Free PDF Quiz Perfect NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Detailed Answers

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NCLEX NCLEX-RN Exam Syllabus Topics:

Topic	Details
Topic 1	Safe and Effective Care Environment: This section of the exam measures skills of Registered Nurses and covers how to manage client care while maintaining a safe and effective healthcare environment. It includes Management of Care, which assesses coordination with interdisciplinary teams, delegation, legal responsibilities, and resource utilization. It also includes Safety and Infection Control, focusing on minimizing risk to clients and staff through infection prevention, safe equipment use, emergency procedures, and addressing environmental hazards.
Topic 2	Psychosocial Integrity: This section of the exam measures skills of Mental Health Nurses and covers emotional, mental, and social well-being. It includes assessing psychological needs, substance use, abuse, grief, and coping challenges. The nurse must use therapeutic communication, recognize psychosocial stressors, and support clients with behavioral disorders while maintaining cultural sensitivity.
Topic 3	Physiological Integrity: This section of the exam measures skills of Acute Care Nurses and focuses on maintaining physical health through four subdomains. Basic Care and Comfort assesses support with daily living tasks and comfort measures. Pharmacological and Parenteral Therapies covers safe medication administration and client monitoring. Reduction of Risk Potential evaluates the ability to detect and prevent complications. Physiological Adaptation tests management of clients with acute, chronic, or life-threatening health conditions using clinical interventions.
Topic 4	Health Promotion and Maintenance: This section of the exam measures skills of Clinical Nurse Educators and covers strategies to support wellness and prevent disease. It includes client education across age groups, prenatal and postnatal care, and community health promotion. Nurses are tested on performing screenings, recognizing risk factors, and adapting education based on learning needs and readiness.

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Key NCLEX NCLEX-RN Concepts, NCLEX-RN Test Sample Questions

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q768-Q773):

NEW QUESTION # 768
A first-trimester primigravida is diagnosed with anemia.
The nurse should suspect that this anemia is a result of:

A. Mother's increased blood volume
B. Increase in iron absorption
C. Fetal blood volume increase
D. Mother's decreased blood volume

Answer: A

Explanation:
(A) Maternal blood volume increases at the end of the first trimester leading to a dilutional anemia. (B) Maternal blood volume increases. (C) Fetal blood volume is minimal in the first trimester. (D) Increased iron absorption would facilitate the manufacturing of erythrocytes and decrease anemia.

NEW QUESTION # 769
An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:

A. The left leg warmer to touch than the right leg
B. Decreased or absent pedal pulse in the left leg
C. Both lower extremities warm to touch with 2_pedal pulses
D. Both lower extremities cyanotic when placed in a dependent position

Answer: B

Explanation:
(A) This statement describes a normal assessment finding of the lower extremities. (B) This
assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal pulses reflect a problem caused by arterial insufficiency. (D) The leg that is experiencing arterial insufficiency would be cool to touch due to the decreased circulation.

NEW QUESTION # 770
A nurse is performing a vaginal exam on a client in active
labor. An important landmark to assess during labor
and delivery are the ischial spines because:

A. Ischial spines are the narrowest diameter of the pelvis
B. They represent the inlet of birth canal
C. They measure pelvic floor
D. Ischial spines are the widest diameter of the pelvis

Answer: A

Explanation:
(A) The fetal descent, or station, is determined by the relationship of the presenting part to the spine. (B) Ischial spines are the narrowest measurement. (C) Ischial spines measure the pelvic outlet. (D) Pelvic floor measurement is not related to fetal descent.

NEW QUESTION # 771
When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurse's response should be based on the fact that:

A. The procedure simulates usual daily activity and myocardial performance
B. The test provides a baseline for further tests
C. Ischemia can be diagnosed because exercise increases O2 consumption and demand
D. The client can be monitored while cardiac conditioning and heart toning are done

Answer: C

Explanation:
(A)
The purpose of the study is not to provide a baseline for further tests. (B) The test causes an increase in O2 demand beyond that required to perform usual daily activities.
(C)
Monitoring does occur, but the test is not for the purpose of cardiac toning and conditioning. (D) Exercise ECG, or stress testing, is designed to elevate the peripheral and myocardial needs for O2 to evaluate the ability of the myocardium and coronary arteries to meet the additional demands.

NEW QUESTION # 772
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?

A. Abdominal pain
B. Liquid stool
C. Boardlike, rigid abdomen
D. Loss of the urge to defecate

Answer: B

Explanation:
Section: Questions Set B
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 # 773
......

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