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Valid NCLEX-RN Exam Tips | NCLEX-RN Latest Questions

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NCLEX-RN exam consists of four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity. These categories are broken down into subcategories that cover a range of topics related to nursing practice, including patient care, pharmacology, health assessment, and nursing ethics. NCLEX-RN Exam is computerized and adaptive, meaning that the difficulty of the questions will vary depending on the test-taker's performance. Passing the NCLEX-RN exam is a crucial step for individuals looking to become registered nurses and enter the workforce.

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NCLEX-RN, or National Council Licensure Examination for Registered Nurses, is a standardized exam that is used to determine whether or not a candidate is qualified to become a licensed registered nurse. NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is accepted by all state boards of nursing in the United States and its territories. The NCLEX-RN is designed to assess a candidate's knowledge, skills, and abilities in a variety of areas related to nursing practice, including patient care, safety, and ethical considerations.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q239-Q244):

NEW QUESTION # 239
Which of the following nursing orders has the highest priority for a child with epiglottitis?

A. Intake and output
B. Tracheostomy set at bedside
C. Specific gravity every shift
D. Vital signs every shift

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. (B) If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. (C) Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. (D) Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside.

NEW QUESTION # 240
A 14-year-old client has a history of lying, stealing, and destruction of property. Personal items of peers have been found missing. After group therapy, a peer approaches the nurse to report that he has seen the
14- year-old with some of the missing items. The best response of the nurse is to:

A. Imply to him that you doubt his involvement in the incident and request his denial
B. Approach him when he is alone to inquire about his involvement in the incident
C. Request that he explain to the group why he took personal items from peers
D. Confront him openly in group and request an apology

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. There is no proof that he removed the missing items. (B) This answer is correct. Anxiety and defensiveness are lessened if the individual is approached in this manner. (C) This answer is incorrect. It is difficult for one to admit to wrongdoing with this approach. (D) This answer is incorrect. He has not yet been proved guilty. Confrontation will only increase defensiveness and anxiety.

NEW QUESTION # 241
An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:

A. 8:30 AM-10:30 AM
B. 2:30 PM-4:30 PM
C. 10:30 PM-11:30 PM
D. 7:30 PM-9:30 PM

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This time describes the time of onset of NPH insulin's action, rather than its peak effect. (B) NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 8-14 hours after administration. It has a 20-30 hour duration. (C) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM. (D) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM.

NEW QUESTION # 242
A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:

A. He will become delusional and hallucinate as a result of the excess attention given to him by peers
B. He will cause the other clients to become psychotic
C. He may exhibit self-mutilative behavior
D. He will manipulate the other clients for his own benefit

Answer: D

Explanation:
Explanation
(A) This answer is correct. Persons with antisocial personality disorder typically are very manipulative. (B) This answer is incorrect. The client's behavior cannot cause another person to become psychotic. (C) This answer is incorrect. Psychosis is not a symptom of antisocial personality. One of the criteria for diagnosis of this disorder is that no psychosis be present. In addition, the client would love the attention. (D) This answer is incorrect. Self-mutilative behavior is characteristic of the borderline personality disorder.

NEW QUESTION # 243
A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a smallbore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted, the nurse identifies the most reliable way to confirm appropriate placement is to:

A. Obtain a chest x-ray
B. Place the tip of the tube under water and observe for air bubbles
C. Aspirate gastric contents
D. Auscultate air insufflated through the tube

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Aspiration of gastric contents is usually a reliable way to verify tube placement. However, if the client has dark respiratory secretions from bleeding, tube feedings could be mistaken for respiratory secretions; in other words, aspirating an empty stomach is less reliable in this instance. In addition, it is common for small-bore feeding tubes to collapse when suction pressure is applied. (B) Insufflation of air into large-bore nasogastric tubes can usually be clearly heard. In small-bore tubes, it is more difficult to hear air, and it is difficult to distinguish between air in the stomach and air in the esophagus. (C) A chest x-ray is the most reliable means to determine placement of small-bore nasogastric tubes. (D) Observing for air bubbles when the tip is held under water is an unreliable means to determine correct tube placement for all types of nasogastric tubes. Air may come from both the respiratory tract and the stomach, and the client who is breathing shallowly may not force air out of the tube into the water.

NEW QUESTION # 244
......

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