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| 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 |
| Exam Format: | Multiple response, Next Generation NCLEX (NGN) case studies, Extended multiple response, Ordered response, Hot spot, Fill-in-the-blank, Multiple choice, Computerized Adaptive Testing (CAT) |
| Real Exam Qty: | 85–150 items |
| Exam Duration: | Up to 300 |
| Passing Score: | Pass/Fail (Computerized Adaptive Passing Standard, not a fixed score) |
| Related Certifications: | NCLEX-PN |
| Exam Price: | USD 200 |
| Certificate Validity Period: | Authorization to Test (ATT) typically valid for ~90 days; RN license validity varies by state board |
| Available Languages: | English |
| Recommended Training: | UWorld NCLEX Review Kaplan NCLEX Prep Saunders Comprehensive Review for NCLEX-RN |
| Exam Registration: | NCLEX Registration (Pearson VUE) NCLEX Official Information (NCSBN) |
| Sample Questions: | NCLEX NCLEX-RN Sample Questions |
| Exam Way: | Computer-based testing at Pearson VUE test centers |
| Pre Condition: | Completion of an approved nursing education program and eligibility authorization from a U.S. state or territorial Board of Nursing |
| Official Syllabus URL: | https://www.ncsbn.org/nclex.htm |
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The certification topics of NCLEX-RN Exam
NEW QUESTION # 224
An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?
Answer: C
Explanation:
Explanation
(A) There is no evidence of pain in infants with pyloric stenosis whether eating or not. (B) There are both good appetite and feeding habits in these children. (C) Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. (D) Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.
NEW QUESTION # 225
A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe backache with each contraction. One comfort measure the nurse can employ is to:
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) This measure is inappropriate. The knee-chest position is employed to take pressure off the cord. (B) Effleurage is a comfort measure but not the one that will contribute most to the relief of backache caused by a posterior position. (C) Sacral pressure will counteract the pressure created by the position of the fetal head. (D) The client is not completely dilated. Pushing is contraindicated until the second stage of labor.
NEW QUESTION # 226
Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:
Answer: C
Explanation:
Explanation
(A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but must be carriers. (D) If a trait is recessive, two genes (one from each parent) are necessary to produce an affected child.
NEW QUESTION # 227
A client has just been transferred to the floor from the labor and delivery unit following delivery of a stillborn term infant. She is very despondent. When the nurse attempts to take her vital signs, she responds in anger, stating, "You leave me alone. You don't care anything about me. It's people like you who let my baby die." The nurse's best course of action is to:
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Parents do need their privacy following a loss, but the nurse still has a responsibility to provide postpartum physical care. (B) This is a negative statement, which is not therapeutic. The client is not concerned about future children but is in the first stages of grief, denial, and anger. (C) This is a negative statement, which is not therapeutic. The client does not want to hear about her baby in heaven. She cannot believe that God could love or want her child more than she could. (D) Acknowledging that anger is normal and beneficial will help the client to understand the normal stages of grief. Expressing sorrow over her loss and assuring her that the support is there to take care of her physical and emotional needs will help to promote a trusting relationship.
NEW QUESTION # 228
A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:
Answer: D
Explanation:
Section: Questions Set A
Explanation:
(A) If cervical spine injury is suspected, the airway should be maintained using the jaw thrust method that also protects the cervical spine. (B) Primary intervention is protection of the airway and adequate ventilation. (C, D) All other interventions are secondary to adequate ventilation.
NEW QUESTION # 229
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