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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that is designed to evaluate the knowledge, skills, and abilities of individuals who wish to practice as registered nurses in the United States. Administered by the National Council of State Boards of Nursing (NCSBN), the exam is used to ensure that nurse graduates possess the necessary competencies to provide safe and effective patient care.

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NCLEX-RN exam is developed and administered by the National Council of State Boards of Nursing (NCSBN). NCLEX-RN exam is computerized and consists of a minimum of 75 questions and a maximum of 265 questions. NCLEX-RN Exam is adaptive, meaning that the computer will adjust the difficulty level of the questions based on the test-taker's performance.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q436-Q441):

NEW QUESTION # 436
To appropriately monitor therapy and client progress, the nurse should be aware that increased myocardial work and O2 demand will occur with which of the following?

Answer: C

Explanation:
Explanation
(A) Inotropic therapy will increase contractility, which will increase myocardial O2 demand. (B) Decreased heart rate to the point of bradycardia will increase coronary artery filling time. This should be used cautiously because tachycardia may be a compensatory mechanism to increase cardiac output. (C) The goal in the care of the MI client with angina is to maintain a balance between myocardial O2 supply and demand. (D) Decrease in systemic vascular resistance by drug therapy, such as IV nitroglycerin or nitroprusside, or intra-aortic balloon pump therapy, would decrease myocardial work and O2 demand.


NEW QUESTION # 437
Before giving methergine postpartum, the nurse should assess the client for:

Answer: D

Explanation:
Section: Questions Set F
Explanation:
(A) Methergine is given to contract the uterus and to control postpartal hemorrhage; therefore, lochial flow should decrease. (B) Methergine may elevate the blood pressure. A client with an elevated blood pressure should not receive methergine, but she could be given oxytocin if necessary. (C) Flushing is not a side effect of methergine. (D) Afterpains are increased with methergine usage. The client should be informed that this is a normal response.


NEW QUESTION # 438
A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Anorexia nervosa clients feel out of control. Providing a structured environment offers safety and comfort and can help them to develop internal control, thus reducing their need to control by self- starvation. (B) Distraction does not focus on the client's need for control. (C) Doing frequent room checks reinforces feelings of powerlessness and the need to continue with the dysfunctional behavior. (D) Participating in long discussions about food does not make the client want to eat, but rather this strategy allows her to indulge in her preoccupation and to continue with the dysfunctional behavior.


NEW QUESTION # 439
The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) The wound is not infected. An infected wound would contain pus, debris, and exudate. (B) The wound is healing properly. (C) A necrotic wound would appear black or brown. (D) The wound is healing properly and is filled with red granulated tissue and fragile capillaries.


NEW QUESTION # 440
A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:

Answer: D

Explanation:
Section: Questions Set F
Explanation:
(A) Sonography can be used to determine the presence of multiple gestation. In this question, the sonogram is used as a preparatory step for a specific invasive procedure. (B) Sonography can be used to determine the presence of gross anomalies. In this question, the sonogram is used as a preparatory step for a specific invasive procedure. (C) Prior to amniocentesis, the abdomen is scanned by ultrasound to locate the placenta, thus reducing the possibility of penetrating it with the spinal needle used to obtain amniotic fluid. (D) Sonography can be used to determine fetal age. In this question, the sonogram is used as a preparatory step for a specific invasive procedure.


NEW QUESTION # 441
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