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100% Pass Quiz 2026 NCLEX NCLEX-RN The Best Valid Exam Notes

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100% Pass Quiz 2026 NCLEX NCLEX-RN The Best Valid Exam Notes

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NCLEX-RN exam is a computerized adaptive test that is designed to provide a precise measurement of the candidate's nursing knowledge and skills. It is a comprehensive exam that covers a broad range of topics related to nursing practice, including patient care, safety, pharmacology, and nursing procedures.
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Preparing for the NCLEX-RN exam requires a significant amount of time, effort, and dedication. Candidates must have a thorough understanding of nursing concepts and principles, as well as strong critical thinking and problem-solving skills. Many nursing schools offer review courses and study materials to help students prepare for the exam. Passing the NCLEX-RN Exam is a major milestone in a nurse's career and opens up many opportunities for professional growth and advancement.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q444-Q449):NEW QUESTION # 444
The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:
  • A. Self-discipline is required to control caloric intake throughout the pregnancy
  • B. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation
  • C. The client may not recognize the early symptoms of PIH
  • D. Immediate treatment of mild PIH includes the administration of a variety of medications
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Mild PIH is not treated with medications. (B) Emotional stress is not the cause of blood pressure elevation in PIH. (C) Excessive caloric intake is not the cause of weight gain in PIH. (D) The client most frequently is not aware of the signs and symptoms in mild PIH.

NEW QUESTION # 445
A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?
  • A. Activity intolerance related to imbalance between oxygen supply and demand
  • B. Altered growth and development related to decreased intake of food
  • C. Altered nutrition: less than body requirements related to inability to take in adequate calories
  • D. Decreased cardiac output related to ineffective pumping action of the heart
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Altered nutrition occurs owing to the fatigue from decreased cardiac output associated with congestive heart failure. (B) The decreased intake occurs due to fatigue from the altered cardiac output. (C) Fatigue occurs due to the decreased cardiac output. (D) The ineffective action of the myocardium leads to inadequate O2 to the tissues, which produces activity intolerance, altered nutrition, and altered growth and development.

NEW QUESTION # 446
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem.
She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:
  • A. Tell the client to attend all structured activities on the unit
  • B. Encourage or direct client to attend activities that offer simple methods to attain success
  • C. Not allow any dependent behaviors by the client because she must learn independence and will have to ask for any assistance from staff
  • D. Increase the client's self-esteem by asking that she make all decisions regarding attendance in group activities
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) The nurse should encourage activities gradually, as client's energy level and tolerance for shared activities improve. (B) Activities that focus on strengths and accomplishments, with uncomplicated tasks, minimize failure and increase self-worth. (C) Asking a client to set a goal to make all decisions about attending group activities is unrealistic, and such decisions are not always under the client's control; this sets up the client for further failure and possibly decreased self-worth. (D) Encouragement toward independence does promote increased feelings of selfworth; however, clients may need assistance with decision making and problem solving for various situations and on an individual basis.

NEW QUESTION # 447
The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:
  • A. Changes in breathing pattern, moodiness, fatigue, and edema of eyes
  • B. Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodiness
  • C. Fever, runny nose, and hyperactivity
  • D. Fever, cough, paleness, and wheezing
Answer: B
Explanation:
Explanation
(A) The child with asthma may not have fever unless there is an underlying infection. (B) Edema of the eyes will not be present because the child with asthma is more likely to have dehydration related to excessive water loss during the work of breathing. (C) All of these symptoms indicate decreased oxygenation and are early symptoms of asthma. (D) Coughing and wheezing are not early signs of difficulty.

NEW QUESTION # 448
The predominant purpose of the first Apgar scoring of a newborn is to:
  • A. Obtain a baseline for comparison with the infant's future adaptation to the environment
  • B. Determine gross abnormal motor function
  • C. Determine the extent of congenital malformations
  • D. Evaluate the infant's vital functions
Answer: D
Explanation:
Explanation
(A) Apgar scores are not related to the infant's care, but to the infant's physical condition. (B) Apgar scores assess the current physical condition of the infant and are not related to future environmental adaptation. (C) The purpose of the Apgar system is to evaluate the physical condition of the newborn at birth and to determine if there is an immediate need for resuscitation. (D) Congenital malformations are not one of the areas assessed with Apgar scores.

NEW QUESTION # 449
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