Nclex Review Questions - Chapter 31 Med Surg
Welcome to our collection of free NCLEX practice questions to help you accomplish success on your NCLEX-RN test! This updated guide for 2022 includes ane,000+ practice questions, a primer on the NCLEX-RN exam, oftentimes asked questions about the NCLEX, question types, the NCLEX-RN test programme, and examination-taking tips and strategies.
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NCLEX-RN Do Questions Test Bank
Nosotros have included more than than 1,000+ NCLEX practice questions covering different nursing topics for this nursing test depository financial institution! We've made a meaning effort to provide you with the almost challenging questions forth with insightful rationales for each question to reinforce learning.
We recommend you exercise all practice questions before yous take the actual exam. Doing so will aid reduce your examination anxiety and help place nursing topics you need to review. To make the near of the practice exams, effort to minimize mistakes to less than 15 questions and take your fourth dimension answering the questions, peculiarly when reading the rationales.
Included NCLEX-RN question sets for this nursing test bank are as follows:
- Comprehensive NCLEX-RN Exercise Questions | Quiz #one: 75 Questions
- Comprehensive NCLEX-RN Practise Questions | Quiz #2: 75 Questions
- Comprehensive NCLEX-RN Do Questions | Quiz #iii: 75 Questions
- Comprehensive NCLEX-RN Do Questions | Quiz #4: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #5: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #6: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #seven: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #8: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #9: 75 Questions
- Comprehensive NCLEX-RN Do Questions | Quiz #x: 75 Questions
- Comprehensive NCLEX-RN Exercise Questions | Quiz #11: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #12: 75 Questions
- More exercise questions available at our Nursing Test Bank .
- Meet also: Total-TEXT Comprehensive NCLEX-RN Exercise Quiz Examination Bank (900 Questions)
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ane. NCLEX-RN Do Questions | Quiz #one: 75 Questions
NCLEX-RN Practice Questions | Quiz #i: 75 Questions
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Question 1 of 75
Category: Health Promotion and Maintenance
While assessing a one-month-quondam babe, which of the findings warrants further investigation past the nurse? Select all that employ.
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Question 2 of 75
Category: Pharmacological and Parenteral Therapies
A nurse is to administer meperidine hydrochloride (Demerol) 100 mg, atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride (Phenergan) l mg IM to a preoperative client. List the gild in which the nurse must acquit out the following deportment prior to the administration of preoperative medications.
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Place the call bong within reach
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Accept the client empty float
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Heighten the side rail on the bed
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Instruct the client to remain in bed
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Question 3 of 75
Category: Health Promotion and Maintenance
A 32-yr-sometime meaning woman comes to the clinic for her prenatal visit. The nurse gathers data well-nigh her obstetric history, which includes three-year-old twins at home and a miscarriage ten years ago at 12 weeks gestation. How would the nurse accurately document this information? Fill in the blanks.
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Answer: Gravida para
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Question 4 of 75
Category: Reduction of Risk Potential
Which individual is at the greatest risk for developing hypertension?
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Question 5 of 75
Category: Pharmacological and Parenteral Therapies
A 15-yr-sometime female who ingested fifteen tablets of maximum strength acetaminophen 45 minutes ago is rushed to the emergency department. Which of these orders should the nurse do kickoff?
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Question half dozen of 75
Category: Direction of Care
Which complexity of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
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Question 7 of 75
Category: Basic Care and Comfort
A client is admitted to the emergency room with renal calculi and is complaining of moderate to astringent flank pain and nausea. The customer's temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is:
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Question 8 of 75
Category: Health Promotion and Maintenance
What would the nurse wait to meet while assessing the growth of children during their school-historic period years?
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Question 9 of 75
Category: Health Promotion and Maintenance
At a customs wellness fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states "My blood pressure is usually much lower." The nurse should tell the client to:
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Question 10 of 75
Category: Rubber and Infection Control
The infirmary has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put commencement on the list to be discharged in order to make a room bachelor for a new access?
