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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that assesses the competency of nursing graduates for entry-level nursing practice. NCLEX-RN exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) and it is required for all nurses who want to practice in the United States and Canada. The NCLEX-RN Exam is designed to test nursing knowledge, skills, and abilities required for safe and effective nursing practice. Passing the NCLEX-RN exam is a requirement for obtaining a nursing license and becoming a registered nurse.
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LatestCram presents NCLEX-RN exam questions in a convenient PDF format for effective preparation for the National Council Licensure Examination(NCLEX-RN) (NCLEX-RN) exam. NCLEX NCLEX-RN exam questions PDF file is designed for easy comprehension, allowing you to download it onto various smart devices. Whether you possess a PC, laptop, Mac, tablet, or smartphone, accessing your NCLEX-RN Practice Exam Questions PDF anytime and anywhere is effortless.
Understand the topics of the NCLEX-RN Exam.
The certification topics of NCLEX-RN Exam
- Health Screening
- High Risk Behaviors, and Self-Care.
- Physical Assessment Techniques
- Disease Prevention
NCLEX-RN exam is computerized and adaptive, meaning that the difficulty of the questions is adjusted based on the candidate's performance. NCLEX-RN Exam is designed to measure the candidate's ability to apply knowledge, skills, and judgment in a variety of clinical situations. NCLEX-RN exam is divided into four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q99-Q104):
NEW QUESTION # 99
A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?
- A. 25 µ g/mL
- B. 4 µ g/mL
- C. 30 µ g/mL
- D. 14 µ g/mL
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) The therapeutic blood level range of theophylline is 10-20 mg/mL. Therapeutic drug monitoring determines effective drug dosages and prevents toxicity. (B, D) This value is a toxic level of the drug. (C) This value is a nontherapeutic level of the drug.
NEW QUESTION # 100
A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?
- A. Carbamazepine (Tegretol), haloperidol, and trihexyphenidyl (Artane)
- B. Thioridazine (Mellaril), lithium, and benztropine
- C. Sodium, potassium, and magnesium
- D. Atropine, sodium brevitol, and succinylcholine chloride (Anectine)
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Thioridazine (an antipsychotic drug), lithium (an antimanic drug), and benztropine (an antiparkinsonism agent) are generally administered to treat schizophrenic and bipolar disorders. (B) Atropine (a cholinergic blocker), sodium brevitol (a shortacting anesthetic), and succinylcholine (a neuromuscular blocker) are administered either before or during ECT to coun teract bradycardia and to provide anesthesia and total muscle relaxation. (C) These are electrolyte substances administered to correct fluid and electrolyte imbalances in the body. (D) Carbamazepine (an anticonvulsant), haldoperidol (an antipsychotic), and trihexyphenydyl (an antiparkinsonism agent) are usually administered in psychiatric settings to control problems associated with psychotic behavior.
NEW QUESTION # 101
A 50-year-old depressed client has recently lost his job. He has been reluctant to leave his hospital room.
Nursing care would include:
- A. Forcing the client to attend all unit activities
- B. Encouraging the client to discuss why he is so sad
- C. Monitoring elimination patterns
- D. Providing sensory stimulation
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) The client should be encouraged to attend the unit activities. The nurse and client should choose a few activities for the client to attend that will be positive experiences for him. (B) The nurse should encourage the client to discuss his feelings and to begin to deal with the depression. (C) Depressed persons often have little appetite and poor fluid intake. Constipation is common. (D) A calm, consistent level of stimuli is most effective. Sensory deprivation and overstimulation should be avoided.
NEW QUESTION # 102
A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:
- A. "Just don't pay attention to the voices. They'll go away after some medication."
- B. "You can't leave here. This unit is locked and the doctor has not ordered your discharge."
- C. "We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that."
- D. "I understand that the voices are real to you, but I want you to know I don't hear them. They are a symptom of your illness."
Answer: D
Explanation:
Explanation
(A) This response validates the client's experience and presents reality to him. (B) This nontherapeutic response minimizes and dismisses the client's verbalized experience. (C) This response can be interpreted by a paranoid client as a threat, thereby increasing the client's potential for violence and loss of control. (D) This response is also threatening. The client's behavior does not call for restraints because he has not lost control or hurt anyone. If seclusion or restraints were indicated, the nurse should never confront the client alone.
NEW QUESTION # 103
A 70-year-old client is almost finished receiving her second unit of packed red blood cells. The client, who weighs 80 lb, has started complaining of being short of breath and now has crackles in the bases of her lungs.
After slowing or stopping the transfusion, the most appropriate initial nursing action would be to:
- A. Administer furosemide (Lasix) 20 mg IV push
- B. Place the client on 2 liters of O2 via nasal cannula
- C. Raise the client's head and place her feet in a dependent position
- D. Notify the physician
Answer: C
Explanation:
Section: Questions Set C
Explanation:
(A) Raising the client's head and placing her feet in a dependent position is an independent nursing action that can be taken to decrease venous return and to reduce pulmonary congestion. (B) Notifying the physician is an appropriate action that should be taken after the client is positioned to maximize her respiratory status. (C) Placing the client on O2may be done with a physician's order or according to an institution's standing orders; however, other actions should be taken first. (D) Furosemide 20 mg IV push is an appropriate medication for the client, but it must be ordered by her physician.
NEW QUESTION # 104
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