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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam that is used to determine whether or not a candidate is qualified to become 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.

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q831-Q836):

NEW QUESTION # 831
A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:

A. Metabolic alkalosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Respiratory acidosis

Answer: D

Explanation:
Explanation
(A) Respiratory alkalosis is determined by elevated pH and low PaCO2. (B) Respiratory acidosis is determined by low pH and elevated PaCO2. (C) Metabolic alkalosis is determined by elevated pH and HCO3.
(D) Metabolic acidosis is determined by low pH and HCO3.

NEW QUESTION # 832
As a nurse in the emergency room, you receive an outside call from an elderly woman who states she has just been raped. She states, "I know I must come to the hospital, but what do I do next?" You advise her to call the police, then come to the hospital emergency room. What action by the nurse would indicate an understanding of the examination process once the victim enters the emergency room?

A. Phone a rape counselor to begin working with the victim as soon as she enters the hospital.
B. Inform the victim to bring insurance information with her to the hospital so she can be properly cared for.
C. Inform the victim not to wash, change clothes, douche, brush teeth, or eat or drink anything.
D. Do not leave the victim alone to collect her thoughts.

Answer: C

Explanation:
(A) Providing the victim with these instructions will aid in the determination of physical evidence of rape. Victims frequently feel "dirty" after rape, and their first instinct is to take care of personal hygiene before facing anyone. (B) This action is of lesser importance at this time. (C) Although this is a nursing measure appropriate in this situation, contacting a counselor can be done once the victim enters the hospital. Frequently victims call but do not follow up with the visit. (D) Once the victim enters the emergency room, it is important not to leave her alone.

NEW QUESTION # 833
A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the client's:

A. Level of insight
B. Thought processes
C. Mood and affect
D. Abstracting abilities

Answer: C

Explanation:
Section: Questions Set G
Explanation:
(A) Assessing the client's level of insight is an important part of the mental status exam (MSE), but it does not reflect suicide potential. (B) Assessing the client's thought processes is an important part of the MSE, but it does not reflect suicide potential. (C) Assessing the client's mood and affect is an important part of the MSE, and it can be a very valuable indicator of suicide potential. Frequently a client who has decided to proceed with suicide plans will exhibit a suddenly improved mood and affect. (D) Assessing a client's abstracting abilities is an important part of the MSE, but it does not reflect suicide potential.

NEW QUESTION # 834
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:

A. Exhibits sincere interest in the delusional voices
B. Encourages the client to discuss the voices
C. Gives the medication as necessary for the acting-out behavior
D. Attempts to direct the client's attention to the here and now

Answer: D

Explanation:
Explanation
(A) This answer is incorrect. Encouraging discussion of the voices will reinforce the delusion. (B) This answer is correct. The nurse should appropriately present reality. (C) This answer is incorrect. Showing interest would reinforce the delusional system. (D) This answer is incorrect. The statement only indicates that the client is hearing voices. It does not state that the client is acting out.

NEW QUESTION # 835
A 30-year-old client has a history of several recent traumatic experiences. She presents at the physician's office with a complaint of blindness. Physical exam and diagnostic testing reveal no organic cause. The nurse recognizes this as:

A. Illusion
B. Hallucination
C. Delusion
D. Conversion

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) The client's blindness is real. Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory experience. (C) Hallucination is a false sensory perception involving any of the senses.
(D) Conversion is the expression of intrapsychic conflict through sensory or motor manifestations.

NEW QUESTION # 836
......

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NCLEX-RN Test Cram Pdf | 100% Free NCLEX-RN Reliable Exam Registration

NCLEX-RN Reliable Exam Registration & NCLEX-RN Dump Collection

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q831-Q836):

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