NCLEX Certification Certification NCLEX-RN Sample Questions Reliable
Prepare for the Actual NCLEX Certification NCLEX-RN Exam Practice Materials Collection
NCLEX-RN, or National Council Licensure Examination for Registered Nurses, is a standardized exam that all nursing graduates must pass in order to become licensed and practice as a registered nurse in the United States. NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to test the knowledge, skills, and abilities necessary for safe and effective nursing practice. It is a computerized adaptive test (CAT), meaning that the difficulty of the questions adapts to the test-taker's level of knowledge and ability, and it can take anywhere from 75 to 265 questions to complete.
The National Council Licensure Examination (NCLEX-RN) is a standardized exam that is designed to test the knowledge, skills, and abilities of individuals who wish to practice as registered nurses in the United States. NCLEX-RN exam is required for licensure by all 50 states in the US, as well as the District of Columbia and the US territories of Guam, the Northern Mariana Islands, and American Samoa.
NEW QUESTION # 437
Which of the following procedures is necessary to establish a definitive diagnosis of breast cancer?
- A. Diaphanography
- B. Mammography
- C. Thermography
- D. Breast tissue biopsy
Answer: D
Explanation:
Explanation
(A) Diaphanography, also known as transillumination, is a painless, noninvasive imaging technique that involves shining a light source through the breast tissue to visualize the interior. It must be used in conjunction with a mammogram and physical examination. (B) Mammography is a useful tool for screening but is not considered a means of diagnosing breast cancers. (C) Thermography is a pictorial representation of heat patterns on the surface of the breast. Breast cancers appear as a "hot spot" owing to their higher metabolic rate.
(D) Biopsy either by needle aspiration or by surgical incision is the primary diagnostic technique for confirming the presence of cancer cells.
NEW QUESTION # 438
A client's congestive heart failure has been treated, and he will soon be discharged. Discharge teaching should include instruction to call the physician if he notices a 2-lb weight gain in a 24-hour period.
Increased weight gain may indicate:
- A. Development of diabetes insipidus
- B. A diet too high in calories and saturated fat
- C. Decreasing cardiac output
- D. Decreasing renal function
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Increased calories may result in weight gain, but there is no indication in this question that this man's diet has changed in a way that would result in increased calories. (B) Decreasing cardiac output stimulates the renin-angiotensin-aldosterone cycle and results in fluid retention, which is reflected by weight gain. (C) Decreasing renal function may result in fluid retention, but this question gives no indication that this man has any renal problems. (D) Profound diuresis occurs with diabetes insipidus, which results in weight loss.
NEW QUESTION # 439
A 48-hour-old male infant is ordered to have phototherapy. When his mother questions the nurse about its purpose, the nurse explains that phototherapy:
- A. Increases levels of unconjugated bilirubin, thereby preventing kernicterus (brain damage)
- B. Assists the baby's clotting mechanism
- C. Prevents the development of ophthalmia neonatorum
- D. Breaks down bilirubin in the skin into substances that can be excreted in stool or urine
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) The instillation of erythromycin ophthalmic preparation, not phototherapy, prevents ophthalmia neonatorum. (B) The administration of vitamin K (AquaMEPHYTON) assists the infant's clotting mechanism. (C) Excessive bilirubin accumulates when the infant's liver cannothandle the increased load caused by the breakdown of red blood cells postnatally. This excessive bilirubin seeps out of the blood and into the tissues, staining them yellow. Phototherapy accelerates the removal of bilirubin from the skin by breaking it down into substances that can be excreted in stool or urine. (D) Phototherapy decreases levels of unconjugated bilirubin, thereby preventing kernicterus.
NEW QUESTION # 440
A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mother has asked to breastfeed her following delivery. Immediately after birth, the neonate was most susceptible to heat loss. The most appropriate intervention to conserve heat loss and promote bonding is to:
- A. Place her on a heated pad
- B. Place her under the radiant warmer
- C. Dry her with blankets
- D. Place her to her mother's breast
Answer: D
Explanation:
Section: Questions Set E
Explanation:
(A) A radiant warmer maintains an optimal thermal environment by use of a thermal skin sensor taped to the infant. The warmer limits parental attachment, so, although appropriate, it is not an intervention that promotes infant attachment. (B) Warmed blankets prevent heat loss in the neonate by conduction. In addition, tactile stimuli promote crying and lung expansion. This intervention does not promote attachment, however. (C) Skin- to-skin contact is an effective way to conserve heat after delivery and promotes parental attachment following birth in the healthy term infant. The first period of reactivity lasts approximately 30 minutes following birth. A strong sucking reflex and an active, awake newborn characterize this period. (D) Surfaces of objects warmer than the infant promote overheating by conduction, and neonatal hyperthermia may result.
