NCLEX NCLEX-RN Exams Collection & NCLEX-RN Reliable Test Simulator
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NCLEX-RN (National Council Licensure Examination) is a certification exam that is required for individuals who wish to become licensed registered nurses (RNs). NCLEX-RN exam is designed to test the knowledge, skills, and abilities that are necessary to perform the duties of an entry-level RN. The NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is taken by nursing graduates who have completed an accredited nursing program.
NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that assesses the competency of nursing graduates to become licensed registered nurses. NCLEX-RN Exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) and is used by state licensing boards to determine whether a candidate is qualified to practice nursing. Passing the NCLEX-RN is a requirement for licensure as a registered nurse in the United States and Canada.
NCLEX-RN exam consists of multiple-choice questions that are designed to test the candidate's knowledge and understanding of nursing concepts and principles. NCLEX-RN exam is divided into four categories, including Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity.
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q175-Q180):
NEW QUESTION # 175
A client states to his nurse that "I was told by the doctor not to take one of my drugs because it seems to have caused decreasing blood cells." Based on this information, which drug might the nurse expect to be discontinued?
- A. Garamycin (Gentamicin)
- B. Timolol maleate (Blocadren)
- C. Prednisone
- D. Phenytoin (Dilantin)
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Prednisone is not linked with hematological side effects. (B) Timolol, a β-adrenergic blocker is metabolized by the liver. It has not been linked to blood dyscrasia. (C) Gentamicin is ototoxic and nephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic anemia. The drug most commonly linked to aplastic anemia is chloramphenicol (Chlormycetin).
NEW QUESTION # 176
A client is admitted to the hospital for an induction of labor owing to a gestation of 42 weeks confirmed by dates and ultrasound. When she is dilated 3 cm, she has a contraction of 70 seconds. She is receiving oxytocin.
The nurse's first intervention should be to:
- A. Notify the attending physician
- B. Turn off the IV oxytocin
- C. Check FHT
- D. Prepare for the delivery because the client is probably in transition
Answer: B
Explanation:
Explanation
(A) FHT should be monitored continuously with an induction of labor; this is an accepted standard of care. (B) The physician should be notified, but this is not the first intervention the nurse should do. (C) The standard of care for an induction according to the Association of Women's Health, Obstetric, and Neonatal Nurses and American College of Obstetrics and Gynecology is that contractions should not exceed 60 seconds in an induction. Inductions should simulate normal labor; 70-second contractions during the latent phase (3 cm) are not the norm. The next contractions can be longer and increase risks to the mother and fetus. (D) Contractions lasting 60-90 seconds during transition are typical; this provides a good distractor. The nurse needs to be knowledgeable of the phases and stages of labor.
NEW QUESTION # 177
A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?
- A. Have child gargle and do toothbrushing to remove old blood.
- B. Give warm clear liquids when fully alert.
- C. Observe for evidence of bleeding.
- D. Encourage the child to cough up blood if present.
Answer: C
Explanation:
Explanation
(A) The nurse should discourage the child from coughing, clearing the throat, or putting objects in his mouth.
These may induce bleeding. (B) Cool, clear liquids may be given when child is fully alert. Warm liquids may dislodge a blood clot. The nurse should avoid red- or brown-colored liquids to distinguish fresh or old blood from ingested liquid should the child vomit. (C) Gargles and vigorous toothbrushing could initiate bleeding.
(D) Postoperative hemorrhage, though unusual, may occur. The nurse should observe for bleeding by looking directly into the throat and for vomiting of bright red blood, continuous swallowing, and changes in vital signs.
NEW QUESTION # 178
In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstrual cycle?
- A. Proliferative phase
- B. Menstrual phase
- C. Secretory phase
- D. Ischemic phase
Answer: C
Explanation:
Explanation
(A) Menses occurs during the menstrual phase, during which levels of both estrogen and progesterone are decreased. (B) The ovarian hormone responsible for the proliferative phase, during which the uterine endometrium enlarges, is estrogen. (C) The ovarian hormone responsible for the secretory phase is progesterone, which is secreted by the corpus luteum and causes marked swelling in the uterine endometrium.
(D) The corpus luteum begins to degenerate in the ischemic phase, causing a fall in both estrogen and progesterone.
NEW QUESTION # 179
A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:
- A. Evidence of perineal irritation
- B. Pulse increased from 96 to 102
- C. Temperature rose to 102_F rectally
- D. Pulse fell from 102 to 96
Answer: C
Explanation:
Explanation
(A) Perineal irritation needs to be addressed, but it is probably not necessary to call the physician. (B) This fall in pulse rate remains within normal limits and is probably insignificant. It is important to monitor for continued change. (C) This rise in pulse rate is probably not significant, but it is important to monitor for continued change. (D) This temperature is above normal limits and needs medical investigation. It may or may not be related to the head injury.
NEW QUESTION # 180
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