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[General] NCLEX-RN Mock Test & NCLEX-RN Latest Test Simulations

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【General】 NCLEX-RN Mock Test & NCLEX-RN Latest Test Simulations

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q383-Q388):NEW QUESTION # 383
Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:
  • A. The nurse deems that removal of restraints is necessary
  • B. The violent behavior subsides, and the client agrees to behave
  • C. The physician orders it
  • D. A therapeutic alliance has been established, and violent behavior subsides
Answer: D
Explanation:
(A) The physicianmayorder release of restraints, but prior to that, the client must meet criteria for release. (B) While the client is still restrained, but after violent behavior has subsided, a therapeutic bridge is built. This alliance encourages dialogue between nurse and client, allowing the client to determine causative factors, feelings prior to loss of control, and adaptive alternatives to violence. (C) If the client only "agrees to behave" after violent behavior subsides, he has developed no insight into cause and effect of violence or his response to stress. (D)Removal of restraints occurs only when the client meets the criteria for release, not just because the nurse says it is necessary.

NEW QUESTION # 384
A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this as a problem in the category of:
  • A. Impaired communication
  • B. Altered thought processes
  • C. Sensory-perceptual alterations
  • D. Impaired social interaction
Answer: C
Explanation:
(A) Impaired communication refers to decreased ability or inability to use or understand language in an interaction. (B) In sensory-perceptual alterations an individual has distorted, impaired, or exaggerated responses to incoming stimuli (i.e., a hallucination, which is a false sensory perception that is not associated with real external stimuli). (C) An altered thought processes problem statement is used when an individual experiences a disruption in cognitive operations and activities (i.e., delusions, loose associations, ideas of reference). (D) In impaired social interaction, the individual participates too little or too much in social interactions.

NEW QUESTION # 385
The most frequent cause of early postpartum hemorrhage is:
  • A. Hematoma
  • B. Coagulation disorders
  • C. Uterine atony
  • D. Retained placental fragments
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Hematomas, which are the result of damage to a vessel wall without laceration of the tissue, are a cause, though not the most frequent cause. (B) Coagulation disorders are among the causes of postpartal hemorrhage, but they are less common. (C) The most frequent causes of hemorrhage in the postpartal period are related to an interference with involution of the uterus. Uterine atony is the most frequent cause, occurring in the first 24 hours after delivery. (D) Retained placental fragments are also a cause, although these bleeds usually occur 7-14 days after delivery.

NEW QUESTION # 386
A newborn girl's father expresses concern that the newborn does not have good control of her hands and arms. It is important for the father to realize certain neurological patterns that characterize the newborn:
  • A. Purposeless, uncoordinated movements of the arms are indicative of neurological dysfunction.
  • B. Asymmetrical movement of the extremities is not unusual and will disappear with maturation of the central nervous system.
  • C. Function progresses in a head-to-toe, proximal-distal fashion.
  • D. Mild hypotonia is expected in the upper extremities.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Term neonates are predominantly in a flexed position with strong active muscle tone that increases.
Newborns are slightly hypertonic. (B) Neonatal movements may be jerky and uncoordinated as the neonate works against gravity in contrast to the buoyancy of the amniotic fluid. Jerky movements must be differentiated from the tremors of hypoglycemia, hypocalcemia, and neurological dysfunction. (C) Growth of the newborn progresses in a cephalocaudal, proximal-distal fashion. Knowledge regarding infant development may facilitate parental involvement and infant stimulation. (D) Asymmetrical movements of the extremities are indicative of neurological dysfunction.

NEW QUESTION # 387
A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
  • A. State, "You have an angel in heaven."
  • B. Provide an opportunity for the parents to see and hold the baby for an undetermined amount of time.
  • C. Reassure the parents that they can have other children.
  • D. Discourage the parents from seeing the baby.
Answer: B
Explanation:
(A) This is not a supportive statement. There are also no data to indicate the family's religious beliefs. (B) Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say "good-bye." (C) Parents need time to get to know their baby. (D) This is not a comforting statement when a baby has died. There are also no guarantees that the couple will be able to have another child.

NEW QUESTION # 388
......
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