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NCLEX-RN exam consists of four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity. These categories are broken down into subcategories that cover a range of topics related to nursing practice, including patient care, pharmacology, health assessment, and nursing ethics. NCLEX-RN Exam is computerized and adaptive, meaning that the difficulty of the questions will vary depending on the test-taker's performance. Passing the NCLEX-RN exam is a crucial step for individuals looking to become registered nurses and enter the workforce.
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NCLEX-RN (National Council Licensure Examination) is a certification exam that is required for individuals who wish to become licensed registered nurses (RNs). NCLEX-RN exam is designed to test the knowledge, skills, and abilities that are necessary to perform the duties of an entry-level RN. The NCLEX-RN Exam is administered by the National Council of State Boards of Nursing (NCSBN) and is taken by nursing graduates who have completed an accredited nursing program.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q657-Q662):
NEW QUESTION # 657
The physician of an alcoholic client places him on a low-protein, high-carbohydrate diet. When choosing his menu, the client's best choice from the items below would be:
- A. Waffles with butter and honey, orange juice
- B. Cheese omelette with ham and mushrooms, milk
- C. Baked chicken, baked potato with bacon bits, milk
- D. Liver and onions, macaroni and cheese, tea with sugar
Answer: A
Explanation:
(A, B, D) These foods are high in protein, which needs to be restricted. (C) Serum ammonia levels can be decreased by restricting dietary protein intake. Waffles, honey, and orange juice are high in carbohydrate and low or completely lacking in protein. Butter, a concentrated fat, will provide extra calories.
NEW QUESTION # 658
The primary reason that an increase in heart rate (100 bpm) detrimental to the client with a myocardial infarction (MI) is that:
- A. Systolic ejection time will decrease, thereby decreasing cardiac output
- B. Stroke volume and blood pressure will drop proportionately
- C. Decreased contractile strength will occur due to decreased filling time
- D. Decreased coronary artery perfusion due to decreased diastolic filling time will occur, which will increase ischemic damage to the myocardium
Answer: D
Explanation:
(A) Decreased stroke volume and blood pressure will occur secondary to decreased diastolic filling. (B) Tachycardia primarily decreases diastole; systolic time changes very little. (C) Contractility decreases owing to the decreased filling time and decreased time for fiber lengthening. (D) Decreased O2 supply due to decreased time for filling of the coronary arteriesincreases ischemia and infarct size. Tachycardia primarily robs the heart of diastolic
time, which is the primary time for coronary artery filling.
NEW QUESTION # 659
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client
teaching about postprocedure nursing care should include that:
- A. Bed rest with bathroom privileges will be ordered
- B. He will be kept NPO for 8-12 hours
- C. Some oozing of blood at the arterial puncture site is normal
- D. The leg used for arterial puncture should be kept straight for 8-12 hours
Answer: D
Explanation:
(A)
Bed rest will be ordered for 8-12 hours postprocedure. Flexing of the leg at the arterial puncture site will occur if the client gets out of bed, and this is contraindicated after arteriography. (B) The client will be able to eat as soon as he is alert enough to swallow safely and that will depend on what medications areused for sedation during the procedure.
(C)
Oozing at the arterial puncture site is not normal and should be closely evaluated. (D) The leg where the arterial puncture occurred must be kept straight for 8-12 hours to minimize the risk of bleeding.
NEW QUESTION # 660
A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:
- A. Using a skin sealant under pouch adhesives
- B. Taping a pouch that is leaking
- C. Changing the pouch only when leakage occurs
- D. Cutting the skin barrier 11⁄2 inches larger than the stoma
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to change pouches whenever possible before leakage occurs. (D) When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant is used, this layer is removed when the tape is removed.
NEW QUESTION # 661
When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:
- A. Regular formulas mixed with electrolyte solutions
- B. Fruit juices
- C. Diluted carbonated drinks
- D. Soy-based, lactose-free formula
Answer: D
Explanation:
Section: Questions Set A
Explanation:
(A) Diluted fruit juices are not recommended for rehydration because they tend to aggravate the diarrhea. (B) Diluted soft drinks have a high-carbohydrate content, which aggravates the diarrhea. (C) Soy-based, lactose- free formula reduces stool output and duration of diarrhea in most infants. (D) Regular formulas contain lactose, which can increase diarrhea.
NEW QUESTION # 662
......
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