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Question 11 of 75
Category: Pharmacological and Parenteral Therapies
A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/twenty-four hour period past mouth. Every bit function of the pedagogy program, the nurse emphasizes that this medication:
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Question 12 of 75
Category: Physiological Adaptation
A iii-year-former kid was brought to the pediatric dispensary subsequently the sudden onset of findings that include irritability, thick deadened voice, croaking on inspiration, hot to bear upon, sit down leaning frontward, tongue protruding, drooling, and suprasternal retractions. What should the nurse practise first?
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Question 13 of 75
Category: Physiological Adaptation
In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most probable to prompt parents to take their schoolhouse-age child for evaluation?
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Question fourteen of 75
Category: Physiological Accommodation
A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition almost oft follows which type of infection?
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Question fifteen of 75
Category: Management of Care
A registered nurse who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN?
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Question sixteen of 75
Category: Health Promotion and Maintenance
When teaching a client with coronary artery affliction most nutrition, the nurse should emphasize:
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Question 17 of 75
Category: Pharmacological and Parenteral Therapies
Which of these findings indicate that a pump to deliver a basal rate of ten ml per hour plus PRN for pain quantum for morphine drip is not working?
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Question 18 of 75
Category: Health Promotion and Maintenance
The nurse is speaking at a community meeting about personal responsibleness for health promotion. A participant asks well-nigh chiropractic treatment for illnesses. What should be the focus of the nurse's response?
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Question 19 of 75
Category: Physiological Adaptation
The nurse is performing a neurological assessment on a client post right cerebrovascular accident. Which finding, if observed by the nurse, would warrant immediate attention?
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Question 20 of 75
Category: Physiological Adaptation
A child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this affliction would the nurse not expect to see at this time?
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Question 21 of 75
Category: Physiological Accommodation
The home health nurse visits a male client to provide wound care and finds the client lethargic and dislocated. His married woman states he brutal down the stairs 2 (two) hours ago. The nurse should
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Question 22 of 75
Category: Reduction of Risk Potential
Which of the following should the nurse implement to prepare a customer for a KUB (Kidney, Ureter, Bladder) radiography exam?
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Question 23 of 75
Category: Health Promotion and Maintenance
The nurse is giving discharge pedagogy to a client seven (7) days postal service-myocardial infarction. He asks the nurse why he must wait half-dozen (half dozen) weeks earlier having sexual intercourse. What is the best response past the nurse to this question?
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Question 24 of 75
Category: Management of Care
A triage nurse has these 4 (iv) clients make it in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first?
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Question 25 of 75
Category: Health Promotion and Maintenance
While planning care for a toddler, the nurse teaches the parents about the expected developmental changes for this age. Which argument past the mother shows that she understands the child's developmental needs?
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Question 26 of 75
Category: Basic Intendance and Comfort
The nurse is preparing to administer an enteral feeding to a client via a nasogastric feeding tube. The nigh important activity of the nurse is:
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Question 27 of 75
Category: Pharmacological and Parenteral Therapies
The nurse is caring for a customer with a serum potassium level of 3.five mEq/L. The customer is placed on a cardiac monitor and receives twoscore mEq potassium chloride in 1000 ml of five% dextrose in h2o IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
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Question 28 of 75
Category: Physiological Adaptation
A nurse prepares to treat a 4-yr-erstwhile newly admitted for rhabdomyosarcoma. The nurse should warning the staff to pay more attention to the function of which surface area of the torso?
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Question 29 of 75
Category: Wellness Promotion and Maintenance
The nurse anticipates that for a family who practices Chinese medicine the priority goal would be to:
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Question 30 of 75
Category: Physiological Adaptation
During an assessment of a customer with cardiomyopathy, the nurse finds that the systolic blood pressure has decreased from 145 to 110 mm Hg and the center charge per unit has risen from 72 to 96 beats per infinitesimal and the client complains of periodic light-headed spells. The nurse instructs the customer to:
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Question 31 of 75
Category: Reduction of Risk Potential
The nurse prepares the client for the insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the customer that the catheter volition exist inserted to provide information about:
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Question 32 of 75
Category: Physiological Adaptation
A nurse enters a customer's room to discover that the customer has no pulse or respirations. After calling for help, the first action the nurse should take is:
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Question 33 of 75
Category: Pharmacological and Parenteral Therapies
A customer is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new lodge to requite metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse study immediately to the wellness intendance provider?
