Quiz 2023 The Best NCLEX NCLEX-RN Reliable Test Topics

Quiz 2023 The Best NCLEX NCLEX-RN Reliable Test Topics

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The NCLEX-RN exam is a computerized test that consists of multiple-choice questions and alternate item formats, such as fill-in-the-blank and drag-and-drop questions. The exam is designed to be adaptive, which means that the difficulty level of the questions will increase or decrease based on the candidate’s performance. The exam is also timed, with candidates being given a maximum of six hours to complete the exam.

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The NCLEX-RN exam is conducted by the National Council of State Boards of Nursing (NCSBN). It is a computer-adaptive test, which means the questions’ level of difficulty adapts to the individual’s ability to answer them. The exam is designed to test the individual’s level of competence, from simple to complex nursing tasks. The test is carried out at various testing centers across the country, and individuals must register for the exam and submit their credentials to the NCSBN.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q624-Q629):

The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation.
When tooth-brushing is contraindicated, the next most effective cleansing and gingival stimulation technique would be:

  • A. Rinsing with hydrogen peroxide
  • B. Rinsing with baking soda
  • C. Using a water pik
  • D. Rinsing with water

Answer: C

(A) This technique provides effective rinsing and gingival stimulation. (B) This technique does not provide gingival stimulation. (C) This technique provides effective rinsing but not gingival stimulation. Using peroxide is not pleasant for the child. (D) This technique provides effective rinsing but not gingival stimulation.

Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?

  • A. Epinephrine (Adrenalin)
  • B. Propranolol (Inderal)
  • C. Verapamil (Isoptin)
  • D. Amrinone (Inocor)

Answer: B

(A) Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of breath (SOB), and wheezing. (B) Amrinone has the effect of increased contractility and dilation of the vascular smooth muscle. It has no noted respiratory side effects. (C) Epinephrine has the effect of bronchodilation through β stimulation. (D) Propranolol, esmolol, and labetalol are all β- blocking agents, which can increase airway resistance and cause bronchospasms.

A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful?

  • A. Examine the 4 year old first.
  • B. Examine painful areas first to get them “over with.”
  • C. Provide time for play and becoming acquainted.
  • D. Have the mother leave the room with one child, and examine the other child privately.

Answer: C

(A) The 6 month old should be examined first. If several children will be examined, begin with the most cooperative and less anxious child to provide modeling. (B) Providing time for play and getting acquainted minimizes stress and anxiety associated with assessment of body parts. (C) Children generally cooperate best when their mother remains with them. (D) Painful areas are best examined last and will permit maximum accuracy of assessment.

Stat serum electrolytes ordered for a client in acute renal failure revealed a serum potassium level of 6.4. The physician is immediately notified and orders 50 mL of dextrose and 10 U of regular insulin IV push. The nurse administering these drugs knows the Rationale for this therapy is to:

  • A. Drive potassium from the serum back into the cells
  • B. Remove the potassium from the body by renin exchange
  • C. Protect the myocardium from the effects of hypokalemia
  • D. Promote rapid protein catabolism

Answer: A

(A) Sodium polystyrene sulfonate (Kayexalate), a cation exchange resin, exchanges sodium ions for potassium ions in the large intestine reducing the serum potassium. (B) Calcium is administered to protect the myocardium from the adverse effects of hyperkalemia. Serum levels reflect hyperkalemia. (C) Rapid catabolism releases potassium from the body tissue into the bloodstream. Infection and hyperthermia increase the process of catabolism. (D) The administration of dextrose and regular insulin IV forces potassium back into the cells decreasing the potassium in the serum.

A female client at 30 weeks’ gestation is brought into the emergency department after falling down a flight of stairs. On examination, the physician notes a rigid, boardlike abdomen; FHR in the 160s; and stable vital signs. Considering possible abdominal trauma, which obstetric emergency must be anticipated?

  • A. Placenta previa
  • B. Abruptio placentae
  • C. Ectopic pregnancy
  • D. Massive uterine rupture

Answer: B

(A) Abruptio placentae, the complete or partial separation of the placenta from the uterine wall, can be caused by external trauma. When hemorrhage is concealed, one sign is a rapid increase in uterine size with rigidity.
(B) Ectopic pregnancy occurs when the embryo implants itself outside the uterine cavity. (C) Massive uterine rupture occurs during labor when the uterine contents are extruded through the uterine wall. It is usually due to weakness from a pre-existing uterine scar and trauma from instruments or an obstetrical intervention. (D) Placenta previa is the condition in which the placenta is implanted in the lower uterine segment and either completely or partially covers the cervical os.


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