of the many kinds of lab values that can have serious implications for clients. Although lab value reference ranges may be present on many electronic health records, it is still imperative to have a strong understanding of lab values as it will aid in your understanding of the various disease states and safety parameters to watch out for when treating your clients.

NCLEX® Lab Values Review Practice Questions

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(Video) Lab Values Nursing NCLEX Review for Nurses and Nursing Students

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(Video) Lab Values for Nursing Students | NCLEX Review

Table of contents

    This Lab Values NCLEX®Review should hopefully provide a nice review of the many kinds of lab values and ranges to keep in mind when practicing and preparing for your exam.

    Complete Blood Count Lab Values

    The complete blood count lab (CBC) is one of the most used types of lab tests in daily practice. This lab defines the number of cells present in the blood which may reveal the concentration of red blood cells, white blood cells, platelets, hemoglobin, and hematocrit. These values can help clinicians understand the presence of blood loss, anemia, infection, or medication overdose.

    • Hemoglobin:
      • 12.0-16.0 g/dL (women)
      • 13.5-17.5 g/dL (men)
    • Hematocrit:
      • 41%-53% (men)
      • 36%-46% (women)
    • RBC: 4.5-5.5 million
    • WBC: 5,000-10,000
    • Platelet: 150,000-400,00

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    Metabolic Panel Lab Values

    The metabolic panel (BMP or CMP) is often used to evaluate a client’s fluids, electrolytes, glucose, renal function, and liver function. These tests are useful when monitoring certain disease states as well as for side effects of medications in use.

    • Potassium: 3.5-5.0 mEq/L
    • Sodium: 136-145 mEq/L
    • Glucose:
      • Fasting: 70-110 mg/dL
      • 2-h postprandial: < 120 mg/dL
    • Calcium: 8.4-10.2 mg/dL
    • Phosphorus: 3.0-4.5 mg/dL
    • Magnesium: 1.5-2.0 mEq/L
    • Chloride: 95-105 mEq/L
    • BUN: 5-20
    • Serum creatinine: 0.6-1.2 mg/dL
    • Albumin: 3.5-5.5 g/dL
    • Bilirubin: 0.1-1.0 mg/dL
    • Liver FunctionTests (LFTs):
      • ALP: 40-120 u/L
      • ALT: 7-56 u/L
      • AST: 10-40 u/L

    Arterial Blood Gases (ABGs) Lab Values

    Arterial blood gases are important lab values to understand, especially when evaluating clients in critical condition. These labs determine the acidity and alkalinity of the blood and can help in the diagnosis of many different types of conditions.

    • pO2: 80-100%
    • O2saturation: 95-100%
    • pH: 7.35-7.45
    • PaCO2: 35-45 mmHg
    • HCO3: 22-26 mEq/L

    Coagulation Levels Lab Values

    Coagulation levels are very commonly ordered for clients on anticoagulation therapy like warfarin, direct oral anticoagulants, heparin, and in clients at risk for developing a clot.

    These values are crucial when clinicians attempt to dose clients with the correct number of anticoagulants as overdosing can lead to serious bleeding and potentially death. Underdosing can also lead to an increased risk of clot formation causing myocardial infarction, stroke, or pulmonary embolism.

    • INR:
      • Not on warfarin: < 1
      • On warfarin: 2-3
    • aPTT(activated partial thromboplastin time):
      • Not on heparin 30-40 seconds
      • On heparin aPTT 1.5-2.5 times normal range

    NCLEX® Lab Values Review - Simple Nursing (2)

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    (Video) Electrolyte Lab Values | Top Tested & Top Missed Questions on NCLEX

    NCLEX® Lab Values Review - Simple Nursing (3)

    During my exam, I could literally see and hear him going over different areas as I was answering my questions.

    This past Friday I retook my Maternity Hesi and this time, I decided for my last week of Holiday break to just watch all of his OB videos. I am proud to say that with Mike’s help I received a score of 928 on my Maternity Hesi!

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    Lipid Panel Lab Values

    Lipid panels are a key part of ambulatory care when the goal is to establish adequate lipid levels to reduce the risk of clients having a serious atherosclerotic disease such as heart disease and stroke. Something key to note is that HDL values are better when higher while the other values should be lower.

    • HDL: > 40 mmol/L
    • LDL: < 110 mmol/L
    • Triglycerides (TGs): < 90 adults mmol/L
    • Total Cholesterol: < 170 mmol/L

    Hemoglobin A1C Lab Values

    A1C proves to be a very important lab value to understand for clients with diabetes or at risk for diabetes. A1C is defined as glycosylated hemoglobin which represents the amount of glucose that consistently binds to hemoglobin over approximately three months.

