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NCLEX-RN Reliable Test Sims - Test NCLEX-RN Cram

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NCLEX-RN is a licensing examination for registered nurses in the United States and Canada. It is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to ensure that nurses have the knowledge and skills necessary to provide safe and effective care to patients. NCLEX-RN exam is computer-adaptive, meaning that the difficulty of the questions adapts to the test-taker's level of knowledge. The NCLEX-RN is a comprehensive exam, covering a range of nursing topics such as pharmacology, health promotion, and patient care. Passing the NCLEX-RN is a requirement to obtain a nursing license and practice as a registered nurse in the United States and Canada.

NCLEX-RN exam consists of four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity. These categories are broken down into subcategories that cover a range of topics related to nursing practice, including patient care, pharmacology, health assessment, and nursing ethics. NCLEX-RN Exam is computerized and adaptive, meaning that the difficulty of the questions will vary depending on the test-taker's performance. Passing the NCLEX-RN exam is a crucial step for individuals looking to become registered nurses and enter the workforce.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q547-Q552):

NEW QUESTION # 547
A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating.
The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:

A. His blood pressure returns to its preoperative baseline level or greater
B. It is determined that he has no signs of wound infection
C. The nurse can detect bowel sounds in all four quadrants
D. He is able to eat a full meal without evidence of nausea or vomiting

Answer: C

Explanation:
Section: Questions Set D
Explanation:
(A) The absence of wound infection is related to his surgical wound and not to postoperative GI functioning and return of peristalsis. (B) Routine postoperative protocol involves detection of bowel sounds and return of peristalsis before introduction of clear liquids, followed by progression of full liquids and a regular diet versus a full regular meal first. (C) Routine postoperative protocol for bowel obstruction is to assess for the return of bowel sounds within 72 hours after major surgery, because that is when bowel sounds normally return. If unable to detect bowel sounds, the surgeon should be notified immediately and have the client remain NPO.
(D) Routine postoperative protocol for bowel obstruction and other major surgeries involves frequent monitoring of vital signs in the immediate postoperative period (in recovery room) and then every 4 hours, or more frequently if the client is unstable, on the nursing unit. This includes assessing for signs of hypovolemic shock. Vital signs usually stabilize within the first 24 hours postoperatively.

NEW QUESTION # 548
A client is receiving IV morphine 2 days after colorectal surgery. Which of the following observations indicate that he may be becoming drug dependent?

A. He is asleep 30 minutes after receiving the IV morphine.
B. He asks for pain medication although his blood pressure and pulse rate are normal.
C. The client requests pain medicine every 4 hours.
D. He is euphoric for about an hour after each injection.

Answer: D

Explanation:
Section: Questions Set G
Explanation:
(A) Frequent requests for pain medication do not necessarily indicate drug dependence after complex surgeries such as colorectal surgery. (B) Sleeping after receiving IV morphine is not an unexpected effect because the pain is relieved. (C) A person may be in pain even with normal vital signs. (D) A subtle sign of drug dependency is the tendency for the person to appear more euphoric than relieved of pain.

NEW QUESTION # 549
A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The results of her physical examination are normal. How does the nurse interpret the effectiveness of the instruction about diet and weight control?

A. She needs to be placed on a restrictive diet immediately.
B. She needs to increase her caloric intake.
C. She needs further instruction and reinforcement.
D. She is compliant with her diet as previously taught.

Answer: C

Explanation:
Explanation
(A) She is probably not compliant with her diet and exercise program. Recommended weight gain during second and third trimesters is approximately 12 lb. (B) Because of her excessive weight gain of 10 lb in 2 months, she needs re-evaluation of her eating habits and reinforcement of proper dietary habits for pregnancy.
A 2200-calorie diet is recommended for most pregnant women with a weight gain of 27-30 lb over the
9-month period. With rapid and excessive weightgain, PIH should also be suspected. (C) She does not need to increase her caloric intake, but she does need to re-evaluate dietary habits. Ten pounds in 2 months is excessive weight gain during pregnancy, and health teaching is warranted. (D) Restrictive dieting is not recommended during pregnancy.

NEW QUESTION # 550
A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would be:

A. November 10
B. May 7
C. May 10
D. November 7

Answer: C

Explanation:
Explanation
(A) Wrong calculation (B) Wrong calculation (C) Wrong calculation
(D) Nagele's rule is: Expected Date of Confinement = Last
Menstrual Period - 3 months + 7 days + 1 year

NEW QUESTION # 551
One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, "It's really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers." The nurse's best response would be:

A. "That might be a problem. Tell me more about them."
B. "It sounds like you're intellectualizing your drinking problem."
C. "Your grandfather and father were both alcoholics?"
D. "Risk factors can often be controlled by self-responsibility."

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Focusing is an effective therapeutic strategy. This response, however, allows the client to "defocus" off the topic of learning how to accept responsibility for his behavior and future growth. (B) The nurse can educate the client about both the "genetic risk" for the development of alcoholism and ways to make long- term healthy lifestyle changes. (C) This response is inappropriately confrontational and condescending to the client. (D) Reflection of content can be an effective verbal therapeutic technique. It is used inappropriately here.

NEW QUESTION # 552
......

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