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NCLEX-RN exam is a computer-adaptive test that is administered by the National Council of State Boards of Nursing (NCSBN). It consists of between 75 and 265 questions, depending on how well the test taker performs. NCLEX-RN exam covers a wide range of nursing-related topics, including health promotion and maintenance, safety and infection control, pharmacology, and psychological and physiological integrity. The NCLEX-RN Exam is widely regarded as one of the most challenging professional exams, and requires a significant amount of preparation and study.
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NCLEX-RN exam is computer-adaptive, meaning that the difficulty level of the questions presented to the test-taker is based on their individual performance. NCLEX-RN Exam is composed of a minimum of 75 questions and a maximum of 265 questions, with a time limit of six hours. The test is broken down into four categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity.
NEW QUESTION # 726
An alcoholic client who is completing the inpatient segment of a substance abuse program was placed on disulfiram (Antabuse) drug therapy. What should the nurse include in the discharge instructions?
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) When alcohol is ingested with disulfiram therapy, the client experiences nausea, vomiting, and a potentially serious drop in blood pressure. (B) Disulfiram is most successful when used early in the recovery process while the individual makes major lifestyle changes necessary for long-term recovery. (C) Disulfiram works on the classical conditioning principle. (D) The effects of disulfiram can be felt when alcohol is ingested 1-2 weeks after disulfiram is discontinued.
NEW QUESTION # 727
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
Answer: D
Explanation:
Section: Questions Set D
Explanation:
(A) Respiratory rate is not directly affected by digoxin therapy. (B) A radial pulse is not as accurate as an apical pulse. Dysrhythmias may not be detected. (C) A radial pulse is not as accurate as an apical pulse, regardless of assessment time. (D) Apical pulse should be measured for 1-minute prior to digoxin administration. Digoxin decreases the heart rate. Digoxin should be withheld if apical rates are <60 bpm or >120 bpm.
NEW QUESTION # 728
The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma.
Neomycin decreases serum ammonia levels by:
Answer: C
Explanation:
Section: Questions Set F
Explanation:
(A) Neomycin interferes with protein synthesis in the bacterial cell, causing bacterial death. Neomycin reduces the growth of the ammonia-producing bacteria in the intestines and is used for the treatment of hepatic coma.
(B) This choice describes the action of lactulose, another drug commonly used to decrease systemic ammonia levels. (C) Neomycin's action doesnotdecrease uptake of vitamin D to reduce serum ammonia levels. (D) Bowel irritation with diarrhea is more likely to occur with administration of lactulose rather than of neomycin.
Besides, diarrhea is a side effect of a drug, not the action of the drug.
NEW QUESTION # 729
A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to:
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic coma.
(B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the liver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break down protein into ammonia. (D) Lactulose is administered to create an acid environment in the bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and excreted.
NEW QUESTION # 730
On a mother's 2nd postpartum day after having a vaginal delivery, the RN is preparing to assess her perineum and anus as part of her daily assessment. The best position for the client to be placed in for this assessment is:
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) The Sims' position is the best position for assessment of the perineum and anus. The top leg is placed over the bottom leg, and the RN raises the upper buttocks to fully expose the perineum and anus. (B) Fowler's position is a sitting position, and the perineum and anus would not be exposed. (C) The prone position would have the mother on her back, and her perineum and anus would not be exposed. (D) The position of choice should always be the Sims'.
NEW QUESTION # 731
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