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Discuss the key features of the exam.
There are several key features of the exam:
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You are tested on how you would use critical thinking skills.
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Essay Test: The essay test is an important component of the NCLEX-RN exam. The question is designed to test your ability to analyze situations and determine the best course of action. This is similar to the way you were trained during nursing school.
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The test includes a clinical scenario.
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It tests your ability to apply the knowledge you learned in nursing school to the nursing process.
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It also tests your ability to make nursing judgments.
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It is organized according to the nursing framework Meeting Client Needs.
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It tests if you understand the basics of the nursing process.
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Written test: The written test is two hours long. This means that you will have four-and-a-half hours to complete the exam.
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q716-Q721):
NEW QUESTION # 716
A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:
- A. 500 mL
- B. 600 mL
- C. 540 mL
- D. 655 mL
Answer: C
Explanation:
Explanation
(A, C, D) This answer is a miscalculation. (B) 1 oz = 30 mL; therefore, 18 oz x.
NEW QUESTION # 717
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 24-48 hours postburn?
- A. Pain related to tissue damage from burns
- B. Potential for impaired gas exchange related to edema of respiratory tract
- C. Potential for infection related to contamination of wounds
- D. Fluid volume deficit related to increased capillary permeability
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.
NEW QUESTION # 718
A 67-year-old man had a physical examination prior to beginning volunteer work at the hospital. A routine chest x-ray demonstrated left ventricular hypertrophy. His blood pressure was 180/110. He is 45 lb overweight. His diet is high in sodium and fat. He has a strong family history of hypertension. The client is placed on antihypertensive medication; a low-sodium, low-fat diet; and an exercise regimen. On his next visit, compliance would best be determined by:
- A. A blood pressure reading of 130/70 with a 5-lb weight loss
- B. Serum blood levels of the antihypertensive medication within therapeutic range
- C. No side effects from antihypertensive medication and an accurate pill count
- D. No evidence of increased left ventricular hypertrophy on chest x-ray
Answer: A
Explanation:
Section: Questions Set D
Explanation:
(A) A blood pressure within acceptable range best demonstrates compliance, but weight loss cannot be accomplished without adherence to medication, diet, and exercise. (B) Absence of side effects does not indicate compliance with medication. Pill counts can be misleading because the client can alter pill counts prior to visit. (C) Left ventricular hypertrophy is not an accurate measure of compliance because hypertrophy frequently does not decrease even with pharmacological management. (D) Therapeutic blood levels measure the drug level at the time of the test. There is no indication of compliance several days before testing.
NEW QUESTION # 719
Clinical manifestations seen in left-sided rather than in right-sided heart failure are:
- A. Hypotension and hepatomegaly
- B. Elevated central venous pressure and peripheral edema
- C. Dyspnea and jaundice
- D. Decreased peripheral perfusion and rales
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A, B, C) Clinical manifestations of right-sided heart failure are weakness, peripheral edema, jugular venous distention, hepatomegaly, jaundice, and elevated central venous pressure. (D) Clinical manifestations of left-sided heart failure are left ventricular dysfunction, decreased cardiac output, hypotension, and the backward failure as a result of increased left atrium and pulmonary artery pressures, pulmonary edema, and rales.
NEW QUESTION # 720
A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:
- A. Praise her for eating everything
- B. Encourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes
- C. Observe behavior for 1-2 hours after meals to prevent vomiting
- D. Allow her privacy at mealtimes
Answer: C
Explanation:
(A) Eating alone is not recommended for anorexic clients because they tend to hoard food instead of eating it. (B) The client should be praised for whatever she eats, which is usually a small portion or percentage of what is served. Praise should not be withheld until she eats everything. (C) The client should be observed eyeto- eye for at least 1 hour following meals to prevent discarding food stashed in her clothing at mealtime or engaging in selfinduced vomiting. (D) If offered these choices, the client would choose low-caloric foods, not a nutritious diet.
NEW QUESTION # 721
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