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NCLEX-RN exam is a computer-adaptive test that is administered by the National Council of State Boards of Nursing (NCSBN). It consists of between 75 and 265 questions, depending on how well the test taker performs. NCLEX-RN exam covers a wide range of nursing-related topics, including health promotion and maintenance, safety and infection control, pharmacology, and psychological and physiological integrity. The NCLEX-RN Exam is widely regarded as one of the most challenging professional exams, and requires a significant amount of preparation and study.

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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that assesses the competency of nursing graduates for entry-level nursing practice. NCLEX-RN exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) and it is required for all nurses who want to practice in the United States and Canada. The NCLEX-RN Exam is designed to test nursing knowledge, skills, and abilities required for safe and effective nursing practice. Passing the NCLEX-RN exam is a requirement for obtaining a nursing license and becoming a registered nurse.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q523-Q528):

NEW QUESTION # 523
A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?

A. Concentrated sweets are taken during increased activity.
B. Food restriction is imposed to reduce weight.
C. Fat requirements are increased owing to the possibility of ketoacidosis.
D. Caloric distribution should be calculated to fit activity patterns.

Answer: D

Explanation:
Explanation
(A) Concentrated sweets are eliminated from diet planning. Complex carbohydrates may be taken at the time of increased activity. (B) Food restriction is not used for diabetic control of growing children. Caloric restriction may be imposed for weight control if necessary. (C) Total caloric intake and proportions of basic nutrients should be consistent from day to day. Distribution of these calories should fit the activity pattern.
Extra food is needed for increased activity. A balance of food, exercise, and insulin should be maintained. (D) Because of the increased risk of atherosclerosis, the fat percentage of the total caloric intake is reduced.

NEW QUESTION # 524
When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?

A. Elevated hematocrit
B. Elevated serum protein
C. Elevated serum calcium
D. Elevated serum sodium

Answer: A

Explanation:
Explanation
(A) Sodium enters the edema fluid in the burned area, lowering the sodium content of the vascular fluid.
Hyponatremia may continue for days to several weeks because of sodium loss to edema, sodium shifting into the cells, and later, diuresis. (B) Hypocalcemia occurs because of calcium loss to edema fluid at the burned site (third space fluid). (C) Protein loss occurs at the burn site owing to increased capillary permeability. Serum protein levels remain low until healing occurs. (D) Hematocrit level is elevated owing to hemoconcentration from hypovolemia. Anemia is present in the postburn stage owing to blood loss and hemolysis, but it cannot be assessed until the client is adequately hydrated.

NEW QUESTION # 525
The serial sevens test is often used to determine delirium and dementia. This test aids in assessing which of the following?

A. Ability to focus and concentrate thoughts
B. Abstract thinking
C. Memory
D. Judgment

Answer: A

Explanation:
Explanation
(A) This answer is incorrect. The test measures the abilities to concentrate and calculate. The use of proverbs is the most common way to test abstraction. (B) This answer is correct. The serial sevens test is a common test of calculation ability. It is difficult for the demented or delirious client to perform. (C) This answer is incorrect. The test for judgment should predict whether the individual will behave in a socially accepted manner. (D) This answer is incorrect. In testingmemory, the nurse would attempt to get the client either to recall recent events or to think about past events.

NEW QUESTION # 526
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. Decreased or absent pedal pulse in the left leg
B. Both lower extremities warm to touch with 2_pedal pulses
C. The left leg warmer to touch than the right leg
D. Both lower extremities cyanotic when placed in a dependent position

Answer: A

Explanation:
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 # 527
A 24-year-old male client is admitted with a diagnosis of sickle cell anemia. The nurse discusses his disease with him and emphasizes the following information:

A. He should not be concerned about having to fly on a commuter airplane on a weekly basis.
B. He should monitor his sputum, stools, and urine for signs of bleeding.
C. His daily diet should include a large amount of fluid.
D. He should not worry about having children because this disease is passed on only by female carriers.

Answer: C

Explanation:
(A) Bleeding is not a symptom of sickle cell anemia or sickle cell crisis. (B) Decreased blood viscosity leads to sickling of red blood cells. Increased fluid intake maintains adequate circulating blood volume and decreases the chance of sickling. (C) Hypoxia leads to sickling of cells. Flying in nonpressurized planes places the client in a situation of low O2 tension, which can lead to sickling. (D) Male and female clients with sickle cell disease can pass the trait on to their offspring. Therefore, this client should receive genetic counseling prior to having children.

NEW QUESTION # 528
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