Nclex rn exam ppt

NCLEX ( National Council Licensure Examination) English for Nursing students

1. NCLEX (National NCLEX (National
Council Licensure Council Licensure
Examination)Examination)
By Nargis. By Nargis.
Quoted From Quoted From CliffsTestPrep®CliffsTestPrep®
NCLEX-RN® NCLEX-RN® An American BookWorks An American BookWorks
Corporation Project.Corporation Project.

2. NCLEX NCLEX
The NCLEX (National Council Licensure The NCLEX (National Council Licensure
Examination) is required in order for you toExamination) is required in order for you to
obtain a license to practice as a registered obtain a license to practice as a registered
nurse. The exam is administered by the nurse. The exam is administered by the
National Council of State BoardsNational Council of State Boards
of Nursing and ensures that your license is of Nursing and ensures that your license is
acceptable throughout the entire United State acceptable throughout the entire United State
and its territories. You will answer anywhere and its territories. You will answer anywhere
from 75 to 265 questions. from 75 to 265 questions.

3. By passing this test, you will be able to By passing this test, you will be able to
practice as a registered nurse. The test practice as a registered nurse. The test
itself is based on the specialized itself is based on the specialized
knowledgeknowledge
that you should have at this point, and it that you should have at this point, and it
tests your skills and ability to meet the tests your skills and ability to meet the
various requirements that will be required various requirements that will be required
within the nursing process. within the nursing process.

4. Because this is a test of basic Because this is a test of basic
competency, you will be able to competency, you will be able to
demonstrate your abilities as andemonstrate your abilities as an
entry-level nurse on this exam.entry-level nurse on this exam.
Because this is a test of basic Because this is a test of basic
competency, you will be able to competency, you will be able to
demonstrate your abilities as andemonstrate your abilities as an
entry-level nurse on this exam.entry-level nurse on this exam.

5. Certain important concepts are integrated Certain important concepts are integrated
throughout the Client Needs categories throughout the Client Needs categories
and subcategories:and subcategories:
1.1.Nursing Process. This is the Nursing Process. This is the
scientific approach to client care that scientific approach to client care that
includes data collection, planning, includes data collection, planning,
and implementation and implementation and evaluation.and evaluation.
2. 2. Caring. This is the interaction Caring. This is the interaction
between you, as the registered nurse, between you, as the registered nurse,
and the clients, their families, or their and the clients, their families, or their
significant significant others. Client care requires others. Client care requires
mutual respect and trust.mutual respect and trust.

6. 3. 3. Communication and Documentation. It is of Communication and Documentation. It is of
utmost importance that you are able to be utmost importance that you are able to be
clear and concise in clear and concise in our interactions with our interactions with
those of the families as well as those of others those of the families as well as those of others
on your healthcare team. This requires the on your healthcare team. This requires the
ability to communicate both verbally and ability to communicate both verbally and
nonverbally and to be accountable in keeping nonverbally and to be accountable in keeping
and maintaining records and patients’ charts.and maintaining records and patients’ charts.

7. 4. Teaching and Learning. You must 4. Teaching and Learning. You must
demonstrate the appropriate skills demonstrate the appropriate skills
and attitudes that promote changes in and attitudes that promote changes in
yourself yourself and others, by learning and and others, by learning and
teaching. Being an effective RN requires teaching. Being an effective RN requires
the ability to share information withthe ability to share information with
clients and their families.clients and their families.

8. Exam Prep TipsExam Prep Tips
After learning the materials, you After learning the materials, you
might want to use a number of might want to use a number of
testing tips:testing tips:
 Read the questions carefully.Read the questions carefully.
 Look for keywords.Look for keywords.
 Watch for specific details.Watch for specific details.

9. Eliminate options that are Eliminate options that are
clearly wrong or incorrect.clearly wrong or incorrect.
By systematically eliminating distracters that By systematically eliminating distracters that
are clearly incorrect, you increase the are clearly incorrect, you increase the
probability of selecting the correct option. probability of selecting the correct option.
Look for the answer that differs from the Look for the answer that differs from the
other options: This testing strategyother options: This testing strategy
is called is called odd answer out. An example of this odd answer out. An example of this
type of question follows:type of question follows:

10. The nurse is attempting to evaluate the The nurse is attempting to evaluate the
client’s knowledge of diabetes. Whichclient’s knowledge of diabetes. Which
statement made by the client indicates a statement made by the client indicates a
need for further teaching?need for further teaching?

