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NCLEX-RN exam is computer-adaptive, which means that the difficulty of the questions is based on the test-taker's performance. NCLEX-RN exam consists of multiple-choice and alternate-format questions, including select-all-that-apply, fill-in-the-blank, and ordered response. NCLEX-RN exam is designed to test a broad range of nursing knowledge, including anatomy and physiology, pharmacology, nursing procedures, and patient care.

NCLEX-RN exam consists of multiple-choice questions that assess a candidate's knowledge of nursing practice, client needs, and nursing process. The questions are designed to be comprehensive and may cover a wide range of topics, including pharmacology, anatomy and physiology, and nursing procedures. NCLEX-RN Exam is computer-adaptive, meaning that the difficulty of the questions adapts to the candidate's level of knowledge.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q218-Q223):

NEW QUESTION # 218
A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first 24 hours postoperatively, the nurse would be concerned if the client:

A. Has a urine output of 200 mL for 4 hours
B. Develops a temperature of 102_F
C. Has no bowel sounds
D. Cries easily and says she is having abdominal pain

Answer: B

Explanation:
(A) The client may be more tearful than normal due to the stress of the surgery and its implications for her future life. She would be expected to have pain following surgery. (B) A temperature of 102_F indicates an infectious process. This is not a normal sequence to surgery and indicates a need for further assessment. (C) The client is expected to have no bowel soundsfor 24-48 hours after surgery because of the trauma to the bowel. (D) Normal urine output is 30 mL/hr. This represents an output of 50 mL/hr, which is greater than normal.

NEW QUESTION # 219
Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:

A. A therapeutic alliance has been established, and violent behavior subsides
B. The physician orders it
C. The violent behavior subsides, and the client agrees to behave
D. The nurse deems that removal of restraints is necessary

Answer: A

Explanation:
Explanation
(A) The physicianmayorder release of restraints, but prior to that, the client must meet criteria for release. (B) While the client is still restrained, but after violent behavior has subsided, a therapeutic bridge is built. This alliance encourages dialogue between nurse and client, allowing the client to determine causative factors, feelings prior to loss of control, and adaptive alternatives to violence. (C) If the client only "agrees to behave" after violent behavior subsides, he has developed no insight into cause and effect of violence or his response to stress. (D)Removal of restraints occurs only when the client meets the criteria for release, not just because the nurse says it is necessary.

NEW QUESTION # 220
A new mother experiences strong uterine contractions while breast-feeding her baby. She excitedly rings for the nurse. When the nurse arrives the mother tells her, "Something is wrong. This is like my labor." Which reply by the nurse identifies the physiological response of the client?

A. "There is probably a small blood clot or placental fragment in your uterus, and your uterus is contracting to expel it."
B. "Prolactin increases the blood supply to your uterus, and you are feeling the effects of this blood vessel engorgement."
C. "The same hormone that is released in response to the baby's sucking, causing milk to flow, also causes the uterus to contract."
D. "Your breasts are secreting a hormone that enters your bloodstream and causes your abdominal muscles to contract."

Answer: C

Explanation:
Section: Questions Set F
Explanation:
(A) Mammary growth as well as milk production and maintenance in the breast occur in response to hormones produced primarily by the hypothalamus and the pituitary gland. (B) Prolactin stimulates the alveolar cells of the breast to produce milk. It is important in the initiation of breast-feeding. (C) Oxytocin, which is released by the posterior pituitary, stimulates the let-down reflex by contraction of the myoepithelial cells surrounding the alveoli. In addition, it causes contractions of the uterus and uterine involution. (D) Afterpains may occur with retained placental fragments. A boggy uterus and continued bleeding are other symptoms that occur in response to retained placental fragments.

NEW QUESTION # 221
Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?

A. Fresh fruit
B. A milkshake
C. A ham and cheese sandwich
D. Saltine crackers and peanut butter

Answer: B

Explanation:
(A) Albumin, a blood volume expander, increases the circulating blood volume by exerting an osmotic pull on tissue fluids, pulling them into the vascular system. This fluid shift causes an increase in the heart rate and blood pressure. (B) Albumin, a blood volume expander, exerts an osmotic pull on fluids in the interstitial spaces, pulling the fluid back into the circulatory system. This fluid shift causes an increase in the urinary output. (C) Adventitious breath sounds and dyspnea can occur due to circulatory overload if the albumin is infused too rapidly. (D) Chills, fever, itching, and rashes are signs of a hypersensitivity reaction to albumin.

NEW QUESTION # 222
A postoperative TURP client is ordered continuous bladder irrigations. Later in the evening on the first postoperative day, he complains of increasing suprapubic pain. When assessing the client, the nurse notes diminished flow of bloody urine and several large blood clots in the drainage tubing. Which one of the following should be the initial nursing intervention?

A. Call the physician about the problem.
B. Irrigate the Foley catheter.
C. Administer a prescribed narcotic analgesic.
D. Change the Foley catheter.

Answer: B

Explanation:
(A) The physician should be notified as problems arise, but in this case, the nurse can attempt to irrigate the Foley catheter first and call the physician if irrigation is unsuccessful. Notifying the physician of problems is a subsequent nursing intervention. (B) This answer is correct. Assessing catheter patency and irrigating as prescribed are the initial priorities to maintain continuous bladder irrigation. Manual irrigation will dislodge blood clots that have blocked the catheter and prevent problems of bladder distention, pain, and possibly fresh bleeding. (C) The Foley catheter would not be changed as an initial nursing intervention, but irrigation of the catheter should be done as ordered to dislodge clots that interfere with patency. (D) Even though the client complains of increasing suprapubic pain, administration of a prescribed narcotic analgesic is not the initial priority. The effect of the medication may mask the symptoms of a distended bladder and lead to more serious complications.

NEW QUESTION # 223
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NCLEX-RN Exam Actual Tests | NCLEX-RN Free Exam Questions

NCLEX-RN Free Exam Questions, Frenquent NCLEX-RN Update

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q218-Q223):

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