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Question 34 of 75
Category: Health Promotion and Maintenance
The nurse practicing in a maternity setting recognizes that the postmature fetus is at run a risk due to:
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Question 35 of 75
Category: Reduction of Hazard Potential
The nurse is caring for a customer who had a total hip replacement seven (7) days ago. Which statement by the client requires the nurse'south immediate attending?
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Question 36 of 75
Category: Pharmacological and Parenteral Therapies
A 33-twelvemonth-old male client with heart failure has been taking furosemide for the by calendar week. Which of the following assessment cues below may betoken the client is experiencing a negative side upshot from the medication?
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Question 37 of 75
Category: Bones Care and Comfort
The nurse is caring for a 27-year-old female customer with venous stasis ulcer. Which nursing intervention would be most constructive in promoting healing?
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Question 38 of 75
Category: Health Promotion and Maintenance
Which of these statements best describes the characteristics of an effective reward-feedback organisation?
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Question 39 of 75
Category: Health Promotion and Maintenance
The nurse is providing information to a client with multiple sclerosis on performing exercises and physical activities. The nurse determines the customer needs additional teaching if the client makes which statements? Select all that utilise.
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Question 40 of 75
Category: Safety and Infection Control
During the evaluation of the quality of dwelling house care for a customer with Alzheimer's disease, the priority for the nurse is to reinforce which argument past a family fellow member?
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Question 41 of 75
Category: Pharmacological and Parenteral Therapies
A nurse is reviewing a patient's medication during shift alter. Which of the following medications would be contraindicated if the patient were pregnant? Select all that utilise.
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Question 42 of 75
Category: Pharmacological and Parenteral Therapies
A nurse is reviewing a patient'due south past medical history (PMH). The history indicates the patient has photosensitive reactions to medications. Which of the post-obit drugs is associated with photosensitive reactions? Select all that apply.
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Question 43 of 75
Category: Pharmacological and Parenteral Therapies
A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following of the patient'south medication does not cause urine discoloration?
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Question 44 of 75
Category: Pharmacological and Parenteral Therapies
You are responsible for reviewing the nursing unit of measurement'south refrigerator. Which of the following drugs, if found inside the fridge, should exist removed?
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Question 45 of 75
Category: Pharmacological and Parenteral Therapies
A 34-year-one-time female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is significant. Which of the following is the only immunoglobulin that volition provide protection to the fetus in the womb?
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Question 46 of 75
Category: Safety and Infection Control
A 2d-yr nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the post-obit is the most significant action that the nursing pupil should accept?
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Question 47 of 75
Category: Physiological Adaptation
A xxx-five-twelvemonth-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the post-obit would you most likely doubtable?
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Question 48 of 75
Category: Physiological Adaptation
You are taking the history of a xiv-year-old girl who has a (BMI) of 18. The girl reports disability to consume, induced vomiting and severe constipation. Which of the following would you nearly likely suspect?
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Question 49 of 75
Category: Physiological Adaptation
A 24-twelvemonth-onetime female is admitted to the ER due to confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you well-nigh likely suspect?
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Question 50 of 75
Category: Pharmacological and Parenteral Therapies
Rhogam is most often used to treat____ mothers that have a ____ infant.
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Question 51 of 75
Category: Health Promotion and Maintenance
A new female parent has some questions almost phenylketonuria (PKU). Which of the following statements made past a nurse is non right regarding PKU?
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Question 52 of 75
Category: Pharmacological and Parenteral Therapies
A patient has taken an overdose of aspirin. Which of the post-obit should a nurse must closely monitor for during acute direction of this patient?
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Question 53 of 75
Category: Safety and Infection Control
A 50-twelvemonth-one-time bullheaded and deaf patient has been admitted to your floor. As the charge nurse, your primary responsibleness for this patient is?
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Question 54 of 75
Category: Pharmacological and Parenteral Therapies
A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe hands. Which of the following would be the best instruction for this patient?
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Question 55 of 75
Category: Physiological Accommodation
A nurse is caring for an infant that has recently been diagnosed with a congenital centre defect. Which of the post-obit clinical signs would most likely be nowadays?
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Question 56 of 75
Category: Physiological Adaptation
A female parent has recently been informed that her child has Down syndrome. You volition be assigned to intendance for the kid at shift change. Which of the post-obit characteristics is not associated with Down'southward syndrome?
