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Preparing for the NCLEX-RN Exam is an essential part of becoming a registered nurse. Candidates are recommended to start preparing for the exam early in their nursing education to ensure they have the necessary knowledge and skills to pass the exam. There are numerous resources available for candidates to prepare for the exam, including study materials, practice exams, and review courses. Candidates should also familiarize themselves with the format and content of the exam to reduce test anxiety and increase their chances of success.

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NCLEX-RN exam is an essential step in the process of becoming a registered nurse. Passing NCLEX-RN Exam is a requirement for licensure in the United States and Canada. NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to ensure that nurses meet the minimum competency standards necessary to provide safe and effective nursing care.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q497-Q502):

NEW QUESTION # 497
In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:

Answer: A

Explanation:
(A)
Serum albumin levels indicate the adequacy of protein stores available for tissue repair.
(B)
Serum albumin does not measure iron stores. (C) Serum albumin levels do not measure kidney function. (D) A decreased serum albumin level would cause fluid movement out of blood vessels, not into them.


NEW QUESTION # 498
The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks' gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

Answer: D

Explanation:
Explanation
(A) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. (B) Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. (C) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. (D) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.


NEW QUESTION # 499
The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?

Answer: A

Explanation:
(A, D) Decreased pulse volume and increased pulse rate are signs of an acute hypotensive episode. (B) Inadequate fluid volume when taking vasodilators can result in a drop in blood pressure when vasodilation starts to physiologically occur as an action of the drug. (C) A potassium level of 3.3 would not be associated with a significant drop in blood pressure.


NEW QUESTION # 500
In discussing the plan of care for a child with chronic nephrosis with the mother, the nurse identifies that the purpose of weighing the child is to:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Weighing a child with nephrosis is to assess for edema, not nutrition. (B, C) This is not the purpose for weighing the child. (D) Weight and measurement are the primary ways of evaluating edema and fluid shifts.


NEW QUESTION # 501
A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:

Answer: C

Explanation:
Section: Questions Set C
Explanation:
(A) Extensions of his myocardial infarction would be chest pain unrelieved with nitroglycerin, cardiac enzyme elevations, and electrocardiographic changes. (B) Persons with pneumonia may complain of weakness and shortness of breath and have crackles in their lung bases. However, they would also have sputum production and leukocytosis. (C) Persons who have had myocardial infarctions (especially anterior wall) are at risk of developing left ventricular heart failure, which is a major cause of pulmonary edema. Pulmonary edema is manifest by shortness of breath, weakness, and crackles on auscultation of the lung fields. (D) Pulmonary emboli may be accompanied by shortness of breath, weakness, and crackles. However, the pulmonary hypertension that accompanies pulmonary emboli results in signs of increased systemic venous pressure as well.


NEW QUESTION # 502
......

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