NEW QUESTION # 441
A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitalization, primary nurses were assigned to initiate all infant feedings. The infant's parents question why they cannot feed their own child. Which of the following responses would be most appropriate by the nurse?
- A. Primary nurses will ensure privacy.
- B. The same nurses will prevent infant fatigue and frustration.
- C. By assigning the same nurses to the child, the nurses can begin to learn the infant's cues and feeding behaviors.
- D. The same nurses will prevent parental fatigue and frustration.
Answer: C
Explanation:
(A)
Consistent primary care nurses can better interpret infant cues and note feeding behaviors. (B) In nonorganic failure to thrive the parent-infant dyad has already experienced difficulties in the relationship. These parents may already feel dissatisfied and frustrated. The primary nurse would be unable to prevent this. (C) Assigning a primary nurse does not ensure that infant fatigue and frustration will not occur or can be prevented.
(D)
Providing privacy does not ensure a change in feeding behavior.
NEW QUESTION # 442
A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as
"a cramp in my leg." An appropriate nursing action is to:
- A. Instruct him to rub the cramp out of his leg
- B. Elevate right lower extremity with pillows propped under the knee
- C. Assess for pain with plantiflexion
- D. Assess for edema and heat of the right leg
Answer: D
Explanation:
Explanation
(A) Calf pain with dorsiflexion of the foot (Homans' sign) can be a sign of a deep venous thrombosis; however, it is not diagnostic of the condition. (B) Swelling and warmth along the affected vein are commonly observed clinical manifestations of a deep venous thrombosis as a result of inflammation of the vessel wall.
(C) Rubbing or massaging of the affected leg is contraindicated because of the risk of the clot breaking loose and becoming an embolus. (D) A pillow behind the knee can be constricting and further impair blood flow.
NEW QUESTION # 443
The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:
- A. O2 therapy
- B. Maintaining an adequate level of hydration
- C. Providing pain relief
- D. Preventing infection
Answer: B
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 # 444
The nurse is caring for a 6-week-old girl with meningitis. To help her develop a sense of trust, the nurse should:
- A. Pick her up when she cries
- B. Give her good perineal care after each diaper change
- C. Give her a small soft blanket to hold
- D. Leave the door open to her room
Answer: A
Explanation:
Explanation
(A) A soft blanket may be comforting, but it is not directed toward developing a sense of trust. (B) Good perineal care is important, but it is not directed toward developing a sense of trust. (C) An infant with meningitis needs frequent attention, but leaving the door open does not foster trust. (D) Consistently picking her up when she cries will help the child feel trust in her caregivers.
NEW QUESTION # 445
A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information:
- A. "I really wasn't addicted to alcohol when I came here, I just needed some help dealing with my divorce."
- B. "It really wasn't my fault that I had to come here. If my wife hadn't left, I wouldn't have needed those drinks."
- C. "I know that I will not ever be able to socially drink alcohol again and will need the support of the AA group."
- D. "I know that I can only drink one or two drinks at social gatherings in the future, but at least I don't have to continue AA."
Answer: C
Explanation:
Section: Questions Set F
Explanation
Explanation:
(A) The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support him - Alcoholics Anonymous. (B) The client is still using denial and is not dealing with his alcohol addiction. (C) The client is exhibiting denial about his alcohol addiction and projecting blame on his divorce. (D) The client is projecting blame onto his wife for being in the hospital while still denying his alcohol addiction.
NEW QUESTION # 446
A new mother experiences strong uterine contractions while breast-feeding her baby. She excitedly rings for the nurse. When the nurse arrives the mother tells her, "Something is wrong. This is like my labor." Which reply by the nurse identifies the physiological response of the client?
- A. "Your breasts are secreting a hormone that enters your bloodstream and causes your abdominal muscles to contract."
- B. "There is probably a small blood clot or placental fragment in your uterus, and your uterus is contracting to expel it."
- C. "Prolactin increases the blood supply to your uterus, and you are feeling the effects of this blood vessel engorgement."
- D. "The same hormone that is released in response to the baby's sucking, causing milk to flow, also causes the uterus to contract."
Answer: D
Explanation:
Explanation
(A) Mammary growth as well as milk production and maintenance in the breast occur in response to hormones produced primarily by the hypothalamus and the pituitary gland. (B) Prolactin stimulates the alveolar cells of the breast to produce milk. It is important in the initiation of breast-feeding. (C) Oxytocin, which is released by the posterior pituitary, stimulates the let-down reflex by contraction of the myoepithelial cells surrounding the alveoli. In addition, it causes contractions of the uterus and uterine involution. (D) Afterpains may occur with retained placental fragments. A boggy uterus and continued bleeding are other symptoms that occur in response to retained placental fragments.
