COMPREHENSIVE NCLEX -RN 1

COMPREHENSIVE NCLEX -RN @1

The NCLEX-RN exam is a rigorous test designed to determine if individuals have the knowledge and skills necessary to begin their careers as registered nurses.It covers a wide range of nursing topics including pharmacology, physiology, psychology, and nursing procedures. The exam uses computer adaptive testing, meaning the difficulty of the questions adjusts based on the test-taker's performance. This adaptive nature can make it challenging as it tailors itself to each individual's proficiency level.Preparation is key for success in the NCLEX-RN. Reviewing core nursing concepts, practicing with NCLEX-style questions, and understanding test-taking strategies are crucial. Many candidates find resources like review books, online practice tests, and study groups helpful in their preparation. Success on the NCLEX-RN requires both a strong understanding of nursing principles and effective test-taking skills.

• Question

Category: Basic Care and Comfort

A 68-year-old client is diagnosed with a right-sided brain attack and is admitted to

the hospital. In caring for this client, the nurse should plan to:

• Application of elastic stockings to prevent flaccid by muscle
• Use hand roll and extend the left upper extremity on a pillow to prevent

contractions

• Use a bed cradle to prevent dorsiflexion of feet
• Do passive range of motion exercise

Correct Answer: B. Use hand roll and extend the left upper extremity on a

pillow to prevent contractions The left side of the body will be affected in a right-sided brain attack. Begin active or passive ROM to all extremities (including splinted) on admission. Encourage exercises such as quadriceps/glutes exercise, squeezing rubber ball, extension of fingers and legs/feet. Minimizes muscle atrophy, promotes circulation, helps prevent contractures. Reduces risk of hypercalciuria and osteoporosis if the underlying problem is hemorrhage.

• Question

Category: Pharmacological and Parenteral Therapies

Patrick who is hospitalized following a myocardial infarction asks the nurse why

he is taking morphine. The nurse explains that morphine:

• Decrease anxiety and restlessness
• Prevents shock and relieves pain
• Dilates coronary blood vessels
• Helps prevent fibrillation of the heart

Correct Answer: B. Prevents shock and relieves pain

Morphine is a central nervous system depressant used to relieve the pain associated with myocardial infarction, it also decreases apprehension and prevents cardiogenic shock. FDA-approved usage of morphine sulfate includes moderate to severe pain that may be acute or chronic. Most commonly used in pain management, morphine provides major relief to patients afflicted with pain.

• Question

Category: Pharmacological and Parenteral Therapies

Which of the following should the nurse teach the client about the signs of digitalis toxicity?

• Increased appetite
• Elevated blood pressure
• Skin rash over the chest and back
• Visual disturbances such as seeing yellow spots

Correct Answer: D. Visual disturbances such as seeing yellow spots

Seeing yellow spots and colored vision are common symptoms of digitalis toxicity.Of note visual changes especially changes involving colors such as seeing a yellow hue are better known and specifically seen in digitalis toxicity. Other visual problems include photophobia, photopsia and diminished visual acuity.

• Question

Category: Pharmacological and Parenteral Therapies

Nurse Trisha teaches a client with heart failure to take oral furosemide in the morning. The reason for this is to help…

• Retard rapid drug absorption
• Excrete excessive fluids accumulated at night
• Prevents sleep disturbances during night

• Prevention of electrolyte imbalance

Correct Answer: C. Prevents sleep disturbances during night

When diuretics are taken in the morning, the client will void frequently during daytime and will not need to void frequently at night. Normally, when an individual receives furosemide either orally or intravenously, it increases sodium excretion in urine. In a patient with extracellular volume expansion who has never had exposure to furosemide, the first dose of the drug causes significant sodium excretion and diuresis within the first 3 to 6 hours.

• Question

Category: Physiological Adaptation

What would be the primary goal of therapy for a client with pulmonary edema and heart failure?

• Enhance comfort
• Increase cardiac output
• Improve respiratory status
• Peripheral edema decreased

Correct Answer: B. Increase cardiac output

The primary goal of therapy for the client with pulmonary edema or heart failure is increasing cardiac output. Pulmonary edema is an acute medical emergency requiring immediate intervention. Preload reduction decreases pulmonary capillary hydrostatic pressure and reduces fluid transudation into the pulmonary interstitium