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NCLEX NCLEX-RN Exam Overview:

Certification Vendor:	National Council of State Boards of Nursing (NCSBN)
Exam Name:	National Council Licensure Examination for Registered Nurses (NCLEX-RN)
Exam Number:	NCLEX-RN
Available Languages:	English
Passing Score:	Pass/Fail (Computerized Adaptive Passing Standard, not a fixed score)
Exam Price:	USD 200
Related Certifications:	NCLEX-PN
Real Exam Qty:	85–150 items
Exam Format:	Next Generation NCLEX (NGN) case studies, Fill-in-the-blank, Multiple choice, Computerized Adaptive Testing (CAT), Extended multiple response, Hot spot, Multiple response, Ordered response
Exam Duration:	Up to 300
Certificate Validity Period:	Authorization to Test (ATT) typically valid for ~90 days; RN license validity varies by state board
Recommended Training:	Kaplan NCLEX Prep UWorld NCLEX Review Saunders Comprehensive Review for NCLEX-RN
Exam Registration:	NCLEX Registration (Pearson VUE) NCLEX Official Information (NCSBN)
Sample Questions:	NCLEX NCLEX-RN Sample Questions
Exam Way:	Computer-based testing at Pearson VUE test centers
Pre Condition:	Completion of an approved nursing education program and eligibility authorization from a U.S. state or territorial Board of Nursing
Official Syllabus URL:	https://www.ncsbn.org/nclex.htm

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q233-Q238):

NEW QUESTION # 233
A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH
7.30, PCO2 51 mm Hg, HCO3, 18 mEq/L, PaO2, 84 mm Hg. The nurse would interpret these results as:

A. Partially compensated metabolic alkalosis
B. Compensated metabolic alkalosis
C. Combined respiratory and metabolic acidosis
D. Respiratory acidosis

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Compensated metabolic alkalosis would be reflected by the following: pH within normal limit (7.35-
7.45), PCO2 > 45 mm Hg, HCO3 >26 mEq/L. (B) Respiratory acidosis would be reflected by the following:
pH < 7.35, PCO2 > 45 mm Hg, HCO3 within normal limits (22-26 mEq/L). (C) Partially compensated metabolic alkalosis would be reflected by the following: pH > 7.45, PCO2 > 45 mm Hg, HCO3 > 26 mEq/L.
(D) Combined respiratory and metabolicacidosis would be reflected by the following: pH < 7.35, PCO2 >
45 mm Hg, HCO3 < 22 mEq/L.

NEW QUESTION # 234
A client's prenatal screening indicated that she has no immunity to rubella. She is now 10 weeks pregnant. The best time to immunize her is:

A. In the immediate postpartum period
B. At 28 weeks' gestation
C. After the first trimester
D. Within 72 hours postpartum

Answer: A

Explanation:
(A) The rubella vaccine is made with attenuated virus and is given in the immediate postpartal period to prevent infection during pregnancy and subsequent adverse fetal and neonatal sequelae. Mothers are advised to prevent pregnancy for 3 months following immunization. (B) Rubella infection during the second trimester may result in permanent hearing loss for the fetus. (C) RhoGam is the drug generally administered at 28 weeks' gestation to Rh-negative women. It is contraindicated to administer rubella vaccine during pregnancy. (D) RhoGam is the drug administered within 72 hours postpartum to Rh-negative women to prevent the development of antibodies to fetal cells.

NEW QUESTION # 235
The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:

A. The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpate
B. The examination will be less painful at this time
C. When the scrotum is exposed to cool temperatures, the testicles become large and bulky
D. The client is more likely to remember to perform the TSE when in the nude

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Nudity is not a trigger for reminding males to perform TSE. (B) Testicles become more firm when exposed to cool temperatures, but not large and bulky. (C) The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. (D) The examination should not be painful.

NEW QUESTION # 236
Primary nursing diagnoses for the antisocial client are:

A. Altered communication processes and altered recreational patterns
B. Impaired social interaction, ineffective individual coping, and altered self-concept
C. Altered body image and altered thought processes
D. Alteration in perception and altered self-concept

Answer: B

Explanation:
Explanation
(A) This answer is incorrect. Perception is not altered because the client is not psychotic. (B) This answer is correct. The antisocial client lacks responsibility, accountability, and social commitment; has impaired problem-solving ability; tends to overuse defense mechanisms; lies and steals; and is often grandiose concerning self. (C) This answer is incorrect. Altered communication processes do not characterize this client.
The antisocial person communicates well and tends to have a charming personality. (D) This answer is incorrect. Altered thought processes refer to delusional thinking, which is bizarre and fixed, and do not characterize this client.

NEW QUESTION # 237
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty.
He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?

A. "You will not be allowed to remain in your room if you continue to bother things."
B. "I've inspected this room and it is perfectly clean."
C. "I can see how uncomfortable you are, but I would like you to walk with me so I can show you around the unit."
D. "Tell me why your room needs to be so clean."

Answer: C

Explanation:
(A) This statement is punitive. (B) Acknowledging the anxiety and channeling it into some positive activity is therapeutic. (C) The client cannot say "why"; this statement puts the client on the defensive. (D) A rational approach, especially a judgmental one, is nontherapeutic.

NEW QUESTION # 238
......

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