NEW QUESTION # 447
In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?
- A. Backache
- B. Visual changes
- C. Leaking of clear yellow fluid from breasts
- D. Constipation with hemorrhoids
Answer: B
Explanation:
Explanation
(A) Backache is a common complaint during pregnancy. Proper body mechanics, pelvic rock, back rubs, and other comfort measures should relieve the discomfort. In the presence of uterine contractions, the backache would radiate to the lower abdomen. (B) Colostrum is normal and can be present anytime in the second half of pregnancy. (C) Constipation and hemorrhoids are common and do need attention, but they do not constitute a dangerous situation. (D) Visual changes are possibly related to PIH. The client should be assessed immediately to rule out or prevent worsening of PIH.
NEW QUESTION # 448
The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?
- A. Theophylline
- B. KCl
- C. Thyroid agents
- D. Quinidine
Answer: D
Explanation:
(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B) Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D) Theophylline is not noted to have an effect on digoxin levels.
NEW QUESTION # 449
A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,
"Nobody cares about the clients." The nurse's most effective response would be:
- A. "What makes you think the nurses don't care?"
- B. "You will feel differently about us in a few days."
- C. "How can you say that I don't care? We just met."
- D. "You seem angry. Tell me more about how you feel."
Answer: D
Explanation:
Explanation
(A) This statement is a defensive response that places the nurse in a vulnerable countertransference position, and at the same time, fails to challenge the client's "splitting" behavior. (B) This statement is a defensive response by the nurse. In addition, this type of nontherapeutic statement requests that the client explain the reasons for her behavior, a difficult task for an individual with limited insight. (C) This statement is a nontherapeutic response that both ignores the intensity of the client's emotions and the dynamics underlying
"splitting" behavior. (D) By simultaneously acknowledging the client's emotional intensity and gently challenging her "splitting" behavior, the nurse addresses the client's current distortions and prepares for further interventions with angry or ambivalent feelings.
NEW QUESTION # 450
The postpartum nurse should include which of the following instructions to breast-feeding mothers?
- A. Daily caloric intake should be increased by 500 cal.
- B. Limit feeding times for several days to avoid nipple soreness.
- C. Breast milk is totally digestible by the baby because it contains lactose.
- D. Wash the nipples with soap and water before and after each feeding.
Answer: A
Explanation:
(A) Limiting initial feeding times will only delay nipple soreness as well as the establishment of the letdown reflex, thus encouraging engorgement from clogged ducts and ductules. (B) Soap should be avoided because it may be excessively drying, predisposing nipples to cracking. (C) For optimal milk production, an additional 500 kcal over maintenance levels are needed daily. (D) Lipase, not lactose, emulsifies the fat in breast milk, making it almost totally digestible by infants.
NEW QUESTION # 451
The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:
- A. The client is more likely to remember to perform the TSE when in the nude
- B. When the scrotum is exposed to cool temperatures, the testicles become large and bulky
- C. The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpate
- D. The examination will be less painful at this time
Answer: C
Explanation:
Section: Questions Set G
Explanation:
(A) Nudity is not a trigger for reminding males to perform TSE. (B) Testicles become more firm when exposed to cool temperatures, but not large and bulky. (C) The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. (D) The examination should not be painful.
NEW QUESTION # 452
To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should include:
- A. Dangle the client's legs over the edge of the bed every shift.
- B. Massage the client's calves briskly every shift.
- C. Have the client tighten and relax leg muscles several times daily.
- D. Keep the client's legs extended and discourage any movement.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Dangling the client's legs over the edge of the bed will contribute to stasis and pooling of blood and increases the risk of thrombus formation. (B) Massaging the client's calves could result in dislodging an embolus. (C) Decreased movement will contribute to pooling of blood and increased risk of venous thrombosis. (D) Tightening and relaxing leg muscles increases circulation and decreases the risk of venous thrombosis.
NEW QUESTION # 453
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The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a standardized test that is used to determine whether or not a nursing candidate is ready to become a licensed registered nurse (RN). NCLEX-RN exam evaluates the candidate's knowledge and skills in nursing practice, patient care, and critical thinking. The NCLEX-RN is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to assess the competency of nursing graduates in the United States and Canada.
Ace NCLEX NCLEX-RN Certification with Actual Questions Apr 18, 2025 Updated: https://www.actualtestsquiz.com/NCLEX-RN-test-torrent.html
NCLEX Certification Certified Official Practice Test NCLEX-RN: https://drive.google.com/open?id=1brEelSmdeVW96VYBJIQfr5bMz11TRMW4