11. A. The client states that he will check his blood A. The client states that he will check his blood
glucose levels before meals.glucose levels before meals.
B. The client selects a 10-ounce steak from his B. The client selects a 10-ounce steak from his
menu.menu.
C. The client demonstrates how he will give C. The client demonstrates how he will give
himself insulin.himself insulin.
D. The client verbalizes understanding of ways to D. The client verbalizes understanding of ways to
improve circulation.improve circulation.

12. Answer B is correct. Answers A, C, and Answer B is correct. Answers A, C, and
D all indicate knowledge of diabetes.D all indicate knowledge of diabetes.
Answer B indicates that the client lacks Answer B indicates that the client lacks
understanding because the portion size understanding because the portion size
for steak is 3 ouncesfor steak is 3 ounces

13. Look for Opposite Look for Opposite
AnswersAnswers
When you see opposites, one of these When you see opposites, one of these
options is usually correct. Here is an options is usually correct. Here is an
example of this testing strategy:example of this testing strategy:
Client with hemophilia is admitted with Client with hemophilia is admitted with
bleeding. Which action by the nurse bleeding. Which action by the nurse
indicatesindicates
an understanding of hemophilia?an understanding of hemophilia?

14. A. The nurse applies heat to the joints.A. The nurse applies heat to the joints.
B. The nurse applies ice to the joints.B. The nurse applies ice to the joints.
C. The nurse offers to perform passive C. The nurse offers to perform passive
range of motion.range of motion.
D. The nurse elevates the extremity.D. The nurse elevates the extremity.

15. Answer B is correct. Hemophilia is a Answer B is correct. Hemophilia is a
genetically obtained disorder in which genetically obtained disorder in which
there is an absence of clotting factor. there is an absence of clotting factor.
Applying heat vasodilates and causes Applying heat vasodilates and causes
increased bleeding. increased bleeding.
This answer is the opposite of the This answer is the opposite of the
correct choice, which is answer B. correct choice, which is answer B.
Answer C is incorrect. Answer C is incorrect.

16. Types of QuestionsTypes of Questions
Most of the questions are multiple choice with Most of the questions are multiple choice with
four options. There are, however, other types four options. There are, however, other types
of questions, such as fill-in the blanks, and of questions, such as fill-in the blanks, and
even identifying items with “hot spots.” What even identifying items with “hot spots.” What
this means is that you’ll be given an illustration, this means is that you’ll be given an illustration,
table, or perhaps a chart, Because it’s table, or perhaps a chart, Because it’s
computerized, the machine can identify the computerized, the machine can identify the
spot where you’ve clicked. spot where you’ve clicked.

17. The Multiple-Choice FormatThe Multiple-Choice Format
The Multiple-Choice FormatThe Multiple-Choice Format
Most of the standardized tests that you’ve probably taken Most of the standardized tests that you’ve probably taken
throughout your educational career have contained multiple throughout your educational career have contained multiple
choice questions. For some reason, these types of questions choice questions. For some reason, these types of questions
give a large percentage of test takers a difficult time. If yougive a large percentage of test takers a difficult time. If you
approach these questions carefully, they should be easier than approach these questions carefully, they should be easier than
you think. and you have to click on it with the on-screen cursor to you think. and you have to click on it with the on-screen cursor to
identify the correct answer.identify the correct answer.
First, read the question and see whether you know the answer. If First, read the question and see whether you know the answer. If
you know ityou know it
automatically, you can look at the choices and select the correct automatically, you can look at the choices and select the correct
one. Let’s look at a very simple example here.one. Let’s look at a very simple example here.

18. Example Example
Mammography is used to detect Mammography is used to detect
which of the following which of the following
conditions?conditions?
1. pain1. pain
2. tumor2. tumor
3. edema3. edema
4. epilepsy4. epilepsy

19. mammography is used to detect tumors mammography is used to detect tumors
or cysts in the breasts. It is not used to or cysts in the breasts. It is not used to
detect any of the other conditions. Of detect any of the other conditions. Of
course, you should know that a course, you should know that a
mammogram is the image produced by mammogram is the image produced by
a low-dose x-ray of the breast. a low-dose x-ray of the breast.
Epilepsy is a disorder of the central Epilepsy is a disorder of the central
nervous system. nervous system.

20. EXERCISEEXERCISE
1. Which of the following questions, when asked by1. Which of the following questions, when asked by
the nurse, assesses for the major definingthe nurse, assesses for the major defining
characteristic of disturbed body image?characteristic of disturbed body image?
1. “How do you feel about this disability?”1. “How do you feel about this disability?”
2. “How would you describe your usual2. “How would you describe your usual
mood?”mood?”
3. “How does your family feel about your3. “How does your family feel about your
illness?”illness?”
4. “Do you feel fearful, anxious, or nervous?”4. “Do you feel fearful, anxious, or nervous?”

