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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.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q522-Q527):

NEW QUESTION # 522
Home-care instructions for the child following a cardiac catheterization should include:

A. Notify the physician if a slight bruise develops around the insertion site.
B. Give aspirin if the child complains of pain at the insertion site.
C. Keep a clean, dry dressing on the insertion site for 2 days.
D. Use sponge bathing until stitches are removed.

Answer: D

Explanation:
Explanation
(A) A small bruise may develop around the insertion site and is not a reason for alarm. (B) It is best to keep the child out of the bathtub until the sutures are removed. (C) Acetaminophen, not aspirin, is the drug of choice if there is pain at the insertion site. (D) The insertion site should be kept clean and dry and open to air.

NEW QUESTION # 523
A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B.
After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:

A. Separate bathroom facilities if possible; if not, then cleansing daily of the facilities with a chloride solution
B. Isolation of the client from the remainder of the family
C. No necessary precautions because she is beyond the contagious phase
D. Laundering clothes separately in cold water with a chloride solution

Answer: A

Explanation:
(A) Isolation is not necessary, even in the acute phase. (B) Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. (C) Precautions continue to be necessary while the client is in the active phase of hepatitis. (D) Clothes are to be laundered separately in hot water with a chloride solution.

NEW QUESTION # 524
An 18-month-old child has been playing in the garage. His mother brings him to a nurse's home complaining of his mouth being sore. His lips and mouth are soapy and white, with small ulcerated areas beginning to form.
The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:

A. Eaten construction chalk
B. Ingested a caustic alkali
C. Inhaled gasoline fumes
D. Lead poisoning

Answer: B

Explanation:
Explanation
(A, C, D) These agents would not cause ulcerations on mouthand lips. (B) Strong alkali or acids will cause burns and ulcerationson the mucous membranes.

NEW QUESTION # 525
A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:

A. "I understand that the voices are real to you, but I want you to know I don't hear them. They are a symptom of your illness."
B. "We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that."
C. "You can't leave here. This unit is locked and the doctor has not ordered your discharge."
D. "Just don't pay attention to the voices. They'll go away after some medication."

Answer: A

Explanation:
Explanation
(A) This response validates the client's experience and presents reality to him. (B) This nontherapeutic response minimizes and dismisses the client's verbalized experience. (C) This response can be interpreted by a paranoid client as a threat, thereby increasing the client's potential for violence and loss of control. (D) This response is also threatening. The client's behavior does not call for restraints because he has not lost control or hurt anyone. If seclusion or restraints were indicated, the nurse should never confront the client alone.

NEW QUESTION # 526
A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessment was initiated by the nurse. Which skill would cause the nurse to be concerned about the infant's developmental progression?

A. She pulls herself to her feet with help.
B. She sits briefly alone with assistance.
C. She creeps and crawls.
D. She stands while holding onto furniture.

Answer: B

Explanation:
(A) The 9-month-old infant can sit alone for long periods. By the age of 6 months, many infants can pull themselves to a sitting position. (B, C, D) This skill represents normal development.

NEW QUESTION # 527
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