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NCLEX NCLEX-RN New Practice Questions, Exam NCLEX-RN Assessment

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NCLEX-RN exam consists of multiple-choice questions and uses computerized adaptive testing (CAT) technology. This means that the computer adjusts the difficulty level of questions based on the candidate’s previous responses. NCLEX-RN exam is designed to test a candidate’s knowledge and ability to apply critical thinking and clinical judgment in various nursing scenarios. The NCLEX-RN covers a wide range of nursing topics, including pharmacology, health promotion, infection control, and patient care management.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q256-Q261):

NEW QUESTION # 256
A 5-year-old child is hospitalized for an acute illness. The nurse encourages the family to bring her favorite objects from home. What is the nurse’s rationale?

  • A. To establish a trusting relationship
  • B. To reduce fear of the unknown
  • C. To keep the child calm
  • D. To prevent or minimize separation anxiety

Answer: D

Explanation:
Explanation
(A) Objects from home do not reduce fear of the unknown. Children need explanations, reassurance, and preparation for the unknown. Also, parental presence can promote comfort and feelings of security. (B) A calm, relaxed, and reassuring manner will assist in calming the child. The child’s objects from home will not assist in calming the child. (C) A trusting relationship is based on the quality of the nurse-client relationship.
Objects from home have no impact. (D) Favorite objects from home assist in creating a familiar setting. Also, these objects may prevent or minimize separation from the child’s usual routine and family support.

NEW QUESTION # 257
A client is being discharged and will continue enteral feedings at home. Which of the following statements by a family member indicates the need for further teaching?

  • A. “If he develops diarrhea lasting for more than 2-3 days, I will contact the doctor or nurse.”
  • B. “I should use prepared or open formula within 24 hours and store unused portions in the refrigerator.”
  • C. “It is important to keep the head of his bed elevated or sit him in the chair during feedings.”
  • D. “I should anticipate that he will gain about 1 lb/day now that he is on continuous feedings.”

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Diarrhea is a complication of tube feedings that can lead to dehydration. Diarrhea may be the result of hypertonic formulas that can draw fluid into the bowel. Other causes of diarrhea may be bacterial contamination, fecal impaction, medications, and low albumin. (B) A consistent weight gain of more than
0.22 kg/day (1⁄2 lb/day) over several days should be reported promptly. The client should be evaluated for fluid volume excess. (C) Elevating the client’s head prevents reflux and thus formula from entering the airway. (D) Bacteria proliferate rapidly in enteral formulas and can cause gastroenteritis and even sepsis.

NEW QUESTION # 258
The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:

  • A. Providing pain relief
  • B. Preventing infection
  • C. O2 therapy
  • D. Maintaining an adequate level of hydration

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Maintaining the hydration level is the focus for nursing intervention because dehydration enhances the sickling process. Both oral and parenteral fluids are used. (B) The pain is a result of the sickling process.
Analgesics or narcotics will be used for symptom relief, but the underlying cause of the pain will be resolved with hydration. (C) Serious bacterial infections may result owing to splenic dysfunction. This is true at all times, not just during the acute period of a crisis. (D) O2 therapy is used for symptomatic relief of the hypoxia resulting from the sickling process. Hydration is the primary intervention to alleviate the dehydration that enhances the sickling process.

NEW QUESTION # 259
A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is scheduled to have a bone marrow aspiration tomorrow. She has had a bone marrow test previously and is apprehensive about having another. Which of the following interventions will be most effective in relieving her anxiety?

  • A. Remind her that she has had this procedure before and that it is nothing to be afraid of.
  • B. Tell her not to worry about it, that it will be over soon and she can join her friends in the playroom.
  • C. Give her a big hug and tell her that she is a big girl now and that she will do just fine.
  • D. Explain what will take place and what she will see, feel, and hear.

Answer: D

Explanation:
Explanation
(A) Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress. (C) This intervention does nothing to reassure the child and may well prevent her from expressing her feelings. (D) This does not prepare the child for the test and burdens her with the expectation that she act bigger and braver than she is.

NEW QUESTION # 260
A 52-year-old client’s abdominal aortic aneurysm ruptured. She received rapid massive blood transfusions for bleeding. One potential complication of blood administration for which she is especially at risk is:

  • A. Circulatory overload
  • B. Hypocalcemia
  • C. Hypokalemia
  • D. Air embolus

Answer: B

Explanation:
Section: Questions Set C
Explanation:
(A) Air embolism is a potential complication of blood administration, but it is fairly rare and can be prevented by using good IV technique. (B) Circulatory overload is a potential complication of blood administration, but because this client is actively bleeding, she is not at high risk for overload. (C) Hypocalcemia is a potential complication of blood administration that occurs in situations where massive transfusion has occurred over a short period of time. It occurs because the citrate in stored blood binds with the client’s calcium. Another potential complication for which this client is especially at risk is hypothermia, which can be prevented by using a blood warmer to administer the blood. (D) Hypokalemia is not a complication of blood administration.

NEW QUESTION # 261
……

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