FREE PDF HIGH-QUALITY NCLEX-RN - NATIONAL COUNCIL LICENSURE EXAMINATION(NCLEX-RN) GUARANTEED SUCCESS

Free PDF High-quality NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Guaranteed Success

Free PDF High-quality NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Guaranteed Success

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Passing the NCLEX-RN exam is a critical step towards becoming a licensed registered nurse. In addition to passing the exam, nurses must also meet other requirements for licensure, such as completing a nursing program and passing a criminal background check. Once licensed, nurses must also fulfill continuing education requirements to maintain their license and stay up-to-date on the latest developments in nursing practice.

NCLEX-RN exam is a comprehensive test that covers a wide range of topics related to nursing practice. NCLEX-RN Exam is designed to assess the candidate's ability to provide safe and effective care to patients across the lifespan, from newborns to elderly adults. NCLEX-RN exam consists of multiple-choice questions, as well as alternate format questions such as select-all-that-apply and fill-in-the-blank. The NCLEX-RN is a rigorous exam, and it is designed to ensure that only those who have the knowledge and skills necessary to provide safe and effective nursing care are licensed to practice as registered nurses.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q423-Q428):

NEW QUESTION # 423
A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:

  • A. Wheezing and dry cough
  • B. Rhonchi and frothy sputum
  • C. Crackles and paradoxical chest wall movement
  • D. Decreased breath sounds on the left and chest pain with movement

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Crackles are caused by air moving through moisture in the small airways and occur with pulmonary edema. Paradoxical chest wall movement occurs with flail chest when a segment of the thorax moves outward on inspiration and inward on expiration. (B) Decreased breath sounds occur when a lung is collapsed or partially collapsed. Chest pain with movement occurs with rib fractures. (C) Rhonchi are caused by air moving through large fluid-filled airways. Frothy sputum may occur with pulmonary edema.
(D) Wheezing is caused by fluid in large airways already narrowed by mucus or bronchospasm. Dry cough could indicate a cardiac problem.


NEW QUESTION # 424
Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?

  • A. Creatinine
  • B. Sodium
  • C. Calcium
  • D. Potassium

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) A common side effect of gentamicin is nephrotoxicity. The serum laboratory test that best reflects kidney function is serum creatinine. (B) Serum sodium has no relationship to gentamicin. (C) Serum calcium has no relationship to gentamicin. (D) Serum potassium has no relationship to gentamicin. If a client has impaired renal function secondary to gentamicin administration, he or she may also have hyperkalemia as a secondary disorder.


NEW QUESTION # 425
A 48-year-old client is in the surgical intensive care unit after having had three-vessel coronary artery bypass surgery yesterday. She is extubated, awake, alert and talking. She is receiving digitalis for atrial arrhythmias.
This morning serum electrolytes were drawn. Which abnormality would require immediate intervention by the nurse after contacting the physician?

  • A. Serum potassium is low. The nurse should administer KCl as ordered.
  • B. Serum sodium is low. The nurse should change IV fluids to normal saline.
  • C. Blood urea nitrogen is subnormal. The nurse should increase the protein in the client's diet as soon as possible.
  • D. Serum osmolality is elevated indicating hemoconcentration.The nurse should increase IV fluid rate.

Answer: A

Explanation:
Explanation
(A) An elevated serum osmolality poses no immediate danger and is not corrected rapidly. (B) A low serum sodium alone does not warrant changing IV fluids to normal saline. Other assessment parameters, such as hydration status, must be considered. (C) A low serum blood urea nitrogen is not necessarily indicative of protein deprivation. It may also be the result of overhydration. (D)A low serum potassium potentiates the effects of digitalis, predisposing the client to dangerous arrhythmias. It must be corrected immediately.


NEW QUESTION # 426
A client has developed congestive heart failure secondary to his myocardial infarction. Discharge diet instructions should emphasize the reduction or avoidance of:

  • A. Canned vegetables and fruit
  • B. Fish
  • C. Fresh vegetables and fruit
  • D. Breads, cereals, and rice

Answer: A

Explanation:
Explanation
(A) Fresh vegetables and fruits are excellent sources of essential vitamins. (B) Canned and frozen foods have a high sodium content. Labels of all canned foods should be read to determine if sodium is used in any form. (C) Bread, cereal, and rice are excellent sources of carbohydrates. (D) Fish is an excellent source of protein.


NEW QUESTION # 427
The client tells the nurse, "I have pain in my left shoulder."
This is considered:

  • A. Evaluation process
  • B. Complaining
  • C. Subjective information
  • D. Objective information

Answer: C

Explanation:
(A) Evaluation process follows a nursing intervention. (B) Objective information can be measured. (C) Subjective information is provided by a person. (D) Client is reporting a symptom that needs to be assessed.


NEW QUESTION # 428
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