Updated NCLEX-RN CBT | NCLEX-RN Best Practice
Updated NCLEX-RN CBT | NCLEX-RN Best Practice
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NCLEX-RN exam is computer-adaptive, which means that the difficulty of the questions is based on the test-taker's performance. NCLEX-RN exam consists of multiple-choice and alternate-format questions, including select-all-that-apply, fill-in-the-blank, and ordered response. NCLEX-RN exam is designed to test a broad range of nursing knowledge, including anatomy and physiology, pharmacology, nursing procedures, and patient care.
NCLEX-RN is a computer-based exam and is designed to evaluate the nurse's ability to apply knowledge, skills, and critical thinking to the care of patients. NCLEX-RN Exam consists of a minimum of 75 questions and a maximum of 265 questions. The number of questions administered is determined by an algorithm that adapts to the individual's performance. NCLEX-RN exam is designed to measure the nurse's ability to make decisions, prioritize patient care, and provide safe and effective care.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q345-Q350):
NEW QUESTION # 345
Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am just no good." Which response by the nurse is most appropriate at this time?
- A. "You've been feeling sad and alone for some time now?"
- B. "I don't think you are worthless. I'm glad to see you, and we will help you."
- C. "I know with your wife and new baby that you do have a lot to live for."
- D. "Don't you think this is a sign of your illness?"
Answer: A
Explanation:
Explanation
(A) This response does not acknowledge the client's feelings.
(B) This is a closed question and does not encourage communication.
(C) This response negates the client's feelings and does not require a response from the client. (D) This acknowledges the client's implied thoughts and feelings and encourages a response.
NEW QUESTION # 346
A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made. What behaviors might indicate the possibility of maternal deprivation?
- A. Finicky eater, easily pacified, cuddly
- B. Responsive to touch, wants to be held
- C. Uncomforted by touch, refuses bottle
- D. Maintains eye-to-eye contact
Answer: C
Explanation:
Section: Questions Set B
Explanation:
(A) Normal infant attachment behaviors include responding to touch and wanting to be held. (B) Maternal deprivation behaviors include poor feeding, stiffening and refusal to eat, and inconsistencies in responsiveness. (C) Attachment behavior includes maintaining eye contact. (D) Maternal deprivation behaviors include displeasure with touch and physical contact.
NEW QUESTION # 347
A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?
- A. D5W
- B. D5in lactated Ringer's
- C. D5in normal saline
- D. 0.9 normal saline
Answer: D
Explanation:
Explanation
(A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringer's lactate would increase serum glucose.
NEW QUESTION # 348
A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?
- A. "Start the child on solid food."
- B. "Nurse the child more frequently during this growth spurt."
- C. "Wait 4 hours between feedings so that your breasts will fill up."
- D. "Provide supplements for the child between breastfeeding so you will have enough milk."
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Solid foods introduced before 4-6 months of age are not compatible with the abilities of the GI tract and the nutritional needs of the infant. (B) Production of milk is supply and demand. A common growth spurt occurs at 3 months of age, and more frequent nursing will increase the milk supply to satisfy the infant. (C) Supplementation will decrease the infant's appetite and in turn decrease the milk supply. When the infant nurses less often or with less vigor, the amount of milk produced decreases. (D) Rigid feeding schedules lead to a decreased milk supply, whereas frequent nursing signals the mother's body to produce a correspondingly increased amount of milk.
NEW QUESTION # 349
A 15-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia. Which of the following would be included in educating the mother and child as part of discharge planning?
- A. Know the signs and symptoms of iron overload.
- B. Have the child's blood pressure monitored every week.
- C. Give oral iron medication every day.
- D. Keep exercise at a minimum to reduce stress.
Answer: A
Explanation:
(A) Oral iron supplements are contraindicated in thalassemia. (B) Although heart failure may be an end result of this disease, this action is unnecessary. (C) Iron overload is a potential complication of frequent blood transfusions of children with thalassemia. (D) Children should be encouraged to pursue activities related to their exercise tolerance.
NEW QUESTION # 350
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