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NCLEX-RN is a computer-based adaptive test (CAT) that consists of multiple-choice and alternate format questions. NCLEX-RN exam is designed to adapt to the test-taker's level of knowledge by adjusting the difficulty of questions based on their previous answers. NCLEX-RN Exam covers four major categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity.
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NCLEX-RN is a certification exam designed to test the knowledge and competency of individuals seeking to become licensed registered nurses in the United States. NCLEX-RN exam is created and administered by the National Council of State Boards of Nursing (NCSBN) and is recognized as the standard measure of nursing proficiency across all 50 states.
NCLEX-RN, or National Council Licensure Examination for Registered Nurses, is the standardized exam that nurses must pass in order to obtain their license to practice nursing in the United States. NCLEX-RN Exam is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to test the knowledge and skills of nurses at the entry level of practice. Passing the NCLEX-RN is a crucial step for nurses as it allows them to practice nursing legally and safely.
NEW QUESTION # 418
A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the following symptoms should especially concern the nurse when caring for her?
Answer: B
Explanation:
Explanation
(A) A respiratory rate of 16 breaths/min is normal and is not a cause for alarm. (B) A pulse rate of 80 bpm is normal and is not a cause for alarm. (C) Complaints of muscle aches are unrelated to her receiving chemotherapy. There may be other causes related to her hospital stay or the disease process. (D) A sore throat is an indication of a possible infection. A client receiving chemotherapy is at risk of neutropenia. An infection in the presence of neutropenia can result in a life-threatening situation.
NEW QUESTION # 419
Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90-90 skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:
Answer: B
Explanation:
(A) Skeletal traction, including the weights that are applying the traction, is never released by the nurse. (B) It is necessary to keep the pin site clean and free from infection. (C) When first placed in traction, the client may experience increased discomfort as a result of the traction pull fatiguing the muscle. (D) When the child in traction is allowed to participate in his care, it gives him a measure of control and helps him to cope with the situation.
NEW QUESTION # 420
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
Answer: A
Explanation:
Section: Questions Set D
Explanation:
(A) There may be a medical emergency that takes top priority; however, the basis of the problem is emotional.
(B) The problem is a physical manifestation of an emotional conflict. (C) The bleeding ulcer can be life threatening. (D) For lifestyle change to occur, the client must participate in the planning of his care so that he is committed to changes that will have positive results.
NEW QUESTION # 421
A 19-year-old client fell off a ladder approximately 3 ft to the ground. He did not lose consciousness but was taken to the emergency department by a friend to have a scalp laceration sutured. The nurse instructs the client to:
Answer: D
Explanation:
(A)
Povidone-iodine is very irritating to skin and should not be routinely used. (B) Sutures should not be removed by the client. (C) Confusion, nausea, vomiting, and behavioral changes may indicate increasing intracranial pressure as a result of intracerebral bleeding.
(D)
Use of a narcotic opiate such as meperidine is not recommended in clients with a possible head injury because it may produce sedation, pupil changes, euphoria, and respiratory depression, which may mask the signs of increasing intracranial pressure.
NEW QUESTION # 422
A client's congestive heart failure has been treated, and he will soon be discharged. Discharge teaching should include instruction to call the physician if he notices a 2-lb weight gain in a 24-hour period.
Increased weight gain may indicate:
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Increased calories may result in weight gain, but there is no indication in this question that this man's diet has changed in a way that would result in increased calories. (B) Decreasing cardiac output stimulates the renin-angiotensin-aldosterone cycle and results in fluid retention, which is reflected by weight gain. (C) Decreasing renal function may result in fluid retention, but this question gives no indication that this man has any renal problems. (D) Profound diuresis occurs with diabetes insipidus, which results in weight loss.
NEW QUESTION # 423
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