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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Safe and Effective Care Environment	17–33%	- Safety and Infection Control - Management of Care
Topic 2: Health Promotion and Maintenance	6–12%
Topic 3: Psychosocial Integrity	6–12%
Topic 4: Physiological Integrity	43–67%	- Physiological Adaptation - Pharmacological and Parenteral Therapies - Reduction of Risk Potential - Basic Care and Comfort

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q433-Q438):

NEW QUESTION # 433
A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:

A. "We will not allow you to starve yourself. You may choose to eat voluntarily or be fed."
B. "Okay, missing one meal won't hurt."
C. "You'll have to eat lunch, or we'll force-feed you."
D. "It's not appropriate for you to try to manipulate the staff into granting your wishes."

Answer: A

Explanation:
Explanation
(A) This response reinforces the client's maladaptive behavior, thereby contributing to the client's risk. (B) Ultimatums are not therapeutic. (C) This comment invites an argument because it puts the client on the defensive and stabs at her self-esteem, which is already compromised. (D) Setting limits assures the client that staff has genuine concern for her safety and well-being. Giving her an actual choice will give the client an increased sense of control over her life and avoid an argument or power struggle.

NEW QUESTION # 434
The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

A. Vaginal discharge or rubra, serosa, then rubra
B. Diaphoresis by her third postpartum day
C. Diuresis by her second or third postpartum day
D. Pulse rate of 50-70 bpm by her third postpartum day

Answer: A

Explanation:
Explanation
(A) Bradycardia is an expected assessment during the postpartum period. (B) Diuresis can occur during labor and the postpartum period and is an expected physiological adaptation. (C) A return of rubra after the serosa period may indicate a postpartal complication. (D) Diaphoresis, especially at night, is an expected physiological change and does not indicate an infectious process. Bradycardia, diuresis, and diaphoresis are normal postpartum physiological responses to adjust the cardiac output and blood volume to the nonpregnant state.

NEW QUESTION # 435
A hyperactive client is experiencing flight of ideas. The most therapeutic activity for him would be:

A. Doing crafts in occupational therapy
B. Working a 1000-piece puzzle
C. Playing bridge with three other clients
D. Playing basketball in the gym

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This activity requires motor skills and therefore would be difficult for a hyperactive client. (B) This activity would take too long, and the client would have difficulty concentrating owing to a limited attention span. (C) This client would not be able to concentrate enough to play card games. He would respond to all the stimuli in the area, become distracted, and leave the table. (D) This activity would allow the client to channel his energy in a positive way.

NEW QUESTION # 436
The initial treatment for a client with a liquid chemical burn injury is to:

A. Flush the exposed area with large amounts of water
B. Inject calcium chloride into the burned area
C. Irrigate the area with neutralizing solutions
D. Apply lanolin ointment to the area

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) In the past, neutralizing solutions were recommended, but presently there is concern that these solutions extend the depth of burn area. (B) The use of large amounts of water to flush the area is recommended for chemical burns. (C) Calcium chloride is not recommended therapy and would likely worsen the problem. (D) Lanolin is of no benefit in the initial treatment of a chemical injury and may actually extend a thermal injury.

NEW QUESTION # 437
A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:

A. Removal of prostate tissue by a resectoscope that is inserted through the penile urethra
B. Removal of prostate tissue by an open surgical approach through a low horizontal incision, bypassing the bladder, to the prostate gland
C. Removal of the prostate tissue by way of a lower abdominal midline incision through the bladder and into the prostate gland
D. Removal of the prostate tissue by an open surgical approach through an incision between the ischial tuberosities, the scrotum, and the rectum

Answer: A

Explanation:
(A) This describes a suprapubic (transvesical) prostatectomy procedure. (B) This is the correct description of a TURP procedure. (C) This describes a perineal prostatectomy procedure. (D) This describes a retropubic (extravesical) prostatectomy procedure.

NEW QUESTION # 438
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