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NCLEX NCLEX-RN Exam Overview:

Certification Vendor:National Council of State Boards of Nursing (NCSBN)
Exam Name:National Council Licensure Examination for Registered Nurses (NCLEX-RN)
Exam Number:NCLEX-RN
Passing Score:Pass/Fail (Computerized Adaptive Testing; no fixed numeric passing score published)
Related Certifications:Registered Nurse (RN) Licensure
Exam Format:Drag and Drop, Hot Spot, Multiple Choice, Matrix/Grid, Multiple Response, Cloze (Drop-Down), Extended Multiple Response, Case Study, Bow-Tie, Highlight, Computerized Adaptive Testing (CAT)
Available Languages:French (Canada), English
Certificate Validity Period:Licensure validity determined by the nursing regulatory body; no universal expiration period
Exam Price:USD 200
Exam Duration:300 minutes
Real Exam Qty:85-150
Sample Questions:NCLEX NCLEX-RN Sample Questions
Exam Way:Computer-based examination delivered through Pearson VUE testing centers. Available through Computerized Adaptive Testing (CAT).
Pre Condition:Eligibility requirements are determined by the nursing regulatory body (NRB) or board of nursing where licensure is sought. Candidates must generally graduate from an approved nursing program and receive authorization to test.
Official Syllabus URL:https://www.ncsbn.org/public-files/2023_RN_Test%20Plan_English_FINAL.pdf

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q757-Q762):

NEW QUESTION # 757
A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) Thioridazine (an antipsychotic drug), lithium (an antimanic drug), and benztropine (an antiparkinsonism agent) are generally administered to treat schizophrenic and bipolar disorders. (B) Atropine (a cholinergic blocker), sodium brevitol (a shortacting anesthetic), and succinylcholine (a neuromuscular blocker) are administered either before or during ECT to coun teract bradycardia and to provide anesthesia and total muscle relaxation. (C) These are electrolyte substances administered to correct fluid and electrolyte imbalances in the body. (D) Carbamazepine (an anticonvulsant), haldoperidol (an antipsychotic), and trihexyphenydyl (an antiparkinsonism agent) are usually administered in psychiatric settings to control problems associated with psychotic behavior.


NEW QUESTION # 758
A client who is gravida 1 para 1 vaginally delivered a 7- lb girl. She received a midline episiotomy at delivery. When assessing the level of her uterus immediately following delivery, the nurse would expect the fundus to be located:

Answer: D

Explanation:
(A) Within 12 hours of delivery, the fundus of the uterus rises to, or slightly above or below, the umbilicus. Fundal height generally decreases 1 fingerbreadth, or 1 cm/day. (B) The uterus descends into the pelvic cavity at approximately 10-12 postpartal days and can no longer be palpated abdominally. (C) Within 12 hours of delivery, the fundus of the uterus rises to, or slightly above or below, the umbilicus. Fundal height generally decreases 1 fingerbreadth, or 1 cm/day. An enlarged uterus may indicate subinvolution or postpartal hemorrhage. (D) Immediately following delivery, the uterus lies midline, about midway between the umbilicus and the symphysis pubis.


NEW QUESTION # 759
A mother came to the pediatric clinic with her 17- month-old child. The mother would like to begin toilet training. What should the nurse teach her about implementing toilet training?

Answer: B

Explanation:
Explanation
(A) Giving her toys will distract her and interfere with toilet training because of inappropriate reinforcement.
(B) A child-sized toilet seat or training potty gives a child a feeling of security. (C) She should use words that are age appropriate for the child. (D) Children should be praised for cooperative behavior and/or successful evacuation.


NEW QUESTION # 760
A 56-year-old client is admitted to the psychiatric unit in a state of total despair. She feels hopeless and worthless, has a flat affect and very sad appearance, and is unable to feel pleasure from anything. Her husband has been assisting her at home with the housework and cooking; however, she has not been eating much, lies around or sits in a chair most of the day, and is becoming confused and thinks her family does not want her around anymore. In assessing the client, the nurse determines that her behavior is consistent with:

Answer: C

Explanation:
Explanation
(A) Transient depression manifests as sadness or the "blues" as seen with everyday disappointments and is not necessarily dysfunctional. (B) Mild depression manifests as symptoms seen with grief response, such as denial, sadness, withdrawal, somatic symptoms, and frequent or continuous thoughts of the loss. (C) Moderate depression manifests as feelings of sadness, negativism; low self-esteem; rumination about life's failures; decreased interest in grooming and eating; and possibly sleep disturbances. These symptoms are consistent with dysthymia. (D) Severe depression manifests as feelings of total despair, hopelessness, emptiness, inability to feel pleasure; possibly extreme psychomotor retardation; inattention to hygiene; delusional thinking; confusion; self-blame; and suicidal thoughts. These symptoms are consistent with major depression.


NEW QUESTION # 761
Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:

Answer: B

Explanation:
(A)
Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out.
(C)
This answer is the correct manner to interpret effective stimulation, but oxytocin should not be used until CPD is ruled out. (D) This answer is the appropriate nursing action because the scenario presents adysfunctional labor pattern that may be caused by CPD. Oxytocin administration is contraindicated in CPD.


NEW QUESTION # 762
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