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The NCLEX-RN exam consists of multiple-choice questions and alternative format questions, such as select-all-that-apply, fill-in-the-blank, and ordered response. The exam is broken down into four categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. Each category covers a range of topics such as infection control, ethical and legal issues, mental health, and basic care and comfort. The NCLEX-RN is a challenging exam, and test-takers must be well-prepared to pass. There are many resources available to help prepare for the exam, including review courses, study materials, and practice tests. Ultimately, passing the NCLEX-RN is a significant accomplishment and a vital step towards a rewarding career in nursing.
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The NCLEX-RN exam is a computerized test that consists of multiple-choice questions and alternate item formats, such as fill-in-the-blank and drag-and-drop questions. The exam is designed to be adaptive, which means that the difficulty level of the questions will increase or decrease based on the candidate's performance. The exam is also timed, with candidates being given a maximum of six hours to complete the exam.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q548-Q553):
NEW QUESTION # 548
A dose of theophylline may need to be altered if a client with COPD:
- A. Is allergic to morphine
- B. Has a history of arthritis
- C. Operates machinery
- D. Is concurrently on cimetidine for ulcers
Answer: D
Explanation:
(A) The effects of morphine or an allergic response to the drug will not affect theophylline clearance. (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.
NEW QUESTION # 549
The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in
1-2 hours if needed. The most likely rationale for this order is:
- A. Haloperidol is a minor tranquilizer and will not oversedate the client
- B. Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client
- C. The medication will sedate the client until the physician arrives
- D. The client will settle down more quickly if he thinks the staff is medicating him
Answer: B
Explanation:
Section: Questions Set G
Explanation:
(A) If the client could think logically, he would not be paranoid. In fact, he is probably suspicious of the staff, too. Newly admitted clients frequently experience high levels of anxiety, which can contribute to delusions. (B) The goal of pharmacological intervention is to calm the client and assist with reality-based thinking, not to sedate him. (C) Haloperidol is a neuroleptic and antipsychotic drug, not a minor tranquilizer. (D) Haloperidol is a high-potency neuroleptic and first-line choice for rapid neuroleptization, with low potential for sedation.
NEW QUESTION # 550
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:
- A. "No, do not increase your insulin, but eating a snack prior to practice exercise will make insulin more effective and move more glucose into the cells."
- B. "No, do not increase your insulin. Exercise will not affect your insulin needs."
- C. "Yes, increase your insulin by 1 U for each hour of practice because exercise causes the body to need more insulin."
- D. "You should ask your doctor about this."
Answer: A
Explanation:
Explanation
(A) A nurse can give this information to a client. (B) Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. (C) Exercise makes insulin more efficient unless the diabetes is poorly controlled. (D) Exercise makes insulin more efficient in moving more glucose into the cells.
NEW QUESTION # 551
Morphine sulfate 4 mg IV push q2h prn for chest pain was ordered for a client in the emergency room with severe chest pain. The nurse administering the morphine sulfate knows which of the following therapeutic actions is related to the morphine sulfate?
- A. Increased rate and depth of respirations
- B. Increased level of consciousness
- C. Increased peripheral vasodilation
- D. Increased perception of pain
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Morphine sulfate, a narcotic analgesic, causes sedation and a decrease in level of consciousness. (B) The side effects of morphine sulfate include respiratory depression. (C) Morphine sulfate causes peripheral vasodilation, which decreases afterload, producing a decrease in the myocardial workload. (D) Morphine sulfate alters the perception of pain through an unclear mechanism. This alteration promotes pain relief.
NEW QUESTION # 552
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
- A. Assigning her to occupational therapy
- B. Helping her to make friends
- C. Facilitating communication
- D. Having her sit with the nurses while they chart
Answer: C
Explanation:
Explanation
(A) The nurse does not make this assignment. (B) One-to-one observation is not appropriate. It does not focus on the client or encourage communication. (C) The client is too suspicious to accomplish this goal. (D) The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations.
NEW QUESTION # 553
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