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NCLEX-RN exam is a computerized adaptive test (CAT) which means that the questions are selected based on the test-taker's responses. The test-taker will start with a moderate difficulty level question, and the next question will be determined by their response to the previous question. NCLEX-RN exam will continue in this manner until the computer program has determined the test-taker's level of competency. NCLEX-RN exam covers a wide range of nursing topics such as health promotion, psychosocial integrity, physiological adaptation, and pharmacological and parenteral therapies. The NCLEX-RN Exam is a challenging test that requires extensive studying and preparation. However, passing the exam is a critical step towards becoming a licensed registered nurse and embarking on a fulfilling career in the nursing profession.
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The objective of the NCLEX-RN® certification is to test your ability to use critical thinking skills to make nursing judgments. This is a much different type of testing than what you have done in nursing school. Nursing schools test your knowledge of the nursing process. They want to know if you have learned all the nursing terms. On the NCLEX-RN® exam, they want to see if you have learned to apply the nursing knowledge you learned in school to the nursing process. Improvement of knowledge and retention of information on the NCLEX-RN exam is based on how well you answered questions. NCLEX-RN Dumps tests your knowledge and understanding. Aid material helps you learn new concepts and retain information that you learned in school. Knowledge like textbooks are no longer used for this test. It's not enough to memorize the answer to every question.
You must understand the concept behind the question and know the answers to all questions. That is what you are tested on the NCLEX-RN Exam. Pool of questions is important because it means that there are questions you have not seen before. Links between topics are also important. Questions in one topic might be related to questions in another topic. Training your brain to recognize this can help you identify those questions and prepare for them. Exam cram is not as important as knowing what to study for. You must know the content of the exam.
To be licensed as a registered nurse in the United States, you must meet the following requirements:
Be a citizen of the U.S.
Be in good health.
Have passed the NCLEX exam.
Have been registered to practice as an entry-level nurse.
NEW QUESTION # 252
A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Thrombolytic agents (e.g., streptokinase) directly activate plasminogen, dissolving fibrin deposits, which in turn dissolves clots that have already formed. (B) Heparin prevents the formation of clots by potentiating the effects of antithrombin III and the conversion of prothrombin to thrombin. (C) Warfarin prevents the formation of clots by interfering with the hepatic synthesis of the vitamin K-dependent clotting factors. (D) Platelets initiate the coagulation of blood by adhering to each other and the site of injury to form platelet plugs.
NEW QUESTION # 253
A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?
Answer: C
Explanation:
(A)Klebsiellapneumonia is caused by gram-negative bacteria. (B) Pneumococcal pneumonia is caused by gram-positive bacteria. (C)Legionella pneumophilapneumonia is a nonbacterial pneumonia. (D)E. colipneumonia is caused by gram-negative bacteria.
NEW QUESTION # 254
Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclampsia. In counseling her about her diet, the nurse must emphasize the importance of:
Answer: D
Explanation:
Explanation
(A) Women with pregnancy-induced hypertension have a reduced plasma volume secondary to venous vessel constriction, not hypovolemia; therefore, sodium restriction is not recommended. It is suggested that these women avoid extremely salty foods. (B) Drinking six to eight glasses of water per day facilitates optimal fluid volume and renal perfusion, but it will not decrease the venous vessel constriction of pregnancy-induced hypertension. (C) Carbohydrate needs increase during pregnancy, specifically during the second and third trimesters, but they have not been linked to pregnancy-induced hypertension. (D) Loss of urinary protein (proteinuria) is associated with increased permeability of the large protein molecules with pregnancy-induced hypertension.Additional dietary protein also helps increase the plasma colloidal osmotic pressure. Diets deficient in protein have been linked to pregnancy-induced hypertension.
NEW QUESTION # 255
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
Answer: C
Explanation:
Explanation
(A) A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye. (B) Streptokinase activates plasminogen, dissolving fibrin deposits. To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. (C) The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. (D) The client is kept on bed rest for 8-12 hours following the procedure because of the potential for bleeding.
NEW QUESTION # 256
On the third postpartum day, a client complains of extremely tender breasts. On palpation, the nurse notes a very firm, shiny appearance to the breasts and some milk leakage. She is bottle feeding. The nurse should initially recommend to her to:
Answer: D
Explanation:
Section: Questions Set F
Explanation
Explanation:
(A) Judicious use of analgesics is appropriate with breast engorgement; however, mechanical suppression would be the initial recommendation. (B) Breast-feeding every 1ꢀ2-3 hours will reduce and/or prevent breast engorgement. Breast-feeding will promote milk production, which will compound the distention and stasis of the venous circulation of engorgement in a bottlefeeding mother. (C) Ice packs reduce milk flow while the snug, supportive bra provides mechanical suppression and decreases pulling on Cooper's ligament. In addition, breast binders or ace bandages may be used for some women. (D) Warmth promotes milk production and may stimulate the let-down reflex. These measures would contribute to the venous congestion of engorgement.
NEW QUESTION # 257
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