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The National Council Licensure Examination (NCLEX-RN) is a standardized exam that is designed to test the knowledge, skills, and abilities of individuals who wish to practice as registered nurses in the United States. NCLEX-RN exam is required for licensure by all 50 states in the US, as well as the District of Columbia and the US territories of Guam, the Northern Mariana Islands, and American Samoa.
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 National Council Licensure Examination(NCLEX-RN) Sample Questions (Q623-Q628):
NEW QUESTION # 623
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect.
Based on his developmental stage, the nurse:
- A. Explains the procedure using simple words and sentences just before the preoperative sedation
- B. Uses pictures to explain the procedure to the child and his parents that evening
- C. Asks the parents to explain the procedure to the child after she explains it to them
- D. Asks the parents to leave the room while the preoperative medication and instructions are given
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) A toddler is not capable of conceptualizing about the inside of his body and is concerned about body intactness; therefore, diagrams would not be useful. Also, the previous evening is too far from the procedure for the toddler to remember the instructions. (B) A simple explanation the morning of the procedure is the best developmental strategy to use, because it focuses on the toddler's need for parental support, body intactness, and short attention span. (C) A relationship between the nurse and the child needs to develop. Also, misinformation may be given to the child if the parents explain the procedure to the child. (D) The parents are the child's support system and need to be there to strengthen the child.
NEW QUESTION # 624
A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa would be:
- A. Verbalizing realistic feelings about her body
- B. Having an improved perception of her body image
- C. Exhibiting increased self-esteem
- D. Accepting her present body image
Answer: A
Explanation:
Explanation
(A) This outcome criterion is inadequate because the term "accepts" is not directly measurable. (B) This outcome criterion is directly measurable because specific goal-related verbalizations can be heard and verified by the nurse. (C) "Improved perception of body image" is not directly measurable and is therefore open to many interpretations. (D) Although long-term goals for the anorexic client should focus on increased self-esteem, this outcome criterion (as stated) does not include specific indicators or behaviors for which to observe.
NEW QUESTION # 625
During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:
- A. Dyskinesia
- B. Echopraxia
- C. Akathisia
- D. Echolalia
Answer: A
Explanation:
(A) The client is demonstrating dyskinesia, which is involuntary muscular activity, such as tic, spasm, or myoclonus. (B) Akathisia is regular rhythmic movements usually of the lower limbs, such as constant motor restlessness. (C) Echopraxia is mimicking the movements of another person. (D) Echolalia is mimicking the speech of another person.
NEW QUESTION # 626
A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing assessment, which lab value should elicit further assessment and requires notification of physician?
- A. Hematocrit 60%
- B. Bleeding time of 4 minutes
- C. White blood cell (WBC) count 10,000 WBCs/mm3
- D. pH 7.39
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Normal pH of arterial blood gases for an infant is 7.35-7.45. (B) Normal white blood cell count in an infant is 6,000-17,500 WBCs/mm3. (C) Normal hematocrit in infant is 28%-42%. A 60% hematocrit may indicate polycythemia, a common complication of cyanotic heart disease. (D) Normal bleeding time is 2-7 minutes.
NEW QUESTION # 627
A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:
- A. Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus
- B. Bleeding, bruising, and hemorrhage
- C. Pain, pallor, pulselessness, paresthesia, and paralysis
- D. Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Bleeding, bruising, and hemorrhage may occur due to injury but are not classic signs of ischemia. (B) An increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase is related to the disruption of muscle integrity. (C) Classic signs of ischemia related to vascular injury secondary to long bone fractures include the five "P's": pain, pallor, pulselessness, paresthesia, and paralysis. (D) Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus are common clinical manifestations of a fracture but not ischemia.
NEW QUESTION # 628
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