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NCLEX-RN exam is computer-adaptive, meaning that the questions presented to each candidate are tailored to their individual performance. NCLEX-RN exam is designed to test the candidate's ability to think critically and make sound clinical judgments in a variety of nursing situations. NCLEX-RN exam covers a broad range of nursing concepts including health promotion, disease prevention, patient care management, pharmacology, and more. The NCLEX-RN exam is a challenging test, and candidates should prepare thoroughly, as the exam is a critical step towards obtaining a nursing license.
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NCLEX-RN exam is a computerized adaptive test (CAT) that is comprised of multiple-choice questions. NCLEX-RN exam is designed to adapt to the test-taker's knowledge level, meaning that the difficulty level of questions will increase or decrease based on the test-taker's performance. NCLEX-RN exam is designed to test a nurse's knowledge in four main areas: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q275-Q280):NEW QUESTION # 275 Clinical manifestations seen in left-sided rather than in right-sided heart failure are:
* A. Elevated central venous pressure and peripheral edema
* B. Hypotension and hepatomegaly
* C. Decreased peripheral perfusion and rales
* D. Dyspnea and jaundice
Answer: CExplanation:
Explanation
(A, B, C) Clinical manifestations of right-sided heart failure are weakness, peripheral edema, jugular venous distention, hepatomegaly, jaundice, and elevated central venous pressure. (D) Clinical manifestations of left-sided heart failure are left ventricular dysfunction, decreased cardiac output, hypotension, and the backward failure as a result of increased left atrium and pulmonary artery pressures, pulmonary edema, and rales.
NEW QUESTION # 276 A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:
* A. Bring the child to the ER immediately.
* B. Give the child 10 mL of syrup of ipecac with a sip of water.
* C. Give the child 1 cup of water to induce vomiting.
* D. Give the child 15 mL of syrup of ipecac.
Answer: AExplanation:
(A) Before giving any emetic, the substance ingested must be known. (
At least 8 oz of water should be administered along with ipecac syrup to increase volume in the stomach and facilitate vomiting. (C) Water alone will not induce vomiting. An emetic is necessary to facilitate vomiting. (D) Vomiting should never be induced in an unconscious client because of the risk of aspiration.
NEW QUESTION # 277 After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:
* A. Psychotic behavior
* B. Suicide
* C. Exacerbation of depressive symptoms
* D. Violence toward others
Answer: BExplanation:
Explanation
(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (
Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.
NEW QUESTION # 278 Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90◦-90◦ skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:
* A. The client should be discouraged from participating in self-care activities to avoid the risk of disrupting the traction
* B. The traction pull should result in an immediate increase in comfort and reduce the need for pain medication
* C. The nurse may lift only the weights that are applying traction in order to reposition him in bed
* D. The client will need special skin care at the pin site according to hospital policy or the physician's preference
Answer: DExplanation:
Explanation/Reference:
Explanation:
(A) Skeletal traction, including the weights that are applying the traction, is never released by the nurse. (
It is necessary to keep the pin site clean and free from infection. (C) When first placed in traction, the client may experience increased discomfort as a result of the traction pull fatiguing the muscle. (D) When the child in traction is allowed to participate in his care, it gives him a measure of control and helps him to cope with the situation.
NEW QUESTION # 279 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. Respiratory acidosis
* B. Combined respiratory and metabolic acidosis
* C. Partially compensated metabolic alkalosis
* D. Compensated metabolic alkalosis
Answer: BExplanation:
Section: Questions Set G
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. (
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 # 280......
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