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NCLEX-RN exam preparation, real NCLEX test dumps for National Council Licensure Examination(NCLEX-RN)

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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that all nursing graduates must pass in order to obtain a license to practice nursing in the United States. NCLEX-RN exam is developed and administered by the National Council of State Boards of Nursing (NCSBN). The NCLEX-RN Exam measures the knowledge, skills, and abilities essential for safe and effective nursing practice.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q474-Q479):

NEW QUESTION # 474
To facilitate maximum air exchange, the nurse should position the client in:

A. Orthopneic
B. High Fowler
C. Flat-supine
D. Prone

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The high Fowler position does increase air exchange, but not to the extent of orthopneic position. (B) The orthopneic position is a sitting position that allows maximum lung expansion. (C) The prone position places pressure on diaphragm and does not promote maximum air exchange. (D) The flat-supine position places pressure on diaphragm by abdominal organs and does not promote maximum air exchange.

NEW QUESTION # 475
The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:

A. Place and adjust the pad from back to front
B. Wear gloves for the procedure
C. Cleanse and wipe the perineum from front to back
D. Protect the outer surface of the pad from contamination

Answer: C

Explanation:
Explanation
(A) Perineal hygiene is a clean procedure and does not require the client to wear gloves. A care provider should wear gloves to adhere to universal precautions. (B) The pad should be applied from front to back to prevent contamination of the birth canal or urinary tract from rectal bacteria. (C) Wiping from front to back and discarding the wipe prevents contamination of the urinary tract and birth canal from rectal bacteria. (D) The inner surface of the pad should not be touched to maintain asepsis.

NEW QUESTION # 476
A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based on the nurse's knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

A. Edema of face and hands
B. Complaints of dyspnea
C. Hematocrit 39%
D. Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Dyspnea is a common complaint during the third trimester owing to the increasing size of the uterus and the resulting pressure against the diaphragm. (B) Edema of the face, hands, or pitting edema after 12 hours of bed rest may be indicative of preeclampsia and would be of great concern to the healthcare provider. (C) An increase in heart rate of 10-15 bpm is a normal physiological change in pregnancy due to the multiple hemodynamic changes. (D) A hematocrit value of 39% is within the normal range. A value
<35% would indicate anemia.

NEW QUESTION # 477
The nurse in the mental health center is instructing a depressed client about the dietary restrictions necessary in taking her medication, which is a monoamine oxidase (MAO) inhibitor. Which of the following is she restricting from the client's diet?

A. Aged cheese
B. Cream cheese
C. Yeast bread
D. Fresh fruits

Answer: A

Explanation:
Explanation
(A) Cream cheese does not contain tyramine, which might cause a hypertensive crisis. (B) Fresh fruits do not contain tyramine, which might cause a hypertensive crisis. (C) Aged or matured cheese combined with a monoamine oxidase predisposes the client to a hypertensive crisis. (D) Bread products raised with yeast do not contain tyramine.

NEW QUESTION # 478
A 28-year-old woman was admitted to the hospital for a thyroidectomy. Postoperatively she is taken to the postanesthesia care unit for several hours. In preparing for the client's return to her room, which nursing measure best demonstrates the nurse's thorough understanding of possible postthyroidectomy complications?

A. Narcotics are readily available and administered when the client returns to her room to prevent excruciating pain.
B. Dressings are placed at the bedside for dressing changes, which are to be done every 2 hours to best detect postoperative bleeding.
C. A tracheostomy set, O2, and suction are available at the bedside.
D. The nurse should instruct the client as soon as possible on alternative means of communication.

Answer: C

Explanation:
(A) Dressing changes are done as necessary for bleeding. However, frequently, post-thyroidectomy bleeding may not be visible on the dressing, but blood may drain down the back of the neck by gravity. (B) Narcotics are administered for acute pain as necessary. They are not necessarily given on return of the client to her room. (C) The most serious postthyroidectomy complication is ineffective airway and breathing pattern related to tracheal compression and edema. A tracheostomy set, O2, and suction should be available at bedside for at least the first 24 hours postoperatively. (D) Impaired verbal communication may occur due to laryngeal edema or nerve damage, but most commonly, it occurs due to endotracheal intubation. The client is usually able to communicate but is hoarse.

NEW QUESTION # 479
......

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