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Question 57 of 75
Category: Pharmacological and Parenteral Therapies
A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?
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Question 58 of 75
Category: Basic Care and Comfort
A patient asks a nurse, "My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?"
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Question 59 of 75
Category: Physiological Adaptation
A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?
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Question 60 of 75
Category: Physiological Adaptation
A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long do red claret cells alive in my trunk? The correct response is:
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Question 61 of 75
Category: Health Promotion and Maintenance
A 65-year-onetime human has been admitted to the hospital for spinal stenosis surgery. When should the belch training and planning begin for this patient?
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Question 62 of 75
Category: Psychosocial Integrity
A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson'south psychosocial development stages, the child is in which phase?
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Question 63 of 75
Category: Psychosocial Integrity
A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in?
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Question 64 of 75
Category: Psychosocial Integrity
A young developed is 20 years old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in?
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Question 65 of 75
Category: Reduction of Risk Potential
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
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Question 66 of 75
Category: Pharmacological and Parenteral Therapies
When yous are taking a patient's history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the post-obit medications would the patient most likely be taking?
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Question 67 of 75
Category: Pharmacological and Parenteral Therapies
Which of the following conditions would a nurse non administrate erythromycin?
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Question 68 of 75
Category: Physiological Adaptation
A patient'south chart indicates a history of hyperkalemia. Which of the following would you not await to see with this patient if this condition were acute?
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Question 69 of 75
Category: Physiological Adaptation
A patient's chart indicates a history of ketoacidosis. Which of the following would you lot not look to meet with this patient if this condition were acute?
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Question 70 of 75
Category: Physiological Accommodation
A patient'due south nautical chart indicates a history of meningitis. Which of the following would you lot not look to come across with this patient if this condition were acute?
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Question 71 of 75
Category: Physiological Adaptation
A nurse if reviewing a patient's nautical chart and notices that the patient suffers from conjunctivitis. Which of the post-obit microorganisms is related to this condition?
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Question 72 of 75
Category: Physiological Adaptation
A nurse is reviewing a patient'southward chart and notices that the patient suffers from Lyme affliction. Which of the following microorganisms is related to this condition?
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Question 73 of 75
Category: Reduction of Risk Potential
A frail 87-year-onetime female has recently been admitted to the hospital with increased confusion and falls over the last two (2) weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?
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Question 74 of 75
Category: Reduction of Chance Potential
An 85-yr-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his firm 24 hours a day, even on warm days. Which of the following tests is virtually probable to be performed?
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Question 75 of 75
Category: Reduction of Risk Potential
A twenty-year-old female person attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has but been admitted to the hospital. Which of the following tests is most likely to exist performed first?
What is NCLEX?
NCLEX stands for National Council Licensing Exam. It is a test to determine if the candidate possesses the minimum level of knowledge necessary to perform safe and effective entry-level nursing care. The NCLEX-RN (for registered nurses) and the NCLEX-PN (for practical/vocational nurses) are examinations prepared past the National Council of State Boards of Nursing (NCSBN), whose mandate is to protect the public from unsafe nursing care. The NCSBN members include nursing regulatory bodies in the 50 states of the Us, the District of Columbia, and iv United states of america territories.
How to Register for the NCLEX?
So you've finally decided to take the NCLEX, the side by side step is registration or awarding for the exam. The following are the steps on how to register for the NCLEX, including some tips:
- Application to the Nursing Regulatory Board (NRB).The initial footstep in the registration process is to submit your application to the state board of nursing in the land in which you lot intend to obtain licensure. Enquire with your board of nursing regarding the specific registration procedure as requirements may vary from state to land.
- Registration with Pearson VUE.In one case you lot take received the confirmation from the lath of nursing that you lot take met all of their state requirements, proceed, annals, and pay the fee to take the NCLEX with Pearson VUE. Follow the registration instructions and complete the forms precisely and accurately.
- Authorization to Test.If you were made eligible by the licensure board, yous will receive an Authority to Test (ATT) form from Pearson VUE. You must test inside the validity dates (an average of 90 days) on the ATT. In that location are no extensions or you'll have to register and pay the fee again. Your ATT contains critical information like your test authorization number, validity date, and candidate identification number.