    • Normal: < 5.7%
    • Prediabetes: > 5.7% – < 6%
    • Diabetes: > 6.5%

    Drug Level Ranges Lab Values

    Drug level monitoring is often utilized when administering certain drugs that are dangerous when either overdosed or underdosed. Here are some common drugs that generally require monitoring to reduce the risk of serious adverse events.

    • Acetaminophen: 10-25 μg/mL
    • Digoxin: 0.8-2 ng/mL
    • Lidocaine: 1.5-5m μg/mL
    • Lithium:
      • 0.6-1 mEq/L
      • Acute mania: 0.8-1.2 mEq/L
      • Elderly: 0.4-0.8 mEq/L
    • Phenobarbital:
      • Adults: 10-40 μg/mL
      • Infants/children: 15-30 μg/mL
    • Phenytoin: 10-20 μg/mL
    • Theophyline:
      • Adults: 5-15 μg/mL
      • Children: 5-10 μg/mL
      • Neonatal apnea: 6-11 μg/mL
    • Vancomycin: 10-20 mg/L

    Practice questions for Lab Values NCLEX®Review:

    Memorizing the many lab values that may appear in practice can often prove to be a very challenging and extensive process. However, it is something that will improve with practice and over-time.

    It’s nevertheless important to do your best to become comfortable with these values as they will likely present on the NCLEX®exam and will be a frequent requirement of your daily practice. Hopefully, this Lab Values NCLEX®Review will aid you in your studies and your future practice.

    1. Laboratory tests normal reference ranges in adults. In: Post T, ed.UpToDate. Waltham, MA.: UpToDate; 2020. Accessed May 5th, 2020.
    2. Client education: Complete blood count (CBC) (Th Basics). In: Post T, ed.UpToDate. Waltham, MA.: UpToDate; 2020. Accessed May 5th, 2020.
    3. Laboratory evaluation of the immune system. In: Post T, ed.UpToDate. Waltham, MA.: UpToDate; 2020. Accessed May 5th, 2020.
    4. 2020. [online] Available at: Accessed 11 May 2020.
    5. 2020. Available at: Accessed 11 May 2020.
    6. 2020.Diagnosis ADA. Available at:> Accessed 11 May 2020.
    7. 2020.Therapeutic Drug Levels: Therapeutic Drug Levels. Available at: < Accessed 11 May 2020.

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    NCLEX® Lab Values Review - Simple Nursing (11)


    How do I remember my lab values for NCLEX? ›

    The Trick:

    Use the letters “od” in sodium to remember “odd” numbers. Then combine the first 3 odd numbers which are 1, 3, and 5. This will give you 135 which is the lower end of normal. Simply add 10, and this will give you the normal range of 135-145 mEq/L.

    What is the pass rate for the simple nursing NCLEX? ›

    Over 1,000,000 students earning a 96% pass rate.

    Is simple nursing good for NCLEX? ›

    Together, Simple Nursing and Picmonic have helped thousands of students through school on their way to becoming successful healthcare professionals. Simple Nursing breaks down subjects to help me understand them and it is also good for NCLEX tips.

    Does the NCLEX give you normal lab values? ›

    NCLEX will not give you values that are within the normal range. Questions will usually include critical lab values and it's a matter of identifying if it's within normal range or not. Please note that laboratory values may vary from agency to agency.

    What is the Pearson VUE trick for NCLEX-RN? ›

    The Pearson Vue Trick Good Pop-Up is a pop-up window that delivers a message stating you have recently scheduled this exam and that another registration is not possible at this time. When this occurs, it usually indicates the first NCLEX attempt resulted in a passing grade. Therefore, a retest is not required.

    How many correct answers do you need to pass NCLEX? ›

    Failing the test can result in not answering the minimum amount of 70 questions within the allotted time. You can answer the first 69 questions correctly, but you will automatically fail the exam if you don't reach number 70.

    Is there a cut off at 75 on the NCLEX-RN? ›

    When the NCLEX-RN shuts off at 75 questions, it means you either did very well or very poorly—enough so that the CAT model is 95% confident in your success or failure after only one-third of the possible 265 exam questions. Further, in a 75-question test only 60 questions are counted toward your passing score.

    Can you fail NCLEX-RN in 75 questions? ›

    To pass the NCLEX RN or PN, test takers must correctly answer at least 75 questions (the minimum amount). Unfortunately, that means you can also fail the exam within those 75 questions or items.

