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Get to know about the prerequisites of NCLEX-RN Exam
There are no prerequisites to take the NCLEX-RN exam.
The NCLEX-RN exam is a challenging and rigorous test that requires adequate preparation. Test-takers should review and understand the test content, become familiar with the computer-based format, and practice answering questions in a timed setting. There are several resources available to help RNs prepare for the NCLEX-RN exam, such as review courses, study guides, practice tests, and online resources. With proper preparation and a thorough understanding of the exam content, RNs can successfully pass the NCLEX-RN exam and become licensed to practice nursing in the United States.
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The NCLEX-RN exam is a computerized adaptive test (CAT), which means that the difficulty of the questions is adjusted based on the test-taker’s performance. The exam is composed of between 75 and 265 questions, and the test-taker must answer a minimum of 75 questions in order to pass. The exam covers a wide range of topics, including pharmacology, nursing care of patients with acute and chronic illnesses, and ethical and legal considerations in nursing practice.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q581-Q586):
NEW QUESTION # 581
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?
- A. 118/70 to 130/88
- B. 130/88 to 144/92
- C. 136/90 to 148/100
- D. 150/96 to 160/104
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A, B, C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. (D) The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A-C choices, and client should receive more frequent evaluations and care.
NEW QUESTION # 582
A 68-year-old man was recently diagnosed with endstage renal disease. He has not yet begun dialysis but is experiencing severe anemia with associated symptoms of dyspnea on exertion and chest pain. Which statement best describes the management of anemia in renal failure?
- A. Anemia in renal failure is frequently caused by low serum iron and ferritin and corrected by oral iron and ferritin replacement therapy.
- B. The renal secretion of erythropoiesis is decreased. The bone marrow requires erythropoietin to mature red blood cells.
- C. Transfusion is often begun as early as possible to prevent complications of anemia such as dyspnea and angina.
- D. Hematocrit levels usually remain slightly below normalin clients with renal failure.
Answer: B
Explanation:
(A) Clients in renal failure typically have very low hematocrits, often in the range of 16-22%. (B) Transfusion is avoided unless the client exhibits acute symptoms such as dyspnea, chest pain, tachycardia, and extreme fatigue. When the client is given a transfusion, the bone marrow adjusts by producing less red blood cells. (C) Anemia in renal failure is caused primarily by decreased erythropoietin. Low serum iron and ferritin may aggravate the anemia and require treatment. (D) Decreased secretion of erythropoietin by the kidney is the primary cause of anemia. The bone marrow requires this hormone to mature red blood cells. Treatment is with replacement therapy.
NEW QUESTION # 583
A female client is exhibiting signs of respiratory distress. Which of the following signs indicate a possible pneumothorax?
- A. Shortness of breath and sharp pain on the affected side
- B. Increased breath sounds on the affected side
- C. Crackles or rales on the affected side
- D. Bradypnea and bradycardia
Answer: A
Explanation:
(A) With a pneumothorax, air occupies the pleural space. Crackles or rales are heard with increased fluid or secretions and would not be present with air in the space. (B) With a pneumothorax, the client would experience tachypnea and tachycardia to compensate for the decrease in oxygenation. (C) Symptoms of pneumothorax include shortness of breath, sharp pain on the affected side with movement or coughing, asymmetrical chest expansion, and diminished or absent breath sounds on the affected side. (D) With a pneumothorax, breath sounds would be decreased on the affected side (indicates air in the pleural space).
NEW QUESTION # 584
A 16-year-old student has a long history of bronchial asthma and has experienced several severe asthmatic attacks during the school year. The school nurse is required to administer 0.2 mL of 1/1000 solution of epinephrine SC during an asthma attack. How does the school nurse evaluate the effectiveness of this intervention?
- A. Increased respiratory rate
- B. Decreased inspiratory difficulty
- C. Increased pulse rate
- D. Increased expectorate of secretions
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) A side effect of epinephrine is fatal ventricular fibrillation owing to its effects on cardiac stimulation. (B) Medications used to treat asthma are designed to decrease bronchospasm, not to increase expectorate of secretions. (C) Epinephrine decreased inspiratory difficulty by stimulating α-, β1, and β2-receptors causing sympathomimetic stimulation (e.g., bronchodilation). (D) The person with asthma fights to inspire sufficient air thus increasing respiratory rate.
NEW QUESTION # 585
Which of the following physician's orders would the nurse question on a client with chronic arterial insufficiency?
- A. Elevate legs on pillows
- B. Neurovascular checks every 2 hours
- C. Arteriogram in the morning
- D. No smoking
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Neurovascular checks are a routine part of assessment with clients having this diagnosis. (B) Elevation of the legs is contraindicated because it reduces blood flow to areas already compromised. (C) Arteriogram is a routine diagnostic order. (D) Smoking is highly correlated with this disorder.
NEW QUESTION # 586
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