- Schedule your Exam Appointment.The next pace is to schedule a testing date, fourth dimension, and location at Pearson VUE. The NCLEX will take place at a testing center, you lot can make an exam appointment online or by telephone. Y'all will receive a confirmation via email of your engagement with the date and fourth dimension you choose including the directions to the testing eye.
*Changing Your Examination Engagement.You can change your appointment to test via Pearson VUE or by calling the candidate services. Rules for scheduling, rescheduling, and unscheduling are explained furtherhither. Failing to arrive for the examination or failure to cancel your date to exam without providing notice will forfeit your exam fee and you'll have to annals and pay again. - On Examination Solar day.Arrive at the testing center on your exam engagement date at to the lowest degree 30 minutes before the schedule. You lot must have your ATT and acceptable identification (driver'south license, passport, etc) that is valid, non expired, and contains your photograph and signature.
- Processing Results.You lot will receive your official results from the board of nursing after vi weeks.
Computer Adaptive Test (Cat)
Like nigh standardized tests today, the NCLEX is administered by a computer. The NCLEX uses a computer adaptive examination (Cat), which reacts to your answers to determine your competence level. The pick of questions is based on the NCLEX-RN test plan and by the level of item difficulty.
Every time you answer a question, the reckoner reevaluates your ability based on all the previous answers and the difficulty of those test items. Your first question is relatively piece of cake; if you selected a correct reply, the computer supplies you with a more difficult question from its question bank. If you take selected an incorrect reply, the estimator gives you an easier question. This process continues throughout the examination until the test plan requirements are met, and the computer can make up one's mind your level of competence.
Additionally, there is no choice to skip a question, you must answer it, or the test will not motion on. You cannot become back and review previous questions and change answers.
NCLEX-RN Examination Plan
The NCLEX test plan is a content guideline to determine the distribution of test questions. NCSBN uses the "Client Needs" categories to ensure that the NCLEX covers a full spectrum of nursing activities. It is a summary of the content and telescopic of the NCLEX to serve as a guide for candidates preparing for the exam and to direct item writers in the evolution of items.
The content of the NCLEX-RN is organized into iv major Client Needs categories: Condom and Constructive Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity. Some of these categories are divided further into subcategories.
Below is the NCLEX-RN test plan effective as of Apr 2019 to March 2022:
| Safe and Effective Care Environment | |
| Management of Intendance | 17-23% |
| Safety and Infection Control | 9-fifteen% |
| Health Promotion and Maintenance | vi-12% |
| Psychosocial Integrity | 6-12% |
| Physiological Integrity | |
| Basic Care and Comfort | 6-12% |
| Pharmacological and Parenteral Therapies | 12-18% |
| Reduction of Risk Potential | 9-fifteen% |
| Physiological Adaptation | xi-17% |
Safe and Effective Intendance Environment
There are two subcategories nether Prophylactic and Effective Care Environment.
- Management of Intendance (17-23%) category includes content that tests the nurse'south knowledge and ability to directly nursing care that enhances the care delivery setting in order to protect clients, significant others, and wellness care personnel.
- Condom and Infection Control (ix-fifteen%) category includes content that tests the nurse'due south ability required to protect clients, families, and health care personnel from wellness and ecology hazards.
Health Promotion and Maintenance
Health Promotion and Maintenance (half-dozen-12%) category includes content that tests the nurse's ability to provide and straight nursing intendance of the client that incorporates knowledge of expected growth and evolution, preventing and early detection of wellness problems, and strategies to achieve optimal health.
The Psychosocial Integrity category (vi-12%) is content related to the promotion and back up for the emotional, mental, and social well-existence of the customer experiencing stressful events and clients with acute or chronic mental illness.
Physiological Integrity
In the Physiological Integrity category are items that test the nurse's ability to promote physical wellness and wellness by providing care and comfort, reducing risk potential, and managing health alterations. There are four subcategories under Physiological Integrity.
- Basic Care and Comfort (6-12%) are content to test the nurse's ability to provide condolement and assist to the client in the performance of activities of daily living.
