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NCLEX-RN exam is a computer-based test, and candidates can take it at any of the Pearson VUE test centers located throughout the United States. NCLEX-RN exam is available year-round, and candidates can schedule their exam at a convenient time and location. NCLEX-RN exam fee is $200, and candidates are allowed to take the exam up to eight times per year with a minimum waiting period of 45 days between attempts.
Preparing for the NCLEX-RN exam can be a daunting task, but there are many resources available to help test-takers succeed. Many nursing schools offer review courses and study materials, and there are also numerous online resources, books, and practice exams available. It is important for test-takers to develop a study plan and stick to it, as well as to practice good test-taking strategies like time management and process of elimination. With the right preparation and study habits, many nurses have successfully passed the NCLEX-RN Exam and gone on to have successful careers in nursing.
NCLEX-RN exam is computer-adaptive, which means that the difficulty level of the questions is adjusted based on the test-taker's performance. The test consists of multiple-choice questions, with some questions including multimedia components such as videos, charts, and graphics. NCLEX-RN exam covers four major categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity.
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q349-Q354):
NEW QUESTION # 349
A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?
- A. D5in normal saline
- B. D5W
- C. D5in lactated Ringer's
- D. 0.9 normal saline
Answer: D
Explanation:
Explanation/Reference:
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 # 350
Nursing assessment of early evidence of septic shock in children at risk includes:
- A. Normal pulses, hypotension, and oliguria
- B. Elevated blood pressure, hyperventilation, and thready pulses
- C. Fever, tachycardia, and tachypnea
- D. Respiratory distress, cold skin, and pale extremities
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Fever, tachycardia, and tachypnea are the classic early signs of septic shock in children. (B) Respiratory distress, cold skin, and pale extremities are later signs of septic shock. (C) Elevated blood pressure, hyperventilation, and thready pulses are later signs of septic shock. (D) Normal pulses, hypotension, and oliguria are not early signs of septic shock.
NEW QUESTION # 351
A client had a hemicolectomy performed 2 days ago. Today, when the nurse assesses the incision, a small part of the abdominal viscera is seen protruding through the incision. This complication of wound healing is known as:
- A. Decortication
- B. Dehiscence
- C. Excoriation
- D. Evisceration
Answer: D
Explanation:
Explanation
(A) Excoriation is abrasion of the epidermis or of the coating of any organ of the body by trauma, chemicals, burns, or other causes. (B) Dehiscence is a partial or complete separation of the wound edges with no protrusion of abdominal tissue. (C) Decortication is removal of the surface layer of an organ or structure. It is a type of surgery, such as removing the fibrinous peel from the visceral pleura in thoracic surgery. (D) Evisceration occurs when the incision separates and the contents of the cavity spill out.
NEW QUESTION # 352
Which of the following blood values would require further nursing action in a newborn who is 4 hours old?
- A. Serum glucose 30 mg/dL
- B. Hemoglobin 17.2 g/dL
- C. White blood cells 18,000/mm3
- D. Platelets 250,000/mm3
Answer: A
Explanation:
Section: Questions Set F
Explanation:
(A) The normal range for hemoglobin in the newborn is 17-19 g/dL; 17.2 g/dL is within normal limits. (B) A normal value range for platelets in the newborn is 150,000-400,000 mm3; 250,000/mm3 is within normal range. (C) A serum glucose of 30 mg/dL in the first 72 hours of life is indicative of hypoglycemia and warrants further intervention. (D) On the day of birth, a white blood cell count of 18,000-40,000/mm3 is normal in the newborn.
NEW QUESTION # 353
A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:
- A. Adherence to the guidelines are the latest Centers for Disease Control and Prevention recommendations on use of protective apparel.
- B. The risks of exposure of the visitor to infectious organisms is great.
- C. The client is at extreme risk of acquiring infections.
- D. Hospital regulations mandate that everyone in the facility adhere to appropriate codes.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B, D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. (C) Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.
NEW QUESTION # 354
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