100% PASS 2025 UPDATED NCLEX NCLEX-RN: NATIONAL COUNCIL LICENSURE EXAMINATION(NCLEX-RN) RELIABLE TEST SYLLABUS

100% Pass 2025 Updated NCLEX NCLEX-RN: National Council Licensure Examination(NCLEX-RN) Reliable Test Syllabus

100% Pass 2025 Updated NCLEX NCLEX-RN: National Council Licensure Examination(NCLEX-RN) Reliable Test Syllabus

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q581-Q586):

NEW QUESTION # 581
A male client had a right below-the-knee amputation 4 days ago. His incision is healing well. He has gotten out of bed several times and sat at the side of the bed. Each time after returning to bed, he has experienced pain as if it were located in his right foot. Which nursing measure indicates the nurse has a thorough understanding of phantom pain and its management?

  • A. The cause of phantom pain is unknown. The nurse should provide the client with support, promote sleep, and handle the injured limb smoothly and gently.
  • B. Phantom pain is caused by trauma, spasms, and edema at the incisional site. It will decrease when postoperative edema decreases. It should be treated with nonnarcotic medication whenever possible.
  • C. Phantom pain is entirely in the client's mind. The client should be instructed that the pain is psychological and should not be treated.
  • D. The basis for phantom pain may occur because the nerves still carry pain sensation to the brain even though the limb has been amputated. The pain is real, intense, and should be treated.

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) This statement is entirely false. (B) Phantom pain may be caused by nerves continuing to carry sensation to the brain even though the limb is removed. It is real, intense, and should be treated as ordinary pain would. (C) Although the cause of phantom pain is still unknown, thesemeasures may promote the relief of any type of pain, not just phantom pain. (D) Phantom pain is not caused by trauma, spasms, and edema and will not be relieved by decreasing edema.


NEW QUESTION # 582
A female client has been treated since childhood for mitral valve prolapse. The antibiotic of choice for her during pregnancy would be:

  • A. Hydralazine
  • B. Tetracycline
  • C. Erythromycin
  • D. Sulfa

Answer: C

Explanation:
Explanation
(A) Sulfa is a teratogen and will cause kernicterus. (B) Tetracycline is a teratogen and will effect tooth development. (C) Hydralazine is not an antibiotic but a calcium channel blocker. (D) Erythromycin is safe during pregnancy and can be used when the client is allergic to penicillin.


NEW QUESTION # 583
A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:

  • A. Do frequent room checks to be sure that the client is not hiding food or throwing it away.
  • B. Establish a structured environment with routine tasks and activities. Also, serve meals at the same time each day.
  • C. Distract the client during meals to get her to eat because she must take in sufficient amounts to keep from starving.
  • D. Listen attentively and participate in in-depth discussions about food, because these actions may encourage her to eat.

Answer: B

Explanation:
Explanation
(A) Anorexia nervosa clients feel out of control. Providing a structured environment offers safety and comfort and can help them to develop internal control, thus reducing their need to control by self-starvation. (B) Distraction does not focus on the client's need for control. (C) Doing frequent room checks reinforces feelings of powerlessness and the need to continue with the dysfunctional behavior. (D) Participating in long discussions about food does not make the client want to eat, but rather this strategy allows her to indulge in her preoccupation and to continue with the dysfunctional behavior.


NEW QUESTION # 584
The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:

  • A. Have him breathe into a paper bag
  • B. Encourage pursed-lip breathing
  • C. Place him in a lateral Sims' position
  • D. Increase his nasal O2 to 6 L/min

Answer: B

Explanation:
Explanation
(A) Giving too high a concentration of O2 to a client with em-physema may remove his stimulus to breathe.
(B) The client should sit forward with his hands on his knees or an overbed table and with shoulders elevated.
(C) Pursed-lip breathing helps the client to blow off CO2 and to keep air passages open. (D) Covering the face of a client extremely short of breath may cause anxiety and further increase dyspnea.


NEW QUESTION # 585
A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor for the tubing is
10 gtt/mL. How many drops per minute should the nurse administer?

  • A. 20 gtt/min
  • B. 21 gtt/min
  • C. 125 gtt/min
  • D. 48 gtt/min

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C) This answer has not been rounded off to an even number. (D) 20.8, or 21 gtt/min.


NEW QUESTION # 586
......

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