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NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN). NCLEX-RN Exam consists of multiple-choice questions that cover a wide range of nursing topics, including pharmacology, patient care, health promotion, and disease prevention. The questions are designed to test the candidate's critical thinking skills and ability to make sound clinical judgments.

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NCLEX-RN exam is widely recognized as one of the most challenging licensure exams in the healthcare industry. Students must undergo extensive preparation and training to pass the exam, including studying nursing concepts and clinical practice, reviewing test-taking strategies, and practicing with sample questions and practice exams.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q563-Q568):

NEW QUESTION # 563
An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indicative of a fecal impaction?

Answer: A

Explanation:
(A) A boardlike, rigid abdomen would point to a perforated bowel, not a fecal impaction. (B) When a client is fecally impacted, a common symptom is the urge to defecate but the inability to do so. (C) When an impaction is present, only liquid stool will be able to pass around the impacted site. (D) Abdominal pain without distention is not a sign of a fecal impaction.


NEW QUESTION # 564
A baby who was diagnosed with pyloric stenosis has continued to have projectile vomiting. With prolonged vomiting, the infant is prone to:

Answer: D

Explanation:
Explanation
(A) Respiratory acidosis is the result of problematic ventilation. Plasma pH decreases, while plasma PCO2 and plasma HCO3 increase. (B) Respiratory alkalosis results from increased respiratory rate and depth. Plasma pH increases, while plasma PCO2 and plasma HCO3 decrease. (C) Metabolic acidosis occurs when there is strong acid gain in the body. Plasma pH, PCO2, and HCO3 decrease. (D) Increased risk for metabolic alkalosis is due to a loss of hydrogen ions; depletion of potassium, sodium, and chloride when vomiting occurs. Plasma pH and plasma PCO2 increase; plasma HCO3 may decrease and then increase to compensate.


NEW QUESTION # 565
A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:

Answer: C

Explanation:
Section: Questions Set G
Explanation:
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST is reported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a
15-minute period. (D) The NST results were normal, so there was no fetal distress.


NEW QUESTION # 566
Proper positioning for the child who is in Bryant's traction is:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. (B) The child in Buck's extension traction maintains the legs extended and parallel to the bed. (C) The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. (D) The child in "90-90" traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.


NEW QUESTION # 567
When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

Answer: C

Explanation:
(A) This is not a normal occurrence. Late decelerations need prompt intervention for immediate infant recovery. (B) To increase O2 perfusion to the unborn infant, the mother should be placed on her left side. (C) IV fluids should be increased, not decreased. (D) Immediate action is warranted, such as reporting findings, turning mother on left side, administering O2, discontinuing oxytocin (Pitocin), assessing maternal blood pressure and the labor process, preparing for immediate cesarean delivery, and explaining plan of action to client.


NEW QUESTION # 568
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