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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Health Promotion and Maintenance	6–12%
Psychosocial Integrity	6–12%
Physiological Integrity	43–67%	- Physiological Adaptation - Reduction of Risk Potential - Pharmacological and Parenteral Therapies - Basic Care and Comfort
Safe and Effective Care Environment	17–33%	- Management of Care - Safety and Infection Control

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q502-Q507):

NEW QUESTION # 502
A 24-year-old woman who is gravida 1 reports, "I can't take iron pills because they make me sick." She continues, "My bowels aren't moving either." In counseling her based on these complaints, the nurse's most appropriate response would be, "It would be beneficial for you to eat . . .

A. green leafy vegetables."
B. prunes."
C. eggs."
D. red meat."

Answer: B

Explanation:
(A) Prunes provide fiber to decrease constipation and are an excellent source of dietary iron, as the prenatal client is not taking her supplemental iron and iron-deficiency anemia is common during pregnancy. (B) Green leafy vegetables provide a source of fiber and iron; however, prunes are a better source of both. (C) Red meat is a good iron source but will not address the constipation problem. (D) Eggs are a good iron source but do not address the constipation problem.

NEW QUESTION # 503
In working with mental health clients who are prescribed medication that must be taken on a routine basis, it is important for education to begin when the drug therapy is initiated. One of the first steps in the teaching process is to:

A. Distribute written material to supplement verbal instructions
B. Discuss the danger of overmedication
C. Explain the side effects of the medication
D. Explore the client's perception regarding medication therapy

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A, B, C) The nurse must first obtain information regarding the client's perception of the medication regimen. (D) The first step in the teaching process is to determine the client's perception.

NEW QUESTION # 504
Before giving methergine postpartum, the nurse should assess the client for:

A. Afterpains
B. Elevated blood pressure
C. Flushing
D. Decreased amount of lochial flow

Answer: B

Explanation:
(A) Methergine is given to contract the uterus and to control postpartal hemorrhage; therefore, lochial flow should decrease. (B) Methergine may elevate the blood pressure. A client with an elevated blood pressure should not receive methergine, but she could be given oxytocin if necessary. (C) Flushing is not a side effect of methergine. (D) Afterpains are increased with methergine usage. The client should be informed that this is a normal response.

NEW QUESTION # 505
The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

A. Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.
B. The therapeutic effect of the drug occurs 2-4 weeks after treatment is begun.
C. Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.
D. Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.

Answer: B

Explanation:
Explanation
(A) Fluoxetine is not a tricyclic antidepressant. It is an atypical antidepressant. (B) This statement is true. (C) These foods are high in tyramine and should be avoided when the client is taking MAO inhibitors. Fluoxetine is not an MAO inhibitor. (D) Fatal reactions have been reported in clients receiving fluoxetine in combination with MAO inhibitors.

NEW QUESTION # 506
An infant with a congenital heart defect is being discharged with an order for the administration of digoxin elixir every 12 hours. The parents need to be taught when administering digoxin to the infant that:

A. If the infant vomits within 30 minutes of the digoxin administration, repeat the dose
B. If a dose of digoxin is skipped for more than 6 hours, a new timetable for administration must be developed
C. If the infant vomits two or more consecutive doses or becomes listless or anorexic, notify thephysician
D. They need to mix it with formula so the infant swallows it easily

Answer: C

Explanation:
Explanation
(A) Occasionally the child may vomit. They should not repeat the dose because the amount of digoxin that was absorbed is un-known, and serum levels of digoxin that are too high are more dangerous than those that are temporarily too low. (B) To ensure that the entire dose of digoxin is received, never mix it with food or formula. (C) Vomiting, anorexia, and listlessness are all signs of digoxin toxicity and should be reported to the physician immediately. (D) If a dose is forgotten for more than 6 hours, the nurse should advise the parents to skip that dose and to continue the next dose as scheduled.

NEW QUESTION # 507
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