VALID NCLEX-RN EXAM QUESTION - NCLEX-RN QUESTIONS

Valid NCLEX-RN Exam Question - NCLEX-RN Questions

Valid NCLEX-RN Exam Question - NCLEX-RN Questions

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Preparing for the NCLEX-RN exam requires a significant amount of time, effort, and dedication. Candidates must have a thorough understanding of nursing concepts and principles, as well as strong critical thinking and problem-solving skills. Many nursing schools offer review courses and study materials to help students prepare for the exam. Passing the NCLEX-RN Exam is a major milestone in a nurse's career and opens up many opportunities for professional growth and advancement.

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TestSimulate NCLEX NCLEX-RN practice test software is the answer if you want to score higher in the NCLEX NCLEX-RN exam and achieve your academic goals. Don't let the NCLEX-RN certification exam stress you out! Prepare with our NCLEX-RN exam dumps and boost your confidence in the National Council Licensure Examination(NCLEX-RN) exam. We guarantee your road toward success by helping you prepare for the NCLEX-RN Certification Exam. Use the best TestSimulate NCLEX NCLEX-RN practice questions to pass your NCLEX-RN exam with flying colors!

NCLEX-RN exam consists of four categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. Each category is further divided into subcategories, covering a broad range of nursing knowledge and skills. NCLEX-RN exam is typically administered in a multiple-choice format, although some questions may require a different type of response.

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 (Q489-Q494):

NEW QUESTION # 489
A 28-year-old client performs a long, involved ritual in getting up and preparing for the day. He became unable to get to his job before noon. His family, in desperation, has admitted him to the hospital's psychiatric unit. On the unit, he is always late for breakfast, which is served at 8 am. The nurse identifies that the best approach to this problem is to:

  • A. Suggest that he do the rituals after breakfast
  • B. Allow him to eat late
  • C. Get him up early so that he can complete the ritual before breakfast
  • D. Ask him to get all the other clients up so that he will forget about his ritual

Answer: C

Explanation:
Explanation
(A) Allowing him to eat late is not a solution to the problem because the ritual affects more than just this meal.
(B) He is helpless to change this behavior because the rituals occur as a result of an irrational effort to control his anxiety. (C) To interfere with the ritual will increase anxiety. Until the basic problem is resolved, and in turn his need for the ritual relieved, arrange the schedule so that essential activities may be included (such as meals with the group). (D) This approach would be very disruptive to the other clients and would not serve to relieve the anxiety of the client.


NEW QUESTION # 490
A male client is started on IV anticoagulant therapy with heparin. Which of the following laboratory studies will be ordered to monitor the therapeutic effects of heparin?

  • A. Hemoglobin
  • B. Red blood cell (RBC) count
  • C. Partial thromboplastin time
  • D. Prothrombin time

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Partial thromboplastin time is used to monitor the effects of heparin, and dosage is adjusted depending on test results. It is a screening test used to detect deficiencies in all plasma clotting factors except factors VII and XIII and platelets. (B) Hemoglobin is the main component of RBCs. Its main function is to carry O2from the lungs to the body tissues and to transport CO2back to the lungs. (C) RBC count is the determination of the number of RBCs found in each cubic millimeter of whole blood. (D) PT is used to monitor the effects of oral anticoagulants, e.g., coumarintype anticoagulants.


NEW QUESTION # 491
The nurse assesses a client's monitor strip and finds the following: uterine contractions every 3-4 minutes, lasting 60-70 seconds; FHR baseline 134-146 bpm, with accelerations to 158 bpm with fetal movement. Which nursing intervention is appropriate?

  • A. Turn the client to her left side.
  • B. Evaluate to see if the monitor strip is reassuring.
  • C. Notify physician of nonreassuring FHR pattern.
  • D. Start IV for fetal distress and administer O2 at 6-8 liters by mask.

Answer: B

Explanation:
(A) These indices are within normal parameters; therefore, the nurse does not need to contact the physician. (B) The purpose of turning a client to her left side is to maximize uteroplacental blood flow. Based on the above assessment, there is no indication that blood flow is compromised. (C) These interventions are appropriate nursing interventions for late and prolonged decelerations. Following these interventions, the nurse should notify the physician. These indices are within normal parameters; therefore, the nurse does not need to start an IV and administer O2. (D) Variations of 20 bpm above or below the baseline FHR is considered normal. Normal FHRs range from 120-160 bpm. As the fetus moves, the FHR increases, and accelerations often occur in concert with contractions. During the active phase of labor, the frequency of uterine contractions is every 2-4 minutes, with an appropriate duration of 60 sec.


NEW QUESTION # 492
A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

  • A. 1.0 ng/mL
  • B. 0.5 ng/mL
  • C. 2.0 ng/mL
  • D. 3.0 ng/mL

Answer: D

Explanation:
(A) 0.5 ng/mL of digoxin is a subtherapeutic level, not a toxic one. (B) 1.0 ng/mL is a therapeutic level. (C) 2.0 ng/mL is a therapeutic level. (D) Digoxin's therapeutic level is 0.8-2.0 ng/mL. Digoxin's toxic level is >2.0 ng/mL.


NEW QUESTION # 493
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include:

  • A. Eye pain and itching
  • B. Feeling of eye pressure and headache
  • C. Eye discharge and hemoptysis
  • D. Blurred vision and dizziness

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage.
(B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.


NEW QUESTION # 494
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