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Passing the NCLEX-RN exam is a critical step in becoming a licensed registered nurse. It is a requirement for licensure in all 50 U.S. states, the District of Columbia, and the U.S. territories of Guam, American Samoa, and the Northern Mariana Islands. Additionally, many Canadian provinces also require the NCLEX-RN for licensure. NCLEX-RN exam is administered year-round, and candidates must register and pay a fee in order to take the exam.
To be eligible to take the NCLEX-RN exam, nurses must first complete an accredited nursing program, either a diploma program, an associate degree program, or a bachelor's degree program. Once they have completed their program, they must apply for licensure with their state board of nursing and register with Pearson VUE, the organization that administers the exam. After registering, they will receive an Authorization to Test (ATT) and can schedule their exam date and location.
NCLEX-RN (National Council Licensure Examination) is a standardized examination that assesses the knowledge, skills, and abilities of registered nurses seeking licensure in the United States and Canada. NCLEX-RN Exam is considered a crucial milestone in the journey of becoming a registered nurse. It is designed to test the candidate's ability to apply the nursing knowledge and skills in a clinical setting and ensure that they possess the necessary competency to provide safe and effective patient care.
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q579-Q584):
NEW QUESTION # 579
When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?
- A. Elevated serum calcium
- B. Elevated serum protein
- C. Elevated serum sodium
- D. Elevated hematocrit
Answer: D
Explanation:
Section: Questions Set A
Explanation:
(A) Sodium enters the edema fluid in the burned area, lowering the sodium content of the vascular fluid.
Hyponatremia may continue for days to several weeks because of sodium loss to edema, sodium shifting into the cells, and later, diuresis. (B) Hypocalcemia occurs because of calcium loss to edema fluid at the burned site (third space fluid). (C) Protein loss occurs at the burn site owing to increased capillary permeability. Serum protein levels remain low until healing occurs. (D) Hematocrit level is elevated owing to hemoconcentration from hypovolemia. Anemia is present in the postburn stage owing to blood loss and hemolysis, but it cannot be assessed until the client is adequately hydrated.
NEW QUESTION # 580
A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurse's first action when admitting the client will be to:
- A. Complete the history profile
- B. Obtain vital signs
- C. Ask the client if he is still having chest pain
- D. Connect the client to the cardiac monitor
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Obtaining vital signs is important after connecting the client to the monitor because vital signs should be stable before the client is discharged from the emergency room. (B) All are important, but the first priority is to monitor the client's rhythm. (C) If the client is in severe pain, pain medication should be given after connecting him to the monitor and obtaining vital signs. (D) Completion of the history profile is the least important of the nursing actions.
NEW QUESTION # 581
A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:
- A. Stimulates the manufacturing of platelets
- B. Interferes with the synthesis of vitamin K-dependent clotting factors
- C. Prevents the conversion of prothrombin to thrombin
- D. Dissolves any clots already formed in the arteries
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Thrombolytic agents (e.g., streptokinase) directly activate plasminogen, dissolving fibrin deposits, which in turn dissolves clots that have already formed. (B) Heparin prevents the formation of clots by potentiating the effects of antithrombin III and the conversion of prothrombin to thrombin. (C) Warfarin prevents the formation of clots by interfering with the hepatic synthesis of the vitamin K-dependent clotting factors. (D) Platelets initiate the coagulation of blood by adhering to each other and the site of injury to form platelet plugs.
NEW QUESTION # 582
A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:
- A. Syringe
- B. Gavage tube
- C. A straw and cup
- D. Nipple and bottle
Answer: A
Explanation:
(A) A gavage tube may damage suture line. It is the most invasive and should be the last measure. (B) A nipple and bottle require sucking, which may damage sutures. (C) A 3month-old infant is not able to drink from a straw. (D) A syringe allows for the formula to be placed to the side and back of the mouth. This minimizes the amount of sucking needed.
NEW QUESTION # 583
A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:
- A. Elevated temperature and general malaise
- B. Marked engorgement, elevated temperature, chills, and breast pain with an area that is red and hardened
- C. Marked engorgement and breast pain
- D. Cracked nipple with complaints of soreness
Answer: B
Explanation:
(A)
Mastitis is a bacterial inflammation of the breast tissue found primarily in breast-feeding mothers. The bacteria usually enter the breast through a cracked nipple, or the infection results from stasis of milk behind a blocked duct. (B) With breast engorgement during breast-feeding, there may be marked breast pain. This is not necessarily a sign of infection.
(C)
Women may become ill during breast-feeding with other bacterial or viral infections that are not related to mastitis. (D) Improper care of the nipples or improper positioning of the infant during breastfeeding may result in cracked or sore nipples.
NEW QUESTION # 584
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