- Pharmacological and Parenteral Therapies (12-18%) category includes content to test the nurse's ability to administrate medications and parenteral therapies (IV therapy, blood administration, and blood products).
- Reduction of Hazard Potential (nine-15%) category includes content to tests the nurse'due south power to prevent complications or health problems related to the customer'due south condition or prescribed treatments or procedures.
- Physiological Accommodation (xi-17%) category includes questions that examination the nurse'due south ability to provide care to clients with acute, chronic, or life-threatening conditions.
Particular Writers for NCLEX
Who writes questions for the NCLEX? The NCSBN sets the criteria and selection process for item writers who are registered nurses. Many of them are nursing educators who hold an advanced caste in nursing, then if yous've completed an accredited nursing program, yous accept already taken several tests written past nurses with backgrounds similar to those who write for the NCLEX.
Testing Time
The maximum testing time for the NCLEX-RN is six (vi) hours, and in that location is no time limit for each NCLEX question. The exam time includes all the tutorials and all the breaks. The get-go break is offered after two (2) hours, and the second break is offered after iii.5 hours of testing. All breaks are optional, and almost exam-takers may non demand the full-fourth dimension allotment to complete the exam.
How to Pass the NCLEX?
The NCSBN indicates that these 3 rules govern pass-or-fail decisions: 95% Confidence Interval Dominion, Maximum-Length Exam Dominion, and Run-Out-Of-Time Rule.
95% Confidence Interval Rule
In this scenario, the computer stops administering test questions when it is 95% certain that your ability is clearly to a higher place the passing standard or clearly below the passing standard.
Maximum-Length Exam
When your power is close to the passing standard, the computer continues to give you items until the maximum number of items is reached. At this point, the computer disregards the 95% confidence rule and decides whether you pass or fail by your final ability gauge. If your final power estimate is above the passing standard, you pass; if information technology is below, you fail.
Run-Out-Of-Time (R.O.O.T.) Rule
When you run out of time before reaching the maximum amount of items, the figurer has not been able to decide whether you passed or failed with 95% certainty and has to use an alternate rule. You fail if you have non answered the minimum number of required questions. If you have at least answered the minimum amount of items, the computer reviews your last 60 questions. If your ability judge was consistently in a higher place the passing standard on the last 60 questions, you laissez passer. If your ability dropped below the passing standard, even once, during your final sixty questions, you lot fail.
How many question are on the NCLEX?
For the NCLEX-RN, the minimum number of questions you demand to respond is 75, while the maximum number in the examination is 265. Regardless of the number of questions you lot answer, y'all are given 15 experimental questions (pretest questions). Pretest questions are indistinguishable from other questions on the test, not indicated as such, are beingness tested for future exam, and not counted against your score.
Question Types in the NCLEX-RN
Although near NCLEX items are multiple-choice, there are other formats as well. You may be administered multiple-choice items and questions written in alternate formats. These formats may include: multiple-response or select all that apply, fill-in-the-blank calculation, ordered response, hotspot, figure, nautical chart or exhibit, graphic, sound, and video.
Multiple-Choice Questions
Many questions on the NCLEX are in multiple-choice format. This traditional text-based question will provide you information well-nigh the client'south situation, and you tin can only select i correct reply from the given four options. Multiple-choice questions may vary and include: audio clips, graphics, exhibits, or charts.
Chart or Exhibit Questions
A chart or exhibit is presented along with a problem. You'll be provided with three tabs or buttons that yous need to click to obtain the information needed to answer the question. Select the right selection among four multiple-choice answer options.
Graphic Option
In this format, iv multiple-choice answer options are pictures rather than text. Each option is preceded by a circle that yous need to click to represent your answer.
Audio
In an audio question format, you'll be required to listen to a audio to answer the question. You'll need to use the headset provided and click on the sound icon for it to play. Yous'll exist able to listen to the sound every bit many times every bit necessary. Choose the correct choice from among four multiple-choice answer options.
Video
For the video question format, you must view an animation or a video clip to answer the post-obit question. Select the correct pick amidst four multiple-choice answer options.
Select All That Apply or Multiple-Response
Multiple-response or select all that use (SATA) alternate format question requires you to choose all correct answer options that relate to the data asked past the question. There are usually more than four possible answer options. No partial credit is given in scoring these items (i.e., selecting only 3 out of the v correct choices), so you must select all right answers for the item to be counted as correct.
