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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.
Preparing for the NCLEX-RN exam is a significant undertaking, and many nursing graduates spend months studying and preparing for the exam. There are many resources available to help nursing graduates prepare for the exam, including review books, study guides, and online practice exams. Many nursing programs also offer NCLEX-RN Preparation courses to help their students prepare for the exam.
NCLEX-RN exam is a computer-adaptive test that is administered by the National Council of State Boards of Nursing (NCSBN). It consists of between 75 and 265 questions, depending on how well the test taker performs. NCLEX-RN exam covers a wide range of nursing-related topics, including health promotion and maintenance, safety and infection control, pharmacology, and psychological and physiological integrity. The NCLEX-RN exam is widely regarded as one of the most challenging professional exams, and requires a significant amount of preparation and study.
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NEW QUESTION # 546
A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering:
Answer: D
Explanation:
(A) Digoxin is a cardiac glycoside given to clients in heart failure to improve their myocardial contractility. (B) Furosemide is a loop diuretic given to clients in heart failure to promote diuresis. (C) O2is given to clients in heart failure to increase oxygenation and to prevent or treat hypoxemia. (D) Nitroglycerin is a nitrate given to clients in heart failure to increase their cardiac output by decreasing the peripheral resistance that the left ventricle must pump against.
NEW QUESTION # 547
A dose of theophylline may need to be altered if a client with COPD:
Answer: C
Explanation:
Explanation/Reference:
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 # 548
A female client has just died. Her family is requesting that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include:
Answer: C
Explanation:
(A) It is rare that a hospital has a specific policy addressing this particular issue. If the statement is true, the nurse should show evidence of the policy to the family and suggest alternatives, such as the hospital chapel. (B) Refusal to leave the room demonstrates a lack of understanding related to the family's need to grieve in their own manner. (C) The nurse should leave the room and allow the family privacy in their grief. (D) The family's wish to conduct a religious ceremony in the client's room is part of the grief process. The request is based on specific cultural and religious differences dictating social customs.
NEW QUESTION # 549
A female client who has chronic obstructive pulmonary disease (COPD) has presented in the emergency department with cough productive of yellow sputum and increasing shortness of breath. On room air, her blood gases are as follows: pH 7.30 mm Hg, PCO2 60 mm Hg, PO2 55 mm Hg, HCO3 32 mEq/L. These arterial blood gases reflect:
Answer: A
Explanation:
(A) In compensated respiratory acidosis, the pH level is normal, the PCO2level is elevated, and the HCO3level is elevated. The client's primary alteration is an inability to remove CO2from the lungs, so over time, the kidneys increase reabsorption of HCO3to buffer the CO2. (B) Normal ranges for arterial blood gases for adults and children are as follows: pH 7.35-7.45, PO280-100 mm Hg, PCO235-45 mm Hg, HCO321-28 mEq/L. (C) In uncompensated metabolic acidosis the pH level is decreased, the PCO2level is normal, and the HCO3level is decreased. The client's primary alteration is an inability to remove excess acid via the kidneys. The lungs are unable to clear the increased acid. (D) In uncompensated respiratory acidosis, the pH level is decreased, the PCO2level is increased, and the HCO3level is normal. In a person with long-standing COPD, the HCO3level will rise gradually over time to compensate for the gradually increasing PCO2, and the person's pH level will be normal. When a person with COPD becomes acutely ill, the kidneys do not have time to increase the reabsorption of HCO3, so the person's pH level will reflect acidosis even though the HCO3is elevated.
NEW QUESTION # 550
A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to be boggy. The nurse's first action should be to:
Answer: A
Explanation:
Explanation
(A) The nurse should first implement independent and dependent measures to achieve uterine tone before calling the physician. (B) Assessment of vital signs will not help to restore uterine atony, which is the priority need. (C) Giving a prescribed oxytocic drug would be necessary ifthe uterus did not maintain tone with massage. (D) Fundal massage generally restores uterine tone within a few moments and should be attempted first.
NEW QUESTION # 551
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