    Can you pass NCLEX at 145 questions? ›

    While you can fail the NCLEX PN or NCLEX RN exam in 145 questions, it's unlikely. Most students are more prepared than they think, hence why most students pass the NCLEX exams.

    Are simple nursing questions similar to NCLEX? ›

    SimpleNursing and UWorld are similar in that we both have plenty of high quality questions that are designed to prepare you for and mimic the types of questions you'll actually see on the NCLEX.

    What is the hardest part of the NCLEX? ›

    Let's look at the 16 most common challenges NCLEX candidates face and ways you can overcome them.
    1. Second-Guessing Your Abilities. ...
    2. Changing Answers Repeatedly. ...
    3. Reading Questions Too Fast. ...
    4. Cramming Before the Test. ...
    5. Not Using the Right Study Tools. ...
    6. Not Getting Enough Rest Before the Test. ...
    7. Reading Too Much into a Question.

    Which state NCLEX is the easiest? ›

    There is no “easy” state to take the NCLEX. The NCLEX is a national exam administered by the National Council of State Boards of Nursing (NCSBN). Because it's national, the NCLEX will be the same regardless of what state you choose to take it in. Check out the comprehensive NCLEX prep review that I recommend.

    What are good signs of passing the NCLEX? ›

    Answering more than 75 questions can also be one of the good signs you passed the NCLEX-RN. The computer adaptive testing format used on the NCLEX estimates your ability to test on more complicated questions based on previous answers and the level of difficulty of the earlier questions you answered.

    What is a good indicator you passed NCLEX? ›

    5 Signs That You Passed the NCLEX
    • The difficulty of questions increased as the exam progressed. ...
    • You received a lot of synthesis and analysis questions. ...
    • You answered the least amount of questions required. ...
    • You answered the maximum amount of questions before the time limit. ...
    • The exam shuts off before the five-hour limit.

    Can you work with unofficial NCLEX results? ›

    Some candidates seeking licensure in the U.S. can access unofficial test results two business days after taking their exam. The NCLEX quick result service does not authorize candidates to practice as a licensed/registered nurse.

    Can you get NCLEX results in 24 hours? ›

    You may be able to get your NCLEX results as early as two business days after taking your exam by using the NCLEX Quick Results Service option.

    How do you tell if you passed the NCLEX early? ›

    The only way you will receive your official results is through your nursing regulatory body. This takes place approximately six weeks after you take the NCLEX. Some things to note: If you have not received your results after six weeks, contact your nursing regulatory body.

    What is the most accurate NCLEX predictor? ›

    Most school considers the ATI Predictor Exam a clear indicator of NCLEX success. Those who take the ATI Predictor Exam usually do better on the first administration of the NCLEX than those who do not. The ATI Predictor Exam helps nursing students prepare to take the NCLEX.

    What does it mean if you get all 145 questions on NCLEX? ›

    Answering all 145 questions on the NCLEX-RN alone does not mean you failed the exam. However, with each correct answer you provide, the test should give you a question that becomes increasingly more difficult than the previous one.

    Do the first 15 questions of the NCLEX count? ›

    The first fifteen questions are pretest items and are not used to score the exam and determine if a test-taker has passed the NCLEX-RN. Not all candidates will answer the maximum number of questions. However, everyone who takes the exam must complete a minimum of 75 questions.

    What if the last question on the NCLEX was easy? ›

    If the last question on the NCLEX was easy, it means you got a question that was easy or a topic you knew very well. While that could be a sign you passed, you won't know for sure until the official results are available.

    Can I pass NCLEX with 50 percent? ›

    The NCLEX is scored using dichotomous scoring, so you can either pass or fail the exam. Currently, to pass the NCLEX-RN, the standard is 0.00 logits–or answer questions correctly at least 50% of the time.

    How often do people pass NCLEX in 75 questions? ›

    There's no need to worry just yet! The NCLEX is a pass/fail exam, so you won't know your score until you receive your results. However, the average passing rate for the NCLEX is around 85%, so you've got a pretty good chance of passing if you've made it to 75 questions.

    How many questions do I have to get right to pass NCLEX in 75 questions? ›

    You do not have to get all 75 questions right on NCLEX in order to pass. However, the more questions you answer correctly, the more likely you are to pass. Each individual state board of nursing determines the passing score. Typically, it would be best if you had a score of around 85-95% to pass the NCLEX exam.

