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NCLEX-RN is a standardized exam that is used to determine if a nurse is ready to begin practicing as a registered nurse (RN) in the United States. NCLEX-RN Exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) and is designed to assess a nurse's knowledge, skills, and abilities in relation to the safe and effective delivery of patient care.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q846-Q851):

NEW QUESTION # 846
A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpartal hemorrhage in the recovery room. What are the initial symptoms of shock that she may experience?

A. No urinary output, tachycardia, and restlessness
B. Rapid pulse; narrowed pulse pressure; cool, moist skin
C. Decreased systolic pressure, cold skin, and anuria
D. Marked elevation in blood pressure, respirations, and pulse

Answer: B

Explanation:
(A) Early shock does not exhibit the symptom of marked elevation in blood pressure. A narrowing of the pulse pressure is indicative of early shock. (B) Anuria is a clinical finding in late shock. (C) All of these clinical findings are congruent with early shock. (D) Absence of urinary output is a clinical finding in the late phase of shock.

NEW QUESTION # 847
A 24-year-old client presents to the emergency department protesting "I am God." The nurse identifies this as a:

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

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) 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 # 848
The nurse has been assigned a client who delivered a 6- lb, 12-oz baby boy vaginally 40 minutes ago. The initial assessment of greatest importance for this client would be:

A. Amount of IV fluid to be infused
B. Length of her labor
C. Type of episiotomy
D. Character of the fundus

Answer: D

Explanation:
The length of labor has little bearing on the fourth stage of labor. The type of labor and delivery is significant. (B) The type of episiotomy will affect the client's comfort level. However, the nurse's assessment and implementations center on prevention of hemorrhage during the fourthstage of labor. The amount of bleeding from the episiotomy or hematoma formation is of higher priority than the type of episiotomy. (C) The amount of IV fluid to be infused is a nursing function to be attended to; however, it is lower in priority than determining if hemorrhaging is occurring. (D) Character of the fundus would be the priority nursing assessment because changes in uterine tone may identify possible postpartum hemorrhage.

NEW QUESTION # 849
Which of the following statements relevant to a suicidal client is correct?

A. The more specific a client's plan, the more likely he or she is to attempt suicide.
B. Nurses who care for a client who has attempted suicide should not make any reference to the word "suicide" in order to protect the client's ego.
C. A client who threatens suicide is just seeking attention and is not likely to attempt suicide.
D. A client who is unsuccessful at a first suicide attempt is not likely to make future attempts.

Answer: A

Explanation:
(A)
This is a high-risk factor for potential suicide. (B) A previous suicide attempt is a definite risk factor for subsequent attempts. (C) Every threat of suicide should be taken seriously.
(D)
The client should be asked directly about his or her intent to do bodily harm. The client is never hurt by direct, respectful questions.

NEW QUESTION # 850
A husband and wife and their two children, age 9 and age 5, are requesting family therapy.
Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

A. Always allow the most vocal person to state the problem first.
B. Allow family members to assume the seats as they choose.
C. Interpret immediately what seems to be going on within the family.
D. Encourage the mother to speak for the children.

Answer: B

Explanation:
(A) One will always hear what the most vocal person has to say. It is best to start with the quietest family member to encourage that person to express emotions. (B) All family members are encouraged to speak for themselves. (C) In the initial family assessment, only data collection occurs; interpretations are made later. (D) Allowing family members to choose their own seats will assist the nurse in assessing the family system and in determining who feels closer to whom.

NEW QUESTION # 851
......

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