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NCLEX-RN Online Test, Valid NCLEX-RN Test Pattern

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NCLEX-RN exam covers a wide range of topics related to nursing practice, including health promotion and maintenance, pharmacology, physiological adaptation, psychosocial integrity, and safe and effective care environment. NCLEX-RN exam is designed to test both the test-taker's knowledge and their ability to apply that knowledge in real-world nursing situations.

NCLEX-RN exam is an important step in the process of becoming a registered nurse. After completing a nursing program, candidates must apply to their state board of nursing to take the exam. Once they pass the exam and meet other licensure requirements, they can practice as a registered nurse. NCLEX-RN Exam is designed to ensure that only qualified individuals are licensed to practice nursing, which helps to protect the public and maintain the integrity of the nursing profession.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q700-Q705):

NEW QUESTION # 700
A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

A. Fluid volume deficit related to vomiting and nasogastric tube drainage
B. Pain related to stimulation of nerve endings associated with obstruction of the pancreatic tract
C. Knowledge deficit related to treatment regimen
D. Altered nutrition: less than body requirements, related to inadequate intake associated with current anorexia, nausea, vomiting, and digestive enzyme loss

Answer: B

Explanation:
Section: Questions Set E
Explanation:
(A) Relief of pain is the primary goal of nursing intervention because this client is experiencing acute pain. (B) Fluid volume deficit is being treated with IV fluid replacement. (C) Knowledge deficit will not be addressed at this time because a client in acute pain is not ready to learn. (D) Alteration in nutrition is the third priority after relief of pain and fluid volume deficit.

NEW QUESTION # 701
A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:

A. Low-grade fever
B. Hypertension
C. Diarrhea
D. Disorientation

Answer: D

Explanation:
(A) Disorientation is the first sign of sepsis in burn children. (B) Low-grade fever is not indicative of sepsis. (C) Diarrhea is not indicative of sepsis. (D) Hypertension is not indicative of sepsis.

NEW QUESTION # 702
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. The same nurses will prevent infant fatigue and frustration.
B. By assigning the same nurses to the child, the nurses can begin to learn the infant's cues and feeding behaviors.
C. Primary nurses will ensure privacy.
D. The same nurses will prevent parental fatigue and frustration.

Answer: B

Explanation:
Section: Questions Set D
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 # 703
A client is diagnosed with organic brain disorder. The nursing care should include:

A. Long, extended family visits
B. Detailed explanations of procedures
C. Challenging educational programs
D. Organized, safe environment

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) A priority nursing goal is attending to the client's safety and well-being. Reorient frequently, remove dangerous objects, and maintain consistent environment. (B) Short, frequent visits are recommended to avoid overstimulation and fatigue. (C) Short, concise, simple explanations are easier to understand. (D) Mental capability and attention span deficits make learning difficult and frustrating.

NEW QUESTION # 704
Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?

A. Ventilation-perfusion (V./Q.) mismatch
B. Mediastinal tissue and organ shifting
C. Hypoxemia and respiratory acidosis
D. Decreased tidal volume and tachypnea

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A, B, D) These occur in both tension pneumothorax and open pneumothorax. (C) The tension pneumothorax acts like a one- way valve so that the pneumothorax increases with each breath. Eventually, it occupies enough space to shift mediastinal tissue toward the unaffected side away from the midline.
Tracheal deviation, movement of point of maximum impulse, and decreased cardiac output will occur. The other three options will occur in both types of pneumothorax.

NEW QUESTION # 705
......

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