    How many SATA should you get on NCLEX? ›

    You may get around 10-25 SATA questions in total, but that will depend on how you're answering your NCLEX questions.

    What are considered easy questions on NCLEX? ›

    Easy questions on the NCLEX are questions that are lower on Bloom's taxonomy level. These are memorization style questions that do not require any critical thinking or application.

    Is 90% chance of passing NCLEX good? ›

    Depending on the time of year tested and the year, the NCLEX pass rates for first- time, US-educated test takers are usually between 80-90% +/1. So ATI says they predict that 59.9% of students will pass the NCLEX (with a 90-100% probability) when usually around 90% pass.

    What are considered higher level questions on NCLEX? ›

    Each category of questions requires an increasing level of critical thinking skills. Analysis, synthesis and evaluation questions would be considered higher-level NCLEX questions. Synthesis questions are based on creating or proposing solutions, such as a plan of care.

    How many easy questions can you miss on NCLEX? ›

    You can successfully answer the first 59 questions, but if you don't get to question 60, you will automatically fail the exam. Another method to fail the exam is to not answer enough questions properly within the allocated time or to not answer enough questions correctly out of the maximum of 145 or 265 questions.

    Is doing practice questions enough for NCLEX? ›

    The best way to study for the NCLEX is to take as many practice exams you can so you can get used to the format of questions on the NCLEX.

    What is the least amount of questions to pass the NCLEX? ›

    A test-taker must have answered the minimum number of required test questions to be eligible to pass. For examinees taking the NCLEX-RN, at least 75 questions must be answered. A minimum of 85 questions must be completed on the NCLEX-PN exam.

    Are UWorld questions easier than NCLEX? ›

    90% of users report that UWorld's questions are the same level of difficulty or more difficult than the questions they encountered on the NCLEX. Why do we make our questions so difficult? Because we believe that practicing with anything less is not the best use of your time and energy.

    Do most nursing students pass the NCLEX? ›

    As of the third quarter, the 2022 pass rate for the NCLEX-RN examination fell to its lowest point in a decade for both first-time NCLEX test-takers and all takers. The first-time rate fell to 79.9%, more than 10 percentage points below the 2012 rate of 90.3%. For all test-takers, the drop was even larger, almost 13%.

    Are nursing exams harder than NCLEX? ›

    Unlike nursing school exams, which test for knowledge, the NCLEX tests your ability to apply and analyze situations using the nursing knowledge you gained in school. Logic and critical thinking, rather than rote memorization, are emphasized in this test—making it much more difficult and comprehensive.

    What state is the hardest to get a nursing license? ›

    • OHIO. Surprised California doesn't top the list? ...
    • CALIFORNIA. Ah, California—a bucket-list destination for many travel nurses. ...
    • MARYLAND. ...
    • MAINE. ...
    • ALASKA.

    What state has the lowest NCLEX pass rate? ›

    9, 2022. Last year, 63.88 percent of registered nursing students passed the NCLEX, down from 64.79 percent in 2021 and 68.92 percent in 2020. Florida has had the lowest NCLEX pass rates in the country since 2017, according to The Tampa Bay Times.

    Can you pass NCLEX-RN without studying? ›

    It's possible to pass the NCLEX without studying, but It's unlikely. To pass without studying would require you to be either naturally smart or having done a good job studying and retaining information learned in nursing school. Most students will not pass the NCLEX if they don't study for it.

    What words to avoid in NCLEX exam? ›

    always, never, all, and only. These words do not allow for the possibility of an exception, and therefore the answers that contain these words can be automatically eliminated. Never choose an answer that describes the nurse's actions as "vigorous."

    What are the 3 NCLEX pass or fail decision rules? ›

    There are three pass/fail rules for the NCLEX examinations: the Run-Out-Of-Time rule, the Maximum-Length Exam Rule and the 95-Percent Confidence Interval Rule.

    Is it OK to fail NCLEX first time? ›

    It is possible to take the National Council Licensure Examination (NCLEX) tests again if you fail the first time. The National Council of State Boards of Nursing (NCSBN), which administers these exams, allows test-takers to retake the exam up to 8 times per year.

    What is the average NCLEX score? ›

    Therefore, test-takers typically answer between 75 and 145. Since the test is adaptive, the NCLEX percentage to pass will vary for each candidate. The test will constantly challenge the test-taker until it finds the kind of questions that they will have a 50% chance of passing.