Tips when answering Select All That Apply Questions
- Y'all'll know it'southward a multiple-response or SATA question because yous'll explicitly be instructed to "Select all that apply."
- Care for each respond choice as a True or False by rewording the question and go along to answer each option by responding with a "yep" or "no". Go downwards the list of reply options one by one and ask yourself if information technology'southward a correct answer.
- Consider each choice equally a possible respond separate to other choices. Never group or assume they are linked together.
Fill-in-the-Blank
The fill-in-the-blank question format is usually used for medication calculation, 4 flow rate calculation, or determining the intake-output of a client. Yous'll exist asked to perform a calculation in this question format and type in your respond in the blank space provided.
Tips when answering Fill-in-the-Blank
- Ever follow the specific directions equally noted on the screen.
- There will be an on-screen calculator on the calculator for you to apply.
- Do non put whatever words, units of measurements, commas, or spaces with your respond, blazon but the number. Simply the number goes into the box.
- Rounding an answer should be done at the end of the calculation or as what the question specified, and if necessary, type in the decimal point.
Ordered-Response
In an ordered-response question format, you'll be asked to employ the computer mouse to drag and drib your nursing actions in club or priority. Based on the information presented, determine what you'll practice first, 2d, third, and and then along. Directions are provided with the question.
Tips when answering Ordered-Response questions
- Questions are ordinarily near nursing procedures. Imagine yourself performing the procedure to help you answer these questions.
- You'll have to place the options in correct order by clicking an option and dragging it on the box on the right. You can rearrange them before you striking submit for your last reply.
Hotspot
A motion-picture show or graphic volition be presented along with a question. This could contain a chart, a table, or an analogy where you lot'll be asked to point or click on a specific expanse. Figures may also announced along with a multiple-choice question. Be as precise as possible when marking the location.
Tips when answering Hotspot questions
- More often than not used to evaluate your knowledge of anatomy, physiology, and pathophysiology.
- Locate anatomical landmarks to aid y'all select the location needed past the detail.
Want to test-bulldoze the NCLEX? Nosotros highly recommend you complete the online tutorial by the NCSBN to help you familiarize yourself with the different question types for the NCLEX.
Desire more than practice questions?
Please visit our Nursing Examination Banking company folio if you're looking to reply more practise questions from unlike topics and different question formats.
Recommended Resource
Recommended books and resources for your NCLEX success:
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- Saunders Comprehensive Review for the NCLEX-RN (eighth Edition)
The most comprehensive and complete NCLEX exam review book with over 5,200 NCLEX-style questions that are thoroughly updated to reflect the most contempo test plan. - Saunders Q & A Review for the NCLEX-RN® Examination (8th Edition)
This popular review offers more than than half-dozen,000 examination questions, giving you all the Q&A do you demand to pass the NCLEX-RN examination! Each question enhances review by including a test-taking strategy and rationale for correct and wrong answers. - NCLEX-RN Prep Plus past Kaplan (24th Edition)
Kaplan's NCLEX-RN Prep Plus uses practiced critical thinking strategies and targeted sample questions to assistance you put your expertise into practice and face the exam with conviction. - Illustrated Study Guide for the NCLEX-RN Exam
Using colorful illustrations and fun mnemonic cartoons, the Illustrated Study Guide for the NCLEX-RN® Examination, 10th Edition brings the concepts found on the NCLEX-RN to life! - NCLEX RN Examination Prep Flashcards
Easy to use flash cards developed by test prep books for examination takers trying to accomplish a passing score on the NCLEX RN exam, these flashcards cover. - Prioritization, Delegation, and Consignment: Practice Exercises for the NCLEX-RN Examination
This volume is the first and the most popular NCLEX-RN Exam review book focused exclusively on edifice direction-of-care clinical judgment skills. - Saunders Comprehensive Review for the NCLEX-PN Examination (8th Edition)
The book includes a review of all nursing content areas, more than four,500 NCLEX exam-style questions, detailed rationales, examination-taking tips and strategies, and new Next-Generation NCLEX (NGN)-fashion questions. - More NCLEX review books here.
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