PASS GUARANTEED QUIZ HIGH-QUALITY NCLEX - NCLEX-RN - NATIONAL COUNCIL LICENSURE EXAMINATION(NCLEX-RN) HOTTEST CERTIFICATION

Pass Guaranteed Quiz High-quality NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Hottest Certification

Pass Guaranteed Quiz High-quality NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Hottest Certification

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Passing the NCLEX-RN exam is a critical step towards becoming a licensed registered nurse in the United States. NCLEX-RN exam is designed to be challenging, and candidates must demonstrate a high level of knowledge, skill, and competency to pass. However, passing the NCLEX-RN Exam is an essential step towards a rewarding career in nursing, and successful candidates can look forward to a fulfilling and challenging career helping patients and making a difference in their communities.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q23-Q28):

NEW QUESTION # 23
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 pulse rate
  • B. Increased expectorate of secretions
  • C. Decreased inspiratory difficulty
  • D. Increased respiratory rate

Answer: C

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 -, 1, and 2-receptors causing sympathomimetic stimulation (e.g.,
bronchodilation). (D) The person with asthma fights to inspire sufficient air thus increasing respiratory rate.


NEW QUESTION # 24
Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclampsia. In counseling her about her diet, the nurse must emphasize the importance of:

  • A. Eating a moderate to high-protein diet
  • B. Increasing her carbohydrate intake
  • C. Decreasing her sodium intake
  • D. Decreasing her fluids

Answer: A

Explanation:
Explanation
(A) Women with pregnancy-induced hypertension have a reduced plasma volume secondary to venous vessel constriction, not hypovolemia; therefore, sodium restriction is not recommended. It is suggested that these women avoid extremely salty foods. (B) Drinking six to eight glasses of water per day facilitates optimal fluid volume and renal perfusion, but it will not decrease the venous vessel constriction of pregnancy-induced hypertension. (C) Carbohydrate needs increase during pregnancy, specifically during the second and third trimesters, but they have not been linked to pregnancy-induced hypertension. (D) Loss of urinary protein (proteinuria) is associated with increased permeability of the large protein molecules with pregnancy-induced hypertension.Additional dietary protein also helps increase the plasma colloidal osmotic pressure. Diets deficient in protein have been linked to pregnancy-induced hypertension.


NEW QUESTION # 25
Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and fullthickness burns to 25% of her body?

  • A. Hypertension
  • B. Edema
  • C. Bulging fontanelle
  • D. Urine output

Answer: D

Explanation:
Explanation
(A) Urinary output is a reliable indicator of renal perfusion, which in turn indicates that fluid resuscitation is adequate. IV fluids are adjusted based on the urinary output of the child during fluid resuscitation. (B) Edema is an indication of increased capillary permeability following a burn injury. (C) Hypertension is an indicator of fluid volume excess. (D) Fontanelles close by 18 months of age.


NEW QUESTION # 26
Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care unit. He was extubated prior to leaving the suite. On arrival at the postanesthesia care unit, the nurse should:

  • A. Check airway, feeling for amount of air exchange noting rate, depth, and quality of respirations
  • B. Obtain pulse and blood pressure readings noting rate and quality of pulse
  • C. Reassure the client that his surgery is over and that he is in the recovery room
  • D. Review physician's orders, administering medications as ordered

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A) Adequate air exchange and tissue oxygenation depend on competent respiratory function. Checking the airway is the nurse's priority action. (B) Obtaining the vital signs is an important action, but it is secondary to airway management. (C) Reorienting a client to time, place, and person after surgery is important, but it is secondary to airway and vital signs. (D) Airway management takes precedence over physician's orders unless they specifically relate to airway management.


NEW QUESTION # 27
Which of the following would differentiate acute from chronic respiratory acidosis in the assessment of the trauma client?

  • A. Decreased base excess
  • B. Increased PaCO2
  • C. Decreased PaO2
  • D. Increased HCO3

Answer: D

Explanation:
Section: Questions Set A
Explanation:
(A) Increased CO2 will occur in both acute and chronic respiratory acidosis. (B) Hypoxia does not determine acid-base status. (C) Elevation of HCO3 is a compensatory mechanism in acidosis that occurs almost immediately, but it takes hours to show any effect and days to reach maximum compensation. Renal disease and diuretic therapy may impair the ability of the kidneys to compensate. (D) Base excess is a non-respiratory contributor to acid-base balance. It would increase to compensate for acidosis.


NEW QUESTION # 28
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