    What is the average NCLEX pass rate? ›

    NCLEX Pass Rates by State
    47 more rows
    Apr 1, 2023

    What is a good percentage on UWorld to pass NCLEX? ›

    Learners with an average QBank score of 56% pass the NCLEX at a 92% rate. While your average UWorld QBank score gives you important information, studying each question's explanation is the most valuable way to spend your time.

    Does the Pearson VUE trick always work for NCLEX? ›

    Is It Possible for The Pearson Vue Trick to Fail and Still Pass NCLEX? Because the Pearson Vue NCLEX trick is not 100% accurate, it is possible for the trick to indicate you failed the NCLEX and later receive an official passing result.

    Do NCLEX results take exactly 48 hours? ›

    No, you don't get the results of the NCLEX immediately. It can take up to 2 business days to get unofficial results and up to six weeks to get the official results.

    How many answers can you get wrong on the NCLEX? ›

    Failing the test can result in not answering the minimum amount of 70 questions within the allotted time. You can answer the first 69 questions correctly, but you will automatically fail the exam if you don't reach number 70.

    What lab values are needed for NCLEX? ›

    • Potassium: 3.5-5.0 mEq/L.
    • Sodium: 136-145 mEq/L.
    • Glucose: Fasting: 70-110 mg/dL. 2-h postprandial: < 120 mg/dL.
    • Calcium: 8.4-10.2 mg/dL.
    • Phosphorus: 3.0-4.5 mg/dL.
    • Magnesium: 1.5-2.0 mEq/L.
    • Chloride: 95-105 mEq/L.
    • BUN: 5-20.

    What lab values are on the NCLEX boards? ›

    According to the National Institute of Health, typical normal values are: pH: 7.35-7.45. Partial pressure of oxygen (PaO2): 75 to 100 mmHg. Partial pressure of carbon dioxide (PaCO2): 35-45 mmHg.

    How do you remember PTT and INR? ›

    The keyword is weird.
    1. PT also measures clotting times.
    2. Pills TakIN Regularly -PT and INR go together.
    3. INR--I=normal is 1, but therapeutic ranges from 2 (NR, 2 letters after the I) to 3 (INR, 3 letters in total)
    4. Usually measured when on Coumadin / Warfarin.
    5. Think Wiz Khalifa--Warfarin (vitamin) K to remember the antidote.
    Mar 7, 2014

    How do I get my NCLEX results the same day? ›

    What are Quick Results?
    1. Sign into the Pearson VUE website with username and password.
    2. Under "My Account," select "Quick Results"
    3. If results are available, Click "Purchase"
    4. Fill in the payment information and click Next.
    5. Confirm order by clicking the "Submit Order" button.
    6. Result will appear on the receipt page.

    Can you get 145 questions on NCLEX and pass? ›

    Answering all 145 questions on the NCLEX-RN alone does not mean you failed the exam. However, with each correct answer you provide, the test should give you a question that becomes increasingly more difficult than the previous one.

    What is the best predictor for NCLEX? ›

    Most school considers the ATI Predictor Exam a clear indicator of NCLEX success. Those who take the ATI Predictor Exam usually do better on the first administration of the NCLEX than those who do not. The ATI Predictor Exam helps nursing students prepare to take the NCLEX.

    What are the 8 areas of NCLEX? ›

    These areas are as follows:
    • Safe and Effective Care Environment. Management of care. Safety and infection control.
    • Health Promotion and Maintenance.
    • Psychosocial Integrity.
    • Physiological Integrity. Basic care and comfort. Pharmacological and parenteral therapies. Reduction of risk potential. Physiological adaptation.

    Is heparin aPTT or PT? ›

    Heparin—is an anticoagulant and will prolong a PTT, either as a contaminant of the sample or as part of anticoagulation therapy. For anticoagulant therapy, the target PTT is often about 1.5 to 2.5 times longer than a person's pretreatment level. PTT is still being used to monitor standard heparin therapy.

    What is a normal potassium level NCLEX? ›

    Potassium. The normal potassium level is 3.7 to 5.2 mEq/L.

    What is the normal range for PaCO2 NCLEX? ›

    Arterial blood pH should range between 7.35-7.45. Acidic blood has a lower pH, whereas alkaline blood has a higher pH. PaCO2 is the partial pressure of carbon dioxide and ranges from 35-45 mmHg.

    How do I know if I failed the NCLEX? ›

    An NCLEX Candidate Performance Report was sent to you.

    The Candidate Performance Report (CPR) is an NCSBN official report detailing your performance in each test plan's topic areas. If you receive it, that means you failed the exam. To prepare for retaking the exam, you can utilize the CPR as a reference.


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