PROVIDING YOU VALID PDF NCLEX-RN FILES WITH 100% PASSING GUARANTEE

Providing You Valid Pdf NCLEX-RN Files with 100% Passing Guarantee

Providing You Valid Pdf NCLEX-RN Files with 100% Passing Guarantee

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NCLEX-RN exam covers a wide range of topics related to nursing practice, including health promotion and maintenance, pharmacology, patient care management, and psychosocial integrity. NCLEX-RN Exam also includes questions related to nursing ethics, legal responsibilities, and cultural diversity. The goal of the exam is to ensure that individuals who pass have the knowledge and skills necessary to provide safe and effective patient care in a variety of healthcare settings.

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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that is used to determine whether a nurse is qualified to practice as a registered nurse. It is administered by the National Council of State Boards of Nursing and is required in all 50 states in the United States. NCLEX-RN Exam is designed to test the knowledge, skills, and abilities necessary for safe and effective nursing practice.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q466-Q471):

NEW QUESTION # 466
A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

  • A. Auscultate fetal heart rate
  • B. Assess the client's respirations
  • C. Notify the physician
  • D. Transfer to delivery suite

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Immediately following membrane rupture, the fetus is at risk for complications, not necessarily the mother. (B) The physician is notified after the nurse completes an assessment of the mother's and fetus's conditions. (C) Rupture of membranes facilitates fetal descent. A potential complication is cord prolapse, which is assessed by auscultating fetal heart rate. (D) Rupture of membranes does not necessarily indicate readiness to deliver.


NEW QUESTION # 467
A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?

  • A. Legionella pneumophilapneumonia
  • B. Pneumococcal pneumonia
  • C. Klebsiellapneumonia
  • D. Escherichia colipneumonia

Answer: B

Explanation:
(A)Klebsiellapneumonia is caused by gram-negative bacteria. (B) Pneumococcal pneumonia is caused by gram-positive bacteria. (C)Legionella pneumophilapneumonia is a nonbacterial pneumonia. (D)E. colipneumonia is caused by gram-negative bacteria.


NEW QUESTION # 468
A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

  • A. Changing the pouch only when leakage occurs
  • B. Cutting the skin barrier 112 inches larger than the stoma
  • C. Using a skin sealant under pouch adhesives
  • D. Taping a pouch that is leaking

Answer: C

Explanation:
(A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to change pouches whenever possible before leakage occurs. (D) When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant
is used, this layer is removed when the tape is removed.


NEW QUESTION # 469
A violent client remains in restraints for several hours. Which of the following interventions is most appropriate while he is in restraints?

  • A. Release restraints every 2 hours for client to exercise.
  • B. Measure vital signs at least every 4 hours.
  • C. Give fluids if the client requests them.
  • D. Assess skin integrity and circulation of extremities before applying restraints and as they are removed.

Answer: A

Explanation:
Explanation
(A) Fluids (nourishment) should be offered at regular intervals whether the client requests (or refuses) them or not. (B) Skin integrity and circulation of the extremities should be checked regularly while the client is restrained, not only before restraints are applied and after they are removed. (C) Vital signs should be checked at least every 2 hours. If the client remains agitated in restraints, vital signs should be monitored even more closely, perhaps every 1-2 hours. (D) Restraints should be released every 2 hours for exercise, one extremity at a time, to maintain muscle tone, skin and joint integrity, and circulation.


NEW QUESTION # 470
A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:

  • A. Limit her fluid intake after 6 PM so that there is not a great deal of urine in her bladder while she sleeps
  • B. Drink at least 8 oz of cranberry juice daily
  • C. Wash her hands before and after voiding
  • D. Maintain a fluid intake of at least 2000 mL daily

Answer: A

Explanation:
Section: Questions Set B
Explanation:
(A) Cranberry juice helps to maintain urine acidity, thereby retarding bacterial growth. (B) A generous fluid intake will help to irrigate the bladder and to prevent bacterial growth within the bladder. (C) Hand washing is an effective means of preventing pathogen transmission. (D) Restricting fluid intake would contribute to urinary stasis, which in turn would contribute to bacterial growth.


NEW QUESTION # 471
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