Reliable NCLEX-RN Test Braindumps | Top NCLEX-RN Questions

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Safe and Effective Care Environment17–33%- Management of Care
- Safety and Infection Control
Topic 2: Health Promotion and Maintenance6–12%
Topic 3: Physiological Integrity43–67%- Physiological Adaptation
- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Basic Care and Comfort
Topic 4: Psychosocial Integrity6–12%

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Top NCLEX-RN Questions & NCLEX-RN Examinations Actual Questions

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q603-Q608):

NEW QUESTION # 603
A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:

Answer: C

Explanation:
(A) Based on the client's history, presence of bright red vaginal bleeding, and hemoglobin value on admission, the priority nursing diagnosis would be decreased cardiac output related to excessive bleeding. (B) This nursing diagnosis is a potential problem that does not exist at the present time, and therefore is not the priority problem. (C) The client's expressed anxiety is for her child. The fetus will remain physiologically safe if the decreased cardiac output is resolved. (D) Initial spontaneous bleeding with placenta previa is rarely life threatening to the mother or the fetus. Delivery of the fetus will be postponed until fetal maturity is achieved and survival is likely.


NEW QUESTION # 604
A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is scheduled to have a bone marrow aspiration tomorrow. She has had a bone marrow test previously and is apprehensive about having another. Which of the following interventions will be most effective in relieving her anxiety?

Answer: C

Explanation:
(A)
Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress.
(C)
This intervention does nothing to reassure the child and may well prevent her from expressing her feelings. (D) This does not prepare the child for the test and burdens her with the expectation that she act bigger and braver than she is.


NEW QUESTION # 605
A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symptoms might he exhibit?

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Tetany is seen with low calcium. (B) Low potassium causes dysrhythmias because potassium is responsible for cardiac muscle activity. (C) Numbness of extremities is seen with high potassium. (D) Headache is not associated with potassium excess or deficiency.


NEW QUESTION # 606
Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Catheter site care is to be done at least twice daily to prevent pathogen growth at the catheter insertion site. (B) Catheter drainage bags are usually emptied every 8 hours to prevent urine stasis and pathogen growth. (C) Tubing and collection bags are not changed this often, because research studies have not demonstrated the efficacy of this practice. (D) Fluid intake needs to be in the 2000-2500 mL range if possible to help irrigate the bladder and prevent infection.


NEW QUESTION # 607
A nurse should carefully monitor a client for the following side effect of MgSO4:

Answer: A

Explanation:
Explanation
(A, C) The nurse should provide good distractors because these symptoms indicate that PIH has become more severe and may precede the convulsive or eclamptic phase. (B) This is the oppositeside effect of this medication. (D) This is a common side effect of this medication and needs to be monitored and recorded frequently.


NEW QUESTION # 608
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