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NCLEX-RN exam is a critical step in becoming a registered nurse in the United States and Canada. It is a challenging exam that assesses the candidate's knowledge and critical thinking skills in nursing practice, patient care, and safety. Passing the exam is required for licensure in most U.S. states and Canadian provinces, and candidates must register and pay a fee to take the exam.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q236-Q241):

NEW QUESTION # 236
When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) A residual volume of 20 mL is not excessive. (B) A residual volume of 25 mL is not excessive. (C) A residual volume of 30 mL is not excessive. (D) Tube feedings should be withheld and physician notified for residual volumes of 50-100 mL.


NEW QUESTION # 237
A female client comes for her second prenatal visit. The nurse-midwife tells her, "Your blood tests reveal that you do not show immunity to the German measles." Which notation will the nurse include in her plan of care for the client? "Will need . . .

Answer: D

Explanation:
Explanation
(A) Rh immune globulin is given to Rh-negative mothers to prevent the maternal Rh immune response. (B) Rh immune globulin is given to Rh-negative mothers to prevent the maternal Rh immune response. (C) The rubella vaccine is not given during pregnancy because of its teratogenicity. (D) Nonimmune mothers are vaccinated early in the postpartum period to prevent future infection with the rubella virus.


NEW QUESTION # 238
A client is placed on lithium therapy for her manicdepressive illness. When monitoring the client, the nurse assesses the laboratory blood values. Toxicity may occur with lithium therapy when the blood level is above:

Answer: D

Explanation:
(A) This value is a low blood level. (B) This value is a toxic blood level. (C) This value is a low blood level. (D) This value is the level at which most clients are maintained, and toxicity may occur if the level increases. The client should be monitored closely for symptoms, because some clients become toxic even at this level.


NEW QUESTION # 239
Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Joints usually remain inflamed and tender until the disease runs its course in<3 weeks. (B) This response does not answer the question of whether she will always be arthritic. (C) This response does not answer the question asked. (D) The disease takes<3 weeks to run its course.


NEW QUESTION # 240
A postoperative TURP client returns from the recovery room to the general surgery unit and is in stable condition. One hour later the nurse assesses him and finds him to be confused and disoriented. She recognizes that this is most likely caused by:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Early signs of hypovolemic shock include hypotension, tachycardia, tachypnea, pallor, and diaphoresis.
(B) Early signs of potassium depletion include muscular weakness or paralysis, tetany, postural hypotension, weak pulse, shallow respirations, apathy, weak voice, and electrocardiographic changes. (C) Early signs of an elevated sodium level include dry oral mucous membranes, marked thirst, hypertension, tachycardia, oliguria or anuria, anxiety, and agitation. (D) This answer is correct. Important early clinical findings of a decreased sodium concentration include confusion and disorientation. Hyponatremia can occur after a TURP because absorption during surgery through the prostate veins can increase circulating blood volume and decrease sodium concentration.


NEW QUESTION # 241
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