NCLEX NCLEX-RN Simulation Questions & Valid NCLEX-RN Exam Tutorial

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NCLEX NCLEX-RN Simulation Questions: National Council Licensure Examination(NCLEX-RN) - Exam4Labs Valuable Valid Exam Tutorial for you

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The National Council Licensure Examination (NCLEX-RN) is a standardized test that determines if an individual is eligible to become a registered nurse in the United States. It is the mandatory exam that needs to be passed by all aspiring nurses who want to earn their nursing license. NCLEX-RN Exam evaluates the individual's competencies to ensure they have the necessary skills and knowledge to safely and effectively practice nursing as an RN.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q548-Q553):

NEW QUESTION # 548
A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being partially transected.
By 2 weeks' postinjury, his neck has been surgically stabilized, and he has been transferred from the intensive care unit. A potential life-threatening complication the nurse monitors the client for is:

A. Autonomic dysreflexia
B. Spinal shock
C. Central cord syndrome
D. Bradycardia

Answer: A

Explanation:
Explanation
(A) Autonomic dysreflexia is the exaggerated sympathetic nervous system response to various stimuli in the anesthetized area. Sympathetic stimulation results in severe, uncontrolled hypertension, which may result in myocardial infarction or cerebral hemorrhage. (B) Bradycardia occurs as a result of sympathetic blockade in the immediate postinjury period. After spinal shock recedes, cardiovascular stability returns, but the client will be bradycardiac for life. (C) Central cord syndrome is a specific type of spinal cord injury that occurs as a result of either hyperextension injuries or disrupted blood flow to the spinal cord. (D) Spinal shock occurs in the immediate postinjury phase and usually resolves in approximately 72 hours.

NEW QUESTION # 549
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. His daily diet should include a large amount of fluid.
B. He should not be concerned about having to fly on a commuter airplane on a weekly basis.
C. He should not worry about having children because this disease is passed on only by female carriers.
D. He should monitor his sputum, stools, and urine for signs of bleeding.

Answer: A

Explanation:
Section: Questions Set E
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 # 550
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:

A. Check the accuracy of the fluid intake record
B. Impress the child with the importance of eating well
C. Determine changes in the amount of edema
D. Measure adequacy of nutritional management

Answer: C

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 # 551
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:

A. He is unable to participate in planning his care
B. There is no real psychological basis for his illness
C. His priority needs are limited to medical management
D. The disorder is a threat to his physical well-being

Answer: D

Explanation:
Explanation
(A) There may be a medical emergency that takes top priority; however, the basis of the problem is emotional.
(B) The problem is a physical manifestation of an emotional conflict. (C) The bleeding ulcer can be life threatening. (D) For lifestyle change to occur, the client must participate in the planning of his care so that he is committed to changes that will have positive results.

NEW QUESTION # 552
A 56-year-old client is admitted to the psychiatric unit in a state of total despair. She feels hopeless and worthless, has a flat affect and very sad appearance, and is unable to feel pleasure from anything. Her husband has been assisting her at home with the housework and cooking; however, she has not been eating much, lies around or sits in a chair most of the day, and is becoming confused and thinks her family does not want her around anymore. In assessing the client, the nurse determines that her behavior is consistent with:

A. Moderate depression
B. Transient depression
C. Mild depression
D. Severe depression

Answer: D

Explanation:
Explanation
(A) Transient depression manifests as sadness or the "blues" as seen with everyday disappointments and is not necessarily dysfunctional. (B) Mild depression manifests as symptoms seen with grief response, such as denial, sadness, withdrawal, somatic symptoms, and frequent or continuous thoughts of the loss. (C) Moderate depression manifests as feelings of sadness, negativism; low self-esteem; rumination about life's failures; decreased interest in grooming and eating; and possibly sleep disturbances. These symptoms are consistent with dysthymia. (D) Severe depression manifests as feelings of total despair, hopelessness, emptiness, inability to feel pleasure; possibly extreme psychomotor retardation; inattention to hygiene; delusional thinking; confusion; self-blame; and suicidal thoughts. These symptoms are consistent with major depression.

NEW QUESTION # 553
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