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NCLEX-RN (National Council Licensure Examination) is a standardized examination that assesses the knowledge, skills, and abilities of registered nurses seeking licensure in the United States and Canada. NCLEX-RN Exam is considered a crucial milestone in the journey of becoming a registered nurse. It is designed to test the candidate's ability to apply the nursing knowledge and skills in a clinical setting and ensure that they possess the necessary competency to provide safe and effective patient care.

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NCLEX-RN exam is a computerized adaptive test (CAT), which means that the difficulty of the questions is adjusted based on the test-taker’s performance. NCLEX-RN exam is composed of between 75 and 265 questions, and the test-taker must answer a minimum of 75 questions in order to pass. NCLEX-RN Exam covers a wide range of topics, including pharmacology, nursing care of patients with acute and chronic illnesses, and ethical and legal considerations in nursing practice.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q391-Q396):

NEW QUESTION # 391
During burn therapy, morphine is primarily administered IV for pain management because this route:

Answer: D

Explanation:
(A) Absorption would be increased, not decreased. (B) IM injections should not be used until the client is hemodynamically stable and has adequate tissue perfusion. Medications will remain in the subcutaneous tissue with the fluid that is present in the interstitial spaces in the acute phase of the thermal injury. The client will have a poor response to the medication administered, and a "dumping" of the medication can occur when the medication and fluid are shifted back into the intravascular spaces in the next phase of healing. (C) IV administration of the medication would hasten respiratory compromise, if present. (D) The desire to avoid causing the client additional pain is not a primary reason for this route of administration.


NEW QUESTION # 392
Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin) 25 mg po qd. The nurse initiates discharge teaching. Which of the following statements by the client would validate an understanding of his medication?

Answer: B

Explanation:
Explanation
(A) The first signs of digoxin toxicity include abdominal pain, anorexia, nausea, vomiting, and visual disturbances. The physician should be notified if any of these symptoms are experienced. (B) The positive inotropic effects of digoxin increase cardiac output and result in an enhanced activity tolerance. "Feeling better" indicates the drug is working and medication therapy must be continued. (C) Clients should be taught to take their pulse prior to taking the digoxin. If their pulse rate becomes irregular, slows significantly, or is
>100 bpm the physician should be notified. (D) Antacids decrease the effectiveness of digoxin.


NEW QUESTION # 393
An 18-month-old child has been playing in the garage. His mother brings him to a nurse's home complaining of his mouth being sore. His lips and mouth are soapy and white, with small ulcerated areas beginning to form. The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:

Answer: A

Explanation:
(A, C, D) These agents would not cause ulcerations on mouthand lips. (B) Strong alkali or acids will cause burns and ulcerationson the mucous membranes.


NEW QUESTION # 394
A 9-week-old female infant has a diagnosis of bilateral cleft lip and cleft palate. She has been admitted to the pediatric unit after surgical repair of the cleft lip. Which of the following nursing interventions would be appropriate during the first 24 hours?

Answer: B

Explanation:
(A) Placing the infant on her abdomen may allow for injury to the suture line. (B) Elbow restraints prevent the infant from touching the suture line and yet leaves hands free. (C) The suture line is cleaned as often as every hour to prevent crusting and scarring. (D) Sucking of a bottle or pacifier places pressure on the suture line and may delay healing and cause scarring.


NEW QUESTION # 395
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?

Answer: B

Explanation:
(A) Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. (B) Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. (C) Lochia granulosa is not a proper classification. (D) Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.


NEW QUESTION # 396
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