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NCLEX Trustable Valid NCLEX-RN Test Book–Pass NCLEX-RN First Attempt

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NCLEX Trustable Valid NCLEX-RN Test Book–Pass NCLEX-RN First Attempt

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NCLEX-RN exam is developed and administered by the National Council of State Boards of Nursing (NCSBN). NCLEX-RN exam is computerized and consists of a minimum of 75 questions and a maximum of 265 questions. NCLEX-RN Exam is adaptive, meaning that the computer will adjust the difficulty level of the questions based on the test-taker's performance.
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q525-Q530):NEW QUESTION # 525
A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?
  • A. Low-protein diet
  • B. High-cholesterol diet
  • C. Low-sodium diet
  • D. Increased fluid intake
Answer: C
Explanation:
(A) A high-protein diet is usually indicated because protein is excreted in urine. Protein restriction is usually prescribed with severe azotemia. (B) The kidneys usually enlarge in these children, and sodium and water are retained. (C) Fluid restriction may be ordered to help reduce edema; however, monitoring for dehydration is indicated. (D) A high-cholesterol diet would not be indicated for any child, especially one with elevated blood pressure.

NEW QUESTION # 526
The nurse is teaching a child's parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:
  • A. Old paint
  • B. Pencils
  • C. Dandelion leaves
  • D. Stuffing from toy animals
Answer: A
Explanation:
(A) Dandelion leaves are not a source of lead. (B) Pencils are not a source of lead poisoning. (C) Chewing on objects painted before 1960 is a common source of lead poisoning in children. Gasoline is another source. (D) Stuffed animals are not a source of lead.

NEW QUESTION # 527
A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:
  • A. Blood pressure increase from 100/80 to 115/85 after lunch
  • B. Headache that is unresponsive to acetaminophen (Tylenol)
  • C. Temperature rise to 102_F rectally
  • D. Pulse rate ranges between 68 bpm and 76 bpm
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) This change in blood pressure may not be significant and does not indicate a widening pulse pressure, a late sign of increased ICP. It is important to continue to monitor for change in blood pressure. (B) Acetaminophen may be ineffective in relieving headache after head injury. Stronger analgesics are contraindicated because they mask neurological signs and may depress the CNS. (C) Pulse rates between
68 bpm and 76 bpm are within normal limits for a 14-year-old child. It is important to monitor for a consistent drop in pulse rate, which is a late sign of increasing ICP. (D) An elevated temperature is abnormal and requires further assessment and medical intervention. The temperature may be unrelated to the head injury, but CNS infection is serious and difficult to control.

NEW QUESTION # 528
Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?
  • A. Serum glucose level of 180
  • B. Small T wave of ECG
  • C. Urine output 22 mL/hr for 2 hours
  • D. Serum potassium level of 3.7
Answer: C
Explanation:
(A) Adequate renal flow of 30 mL/hr is a necessity with potassium infusions because potassium is excreted renally. (B) Because potassium level will decrease during correction of diabetic ketoacidosis, potassium will be infused even if plasma levels of potassium are normal. (C) A small T wave is normal and desired on the electrocardiogram. A tall, peaked T-wave could indicate overinfusion of potassium and hyperkalemia. (D) Glucose levels of <200 are desirable.

NEW QUESTION # 529
Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?
  • A. Hypoxemia and respiratory acidosis
  • B. Mediastinal tissue and organ shifting
  • C. Decreased tidal volume and tachypnea
  • D. Ventilation-perfusion (V./Q.) mismatch
Answer: B
Explanation:
Section: Questions Set A
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 # 530
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