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NCLEX-RN exam is a high-stakes exam, meaning that passing NCLEX-RN exam is necessary for individuals to become licensed and work as RNs. NCLEX-RN exam is also designed to ensure that individuals who pass the exam have the necessary knowledge and skills to provide safe and effective patient care. NCLEX-RN exam is taken by nursing graduates from all over the United States, and passing the exam is necessary to become licensed in any state.

NCLEX-RN exam is computerized and adaptive, meaning that the difficulty level of the exam adjusts based on a nurse's performance. NCLEX-RN Exam is designed to be challenging, and many nurses find it to be a stressful experience. However, the NCLEX-RN is an essential step for nurses who wish to enter the workforce and begin practicing as registered nurses. With proper preparation and study, nurses can feel confident and well-prepared to pass the exam and begin their careers in nursing.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q448-Q453):

NEW QUESTION # 448
The nurse notes scattered crackles in both lungs and 1+ pitting edema when assessing a cardiac client. The physician is notified and orders furosemide (Lasix) 80 mg IV push stat. Which of the following diagnostic studies is monitored to assess for a major complication of this therapy?

Answer: D

Explanation:
Explanation
(A) Furosemide, a potassium-depleting diuretic, inhibits the reabsorption of sodium and chloride from the loop of Henle and the distal renal tubules. Serum electrolytes are monitored for hypokalemia. (B) Severe acid-base imbalances influence the movement of potassium into and out of the cells, but arterial blood gases to not measure the serum potassium level. (C) Furosemide is a potassium-depleting diuretic. A complete blood count does not reflect potassium levels. (D) Abnormalities in potassium (both hyperkalemia and hypokalemia) are reflected in ECG changes, but these changes do not occur until the abnormality is severe.


NEW QUESTION # 449
A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in onehalf normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10-15 mg IM q4h prn for pain. She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would:

Answer: C

Explanation:
(A) Provision of food and fluid promotes bowel elimination. Nutritional needs postoperatively are determined by the physician, not the client. (B) Increasing IV fluids postoperatively will not cause a client to void. Any change in rate of administration of IV fluids should be determined by the physician. (C) The postoperative client with normal kidney function who cannot void 8 hours after surgery is retaining urine. The client may need catheterization or medication. The physician must provide orders for both as necessary. (D) Although morphine sulfate can cause urinary retention, withholding pain medication will not ensure that the client will void. The client with uncontrolled pain will probably not be able to void.


NEW QUESTION # 450
Respiratory function is altered in a 16-year-old asthmatic. Which of the following is the cause of this alteration?

Answer: C

Explanation:
(A) Altered surfactant production is found in sudden infant death syndrome. (B) Paradoxical breathing occurs when a negative intrathoracic pressure is transmitted to the abdomen by a weakened, poorly functioning diaphragm. (C) Asthma is characterized by spasm and constriction of the airways resulting in increased resistance to airflow. (D) If the pulmonary tree is obstructed for any reason, inspired air has difficulty overcoming the resistance and getting out. The rate of respiration increases in order to compensate, thus increasing air exchange.


NEW QUESTION # 451
A 1000-mL dose of D5W 12 normal saline is to be infused in 8 hours. The drop factor for the tubing is 60 gtt/min. How many drops per minute should the nurse administer?

Answer: A

Explanation:
(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C)125 gtt/min. (D) This answer is a miscalculation.


NEW QUESTION # 452
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization. (B, C, D) This choice is a symptom of BPH, but it is not serious or life threatening.


NEW QUESTION # 453
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