NCLEX NCLEX-RN Desktop-Based Practice Program

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q584-Q589):

NEW QUESTION # 584
What is the most effective method to identify early breast cancer lumps?

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Mammograms are less effective than breast self-examination for the diagnosis of abnormalities in younger women, who have denser breast tissue. They are more effective forwomen older than 40. (B) Up to 15% of early-stage breast cancers are detected by physical examination; however, 95% are detected by women doing breast self-examination. (C) Ultrasound is used primarily to determine the location of cysts and to distinguish cysts from solid masses. (D) Monthly breast self-examination has been shown to be the most effective method for early detection of breast cancer. Approximately 95% of lumps are detected by women themselves.


NEW QUESTION # 585
One of the most reliable assessment tools for adequacy of fluid resuscitation in burned children is:

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A) Blood pressure can remain normotensive in a state of hypovolemia. (B) Capillary refill, alterations in sensorium, and urine output are the most reliable indicators for assessing hydration. (C) Skin turgor is not a reliable indicator for assessing hydration in a burn client. (D) Fluid intake does not indicate adequacy of fluid resuscitation in a burn client.


NEW QUESTION # 586
MgSO4 blood levels are monitored and the nurse would be prepared to administer the following antidote for MgSO4 side effects or toxicity:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A, B) These drugs are not antidotes for MgSO4. (C) This drug is the standard antidote and should always be readily available when MgSO4is being administered. (D) This drug is an antidote for narcotics, not MgSO4.


NEW QUESTION # 587
The health team needs to realize that the compulsive concern with cleanliness that a client with severe anxiety exhibits is most likely an attempt to:

Answer: D

Explanation:
(A) These behaviors are attempts to relieve anxiety. (B) Avoidance is not a pattern in the obsessive client. (C) Although these behaviors may seem to manipulate others, that is not the purpose behind the activity. (D) Inflated self-esteem is not a characteristic of the severely anxious client.


NEW QUESTION # 588
A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:

Answer: C

Explanation:
Section: Questions Set F
Explanation:
(A) The purpose of bladder irrigation is not to prevent bladder spasms, but to drain the bladder and decrease clot formation and obstruction. (B) A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage. (C) Scrotal edema seldom occurs after TURP. Bladder irrigation will not prevent this complication.
(D) Prostatic infection seldom occurs after TURP. Bladder irrigation will not prevent this complication.


NEW QUESTION # 589
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