Free PDF NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Updated Exam Dumps Pdf

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Health Promotion and Maintenance6–12%
Safe and Effective Care Environment17–33%- Safety and Infection Control
- Management of Care
Physiological Integrity43–67%- Pharmacological and Parenteral Therapies
- Physiological Adaptation
- Reduction of Risk Potential
- Basic Care and Comfort
Psychosocial Integrity6–12%

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q187-Q192):

NEW QUESTION # 187
The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. Which one of the following steps must be taught for insulin administration?

Answer: D

Explanation:
Explanation
(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injection facilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3-7 days.


NEW QUESTION # 188
A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?

Answer: C

Explanation:
(A) Antipsychotic medications are also known as major tranquilizers. (B) Antidepressants fall into different categories, such as the tricyclics or the MAO inhibitors. (C) Antianxiety medications are also known as minor tranquilizers. (D) Antimania medications are those such as lithium and lithium carbonate (Lithobid).


NEW QUESTION # 189
A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,
"Nobody cares about the clients." The nurse's most effective response would be:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This statement is a defensive response that places the nurse in a vulnerable countertransference position, and at the same time, fails to challenge the client's "splitting" behavior. (B) This statement is a defensive response by the nurse. In addition, this type of nontherapeutic statement requests that the client explain the reasons for her behavior, a difficult task for an individual with limited insight. (C) This statement is a nontherapeutic response that both ignores the intensity of the client's emotions and the dynamics underlying "splitting" behavior. (D) By simultaneously acknowledging the client's emotional intensity and gently challenging her "splitting" behavior, the nurse addresses the client's current distortions and prepares for further interventions with angry or ambivalent feelings.


NEW QUESTION # 190
In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) No change in the breath sounds occurs as a direct result of the mediastinal shift. (B) Crepitus can occur owing to the primary disorder, not to the mediastinal shift. (C) Mediastinal shift occurs primarily with tension pneumothorax, but it can occur with very large hemothorax or pneumothorax. Mediastinal shift causes trachial deviation and deviation of the heart's point of maximum impulse. (D) No change in the heart sounds occurs as a result of the mediastinal shift.


NEW QUESTION # 191
The nurse would assess the client's correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) At ovulation, the cervical mucus is increased, stretchable, and watery clear. (B) Under the influence of progesterone, the basal body temperature increases slightly after ovulation. (C) To enhance fertility, measures should be taken that promote retention of sperm rather than removal. (D) Ovulation, the optimal time for conception, occurs 14+2 days before the next menses; therefore, the date of ovulation is directly related to the length of the menstrual cycle.


NEW QUESTION # 192
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