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NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN) –Trustable Test Objectives Pdf

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The NCLEX-RN® exam is the licensing exam for entry-level nurses. This exam covers the required knowledge, skills, and attitudes to become a licensed registered nurse in the United States. The NCLEX-RN® exam is taken by nurses who are preparing to be licensed as registered nurses. It is taken after graduation from an approved nursing program. Students must have been accepted by an approved school. NCLEX certifications is the pathway to the NCSBN Board Certification in Nursing. ConfidentNursing (CN) certification is the pathway to the Certified Nurse Aide (CNA) credential. Nurse assesses(NARN), and the CNA credential is the pathway to the Certified Nursing Assistant (CNA) credential. Arterial puncture is the pathway to the Registered Respiratory Therapist(RRT). The exam is designed to test your knowledge of the basic concepts of nursing as they apply to nursing practice. NCLEX-RN Dumps is study the required knowledge, skills, and attitudes for the NCLEX-RN® exam. Exam files are made available on the NCSBN website, which is a free service to all who wish to take the exam. Exam sources are included in each file.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q278-Q283):

NEW QUESTION # 278
The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly-High risk for injury: Increased susceptibility to bleeding related to:

  • A. Increased absorption of vitamin K
  • B. Thrombocytopenia due to hypersplenism
  • C. Diminished function of the Kupffer cells
  • D. Increased synthesis of the clotting factors

Answer: B Explanation:
(A) There is a decreased absorption of vitamin K with cirrhosis of the liver. This decrease impairs blood coagulation and the formation of prothrombin. (B) Thrombocytopenia, an increased destruction of platelets, occurs secondary to hypersplenism. (C) A diminished function of the Kupffer cells occurs with cirrhosis of the liver, causing the client to become more susceptible to infections. (D) A decrease in the synthesis of fibrinogen and clotting factors VII, IX, and X occurs with cirrhosis of the liver and increases the susceptibility to bleeding.
NEW QUESTION # 279
Proper positioning for the child who is in Bryant's traction is:

  • A. Both legs extended, and the hips are not flexed
  • B. Both hips flexed at a 90-degree angle with the knees extended and the buttocks elevated off the bed
  • C. Both hips and knees maintained at a 90-degree flexion angle, and the back flat on the bed
  • D. The affected leg extended with slight hip flexion

Answer: B Explanation:
(A) The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. (B) The child in Buck's extension traction maintains the legs extended and parallel to the bed. (C) The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. (D) The child in "90-90" traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.
NEW QUESTION # 280
A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment, cognitive impairment, extremely impaired judgment in social situations, and agitation when placed in a new situation or around unfamiliar people. The nurse should include the following strategy in the client's care:

  • A. Give the client two or three choices to decide what she wants to do.
  • B. Ask the client to go to an activity once. If she gives no response right away, change the question around, asking the same thing.
  • C. Encourage the client to attend all structured activities on the unit, whether she wants to or not.
  • D. Maintain routines and usual structure and adhere to schedules.

Answer: D Explanation:
Explanation/Reference:
Explanation:
(A) Alzheimer's clients cope poorly with changes in routine because of memory deficits. Schedule changes cause confusion and frustration, whereas adhering to schedules is helpful and supports orientation. (B) Insisting that the client go to all unit activities may antagonize her and increase her agitation because of cognitive impairments. It may be better to allow the client time for calming down or distraction rather than to insist that she attend every activity. (C) When repeating a question, allow time first for a response; then use the same words the second time to avoid further confusion. (D) The nurse should avoid giving several choices at once. Cognitively impaired clients will become more frustrated with making decisions.
NEW QUESTION # 281
The initial treatment for a client with a liquid chemical burn injury is to:

  • A. Apply lanolin ointment to the area
  • B. Inject calcium chloride into the burned area
  • C. Irrigate the area with neutralizing solutions
  • D. Flush the exposed area with large amounts of water

Answer: D Explanation:
Explanation/Reference:
Explanation:
(A) In the past, neutralizing solutions were recommended, but presently there is concern that these solutions extend the depth of burn area. (B) The use of large amounts of water to flush the area is recommended for chemical burns. (C) Calcium chloride is not recommended therapy and would likely worsen the problem. (D) Lanolin is of no benefit in the initial treatment of a chemical injury and may actually extend a thermal injury.
NEW QUESTION # 282
A 50-year-old depressed client has recently lost his job. He has been reluctant to leave his hospital room.
Nursing care would include:

  • A. Providing sensory stimulation
  • B. Encouraging the client to discuss why he is so sad
  • C. Monitoring elimination patterns
  • D. Forcing the client to attend all unit activities

Answer: C Explanation:
Explanation/Reference:
Explanation:
(A) The client should be encouraged to attend the unit activities. The nurse and client should choose a few activities for the client to attend that will be positive experiences for him. (B) The nurse should encourage the client to discuss his feelings and to begin to deal with the depression. (C) Depressed persons often have little appetite and poor fluid intake. Constipation is common. (D) A calm, consistent level of stimuli is most effective. Sensory deprivation and overstimulation should be avoided.
NEW QUESTION # 283
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