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NCLEX NCLEX-RN Exam Overview:

Certification Vendor:National Council of State Boards of Nursing (NCSBN)
Exam Name:National Council Licensure Examination for Registered Nurses (NCLEX-RN)
Exam Number:NCLEX-RN
Available Languages:English, French (Canada)
Certificate Validity Period:Licensure validity determined by the nursing regulatory body; no universal expiration period
Related Certifications:Registered Nurse (RN) Licensure
Exam Duration:300 minutes
Exam Price:USD 200
Passing Score:Pass/Fail (Computerized Adaptive Testing; no fixed numeric passing score published)
Exam Format:Extended Multiple Response, Bow-Tie, Multiple Choice, Drag and Drop, Computerized Adaptive Testing (CAT), Multiple Response, Hot Spot, Case Study, Matrix/Grid, Highlight, Cloze (Drop-Down)
Real Exam Qty:85-150
Sample Questions:NCLEX NCLEX-RN Sample Questions
Exam Way:Computer-based examination delivered through Pearson VUE testing centers. Available through Computerized Adaptive Testing (CAT).
Pre Condition:Eligibility requirements are determined by the nursing regulatory body (NRB) or board of nursing where licensure is sought. Candidates must generally graduate from an approved nursing program and receive authorization to test.
Official Syllabus URL:https://www.ncsbn.org/public-files/2023_RN_Test%20Plan_English_FINAL.pdf

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NCLEX-RN (National Council Licensure Examination) is a standardized examination that assesses the knowledge, skills, and abilities of registered nurses seeking licensure in the United States and Canada. NCLEX-RN Exam is considered a crucial milestone in the journey of becoming a registered nurse. It is designed to test the candidate's ability to apply the nursing knowledge and skills in a clinical setting and ensure that they possess the necessary competency to provide safe and effective patient care.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q645-Q650):

NEW QUESTION # 645
A seventh grader lost consciousness after being hit in the head with a basketball. In the emergency room his vital signs are stable, and he demonstrates no neurologic deficit. He will not be admitted to the hospital.
It is most important that you advise his mother to:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Fluid intake should be normal. Fluid intake may be restricted when there is a risk for increased ICP in a hospitalized client. (B) Nausea is possible, but vomiting without nausea is more likely with increased ICP.
Neither one should be expected, but the mother should know to notify the physician or hospital if they occur. (C) The child does not need to be kept awake. It is important that he can be aroused from sleep. (D) If the child cannot be awakened from sleep after head injury, it is an indication of serious increase in ICP.
The mother should call an ambulance right away.


NEW QUESTION # 646
The nurse assesses a client's monitor strip and finds the following: uterine contractions every 3-4 minutes, lasting 60-70 seconds; FHR baseline 134-146 bpm, with accelerations to 158 bpm with fetal movement.
Which nursing intervention is appropriate?

Answer: B

Explanation:
Explanation
(A) These indices are within normal parameters; therefore, the nurse does not need to contact the physician.
(B) The purpose of turning a client to her left side is to maximize uteroplacental blood flow. Based on the above assessment, there is no indication that blood flow is compromised. (C) These interventions are appropriate nursing interventions for late and prolonged decelerations. Following these interventions, the nurse should notify the physician. These indices are within normal parameters; therefore, the nurse does not need to start an IV and administer O2. (D) Variations of 20 bpm above or below the baseline FHR is considered normal. Normal FHRs range from 120-160 bpm. As the fetus moves, the FHR increases, and accelerations often occur in concert with contractions. During the active phase of labor, the frequency of uterine contractions is every 2-4 minutes, with an appropriate duration of 60 sec.


NEW QUESTION # 647
The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

Answer: A

Explanation:
(A) Women who smoke during pregnancy are at increased risk for miscarriage, preterm labor, and IUGR in the fetus. (B) Although smoking produces harmful effects on the maternal vascular system and the developing fetus, it has not been directly linked to fetal anomalies. (C) Smoking during pregnancy has not been directly linked to anemia in the fetus. (D) Smoking during pregnancy has not been linked to nicotine withdrawal symptoms in the newborn.


NEW QUESTION # 648
The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Consistent weight gain, even if it is slow, is an indication that the child is eating and digesting sufficient calories. (B) Recording how much the child eats is useful, but it is not an indicator of how well his body is using the foods consumed. (C) Counting calories will indicate how much he is eating, but it will not reflect whether or not the foods are properly digested. (D) Keeping track of the enzyme intake will indicate compliance with medication but not whether the child is getting sufficient calories.


NEW QUESTION # 649
Assessment of the client with pericarditis may reveal which of the following?

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) No S3 or S4 are noted with pericarditis. (B) No change in pulse pressure occurs. (C) The symptoms of pericarditis vary with the cause, but they usually include chest pain, dyspnea, tachycardia, rise in temperature, and friction rub caused by fibrin or other deposits. The pain seen with pericarditis typically worsens with deep inspiration. (D) Tamponade is not typically seen early on, and no change in pulse pressure occurs.


NEW QUESTION # 650
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