FREE PDF NCLEX - NCLEX-RN - NATIONAL COUNCIL LICENSURE EXAMINATION(NCLEX-RN)–PROFESSIONAL LATEST TEST SIMULATOR

Free PDF NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN)–Professional Latest Test Simulator

Free PDF NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN)–Professional Latest Test Simulator

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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that aspiring registered nurses must pass to become licensed in the United States. NCLEX-RN Exam is designed to test the knowledge, skills, and abilities necessary for safe and effective nursing practice. It is administered by the National Council of State Boards of Nursing (NCSBN) and is used by all state boards of nursing to determine eligibility for licensure.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q632-Q637):

NEW QUESTION # 632
A newborn infant is exhibiting signs of respiratory distress. Which of the following would the nurse recognize as the earliest clinical sign of respiratory distress?

  • A. Cyanosis
  • B. Increased respirations
  • C. Sternal and subcostal retractions
  • D. Decreased respirations

Answer: C

Explanation:
Explanation
(A) Cyanosis is a late clinical sign of respiratory distress. (B) Rapid respirations are normal in a newborn. (C) The newborn has to exert an extra effort for ventilation, which is accomplished by using the accessory muscles of ventilation. The diaphragm and abdominal muscles are immature and weak in the newborn. (D) Decreased respirations are a late clinical sign. In the newborn, decreased respirations precede respiratory failure.


NEW QUESTION # 633
A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?

  • A. A pull toy to encourage locomotion
  • B. A mobile to improve hand-eye coordination
  • C. A large toy with movable parts to improve pincer grasp
  • D. Various large colored blocks to teach visual discrimination

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Increased locomotive skills make push-pull toys appropriate for the energetic toddler. (B) Infants progress from reflex activity through simple repetitive behaviors to imitative behavior. Hand-eye coordination forms the foundation of other movements. (C) At age 8 months, infants begin to have pincer grasp. Toys that help infants develop the pincer grasp are recommended for this age group. (D) Various large colored blocks are suggested toys for infants 6-12 months of age to help visual stimulation.


NEW QUESTION # 634
A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?

  • A. Increase your oral intake of fluids to at least 4000 mL every day.
  • B. Immediately stop taking the prednisone if you feel depressed.
  • C. Brush your teeth at least 4 times a day with a firm toothbrush.
  • D. Avoid contact with people who have contagious illnesses.

Answer: D

Explanation:
Explanation
(A) Fluid retention is a side effect of prednisone. The nurse should teach clients to weigh themselves daily and to observe for signs of edema. If these signs of fluid retention occur, they should notify the physician. (B) Prednisone, a glucocorticoid, suppresses the normal immune response making the client more susceptible to infections. (C) An increase in bleeding tendencies is a side effect of prednisone therapy. The nurse should teach clients to use preventive measures (i.e., electric razors and soft toothbrushes). (D) Depression and personality changes are side effects of prednisone therapy. Prednisone should never be discontinued abruptly.


NEW QUESTION # 635
A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurse's most therapeutic response will be:

  • A. "She may be here, but I can't see her."
  • B. "OK, I'll come back later when you're feeling more like taking your medicine."
  • C. "I don't see your mother in the room. Let's talk about how you're feeling."
  • D. "Why don't you finish talking to her, and I'll wait."

Answer: C

Explanation:
(A) This response uses the principle of reality orientation by the nurse telling the client that he or she does not see anything, but it does recognize his feelings. (B) This response does not make it clear that the nurse does not see anyone else in the room, and the nurse leaves the client alone to continue hallucinating. (C) This response leaves room for doubt; the nurse is further confusing the client by this statement. (D) This response reinforces the hallucination and implies that the nurse sees his mother, too.


NEW QUESTION # 636
A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy.
The nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

  • A. "My stool will be soft like paste."
  • B. "My stoma should be red and slightly raised."
  • C. "The skin around my stoma may become irritated from the enzymes in my stool."
  • D. "I know that I am not supposed to irrigate my colostomy."

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) A left colostomy indicates an ascending colon resection. This type of colostomy can be irrigated. (B) The stool from an ascending colon resection should be formed. (C) The healthy stoma should be red and slightly raised. If it begins to turn dark or blue, the client should see the physician immediately. (D) The stool in the ascending colon does not usually have many enzymes in it. Stool from an ileostomy has more enzymes and is more irritating to the skin.


NEW QUESTION # 637
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