21. Answer Answer
3. The major defining characteristic of body 3. The major defining characteristic of body
image disturbance is verbal or nonverbal image disturbance is verbal or nonverbal
negative responses to actual or perceived negative responses to actual or perceived
changes in structure and/or function of the changes in structure and/or function of the
body. Asking how the client feels about their body. Asking how the client feels about their
disability will give them a chance to assess disability will give them a chance to assess
whether there is a negative or positive whether there is a negative or positive
response to the change that has occurred. response to the change that has occurred.

22. 2. When a child demonstrates a positive 2. When a child demonstrates a positive
Babinski sign, which age child would be Babinski sign, which age child would be
most important for the nurse to follow-most important for the nurse to follow-
up?up?
1. 4 months1. 4 months
2. 8 months2. 8 months
3. 12 months3. 12 months
4. 16 months4. 16 months

23. Answer Answer
(4) The Babinski sign is positive in children (4) The Babinski sign is positive in children
12 months of age and younger. A 16-month-12 months of age and younger. A 16-month-
old with a positiveold with a positive
Babinski would be cause for concern and Babinski would be cause for concern and
require further evaluation. A positive Babinski require further evaluation. A positive Babinski
is normal for a 4-, 8-,is normal for a 4-, 8-,
and 12-month-old child and not a cause for and 12-month-old child and not a cause for
follow-up. follow-up. Health Promotion and MaintenanceHealth Promotion and Maintenance

24. 3. Which of the following clinical manifestation 3. Which of the following clinical manifestation
should the nurse document as a positive sign should the nurse document as a positive sign
of pregnancy?of pregnancy?
1. amenorrhea1. amenorrhea
2. uterine soufflé2. uterine soufflé
3. positive pregnancy test3. positive pregnancy test
4. fetal heartbeat4. fetal heartbeat

25. Answer Answer
(4) Fetal heartbeat can be detected with (4) Fetal heartbeat can be detected with
Doppler as early as 10–12 weeks of Doppler as early as 10–12 weeks of
pregnancy and is considered apregnancy and is considered a
positive or diagnostic sign of pregnancy.positive or diagnostic sign of pregnancy.
Amennorrhea, the absence of menses, is Amennorrhea, the absence of menses, is
considered a presumptive sign of pregnancy. considered a presumptive sign of pregnancy.
It is a more helpful sign when more than one It is a more helpful sign when more than one
cycle has been missed.cycle has been missed.

26. 4. Your patient’s blood work shows a low serum4. Your patient’s blood work shows a low serum
albumin level. She is receiving the anticonvulsant albumin level. She is receiving the anticonvulsant
phenytoin (Dilantin), which is 90–95 percentphenytoin (Dilantin), which is 90–95 percent
protein bound. You should monitor your patientprotein bound. You should monitor your patient
for signs of:for signs of:
1. hypokalemia.1. hypokalemia.
2. CNS depression.2. CNS depression.
3. drug toxicity.3. drug toxicity.
4. hyperalbuminemia.4. hyperalbuminemia.

27. Answer Answer
(3) With a low serum albumin more (3) With a low serum albumin more
free phenytoin is available in the free phenytoin is available in the
circulation. Free phenytoin is the circulation. Free phenytoin is the
activeactive
form of the drug. Hypoalbuminemia does form of the drug. Hypoalbuminemia does
not induce hypokalemia, CNS not induce hypokalemia, CNS
depression, or hyperalbuminemia.depression, or hyperalbuminemia.
Pharmacological TherapiesPharmacological Therapies

28. 5. Which blood type is known as the 5. Which blood type is known as the
universal recipient?universal recipient?
1. A1. A
2. B2. B
3. AB3. AB
4. O4. O

29. Answer Answer
(3) Type AB is the universal recipient, (3) Type AB is the universal recipient,
as the other blood types are as the other blood types are
compatible when it is given. When the compatible when it is given. When the
remainingremaining
options are given to someone with a options are given to someone with a
different blood type, it can cause a different blood type, it can cause a
transfusion reaction. transfusion reaction. Reduction of RiskReduction of Risk
Potential. Potential.

30. 6. A client with which of the following 6. A client with which of the following
conditions is at risk for developing a low conditions is at risk for developing a low
magnesium level?magnesium level?
1. prostatitis1. prostatitis
2. lymphoma2. lymphoma
3. pericarditis3. pericarditis
4. alcoholism4. alcoholism

31. Answer Answer
(4) Alcoholism creates risk for (4) Alcoholism creates risk for
developing a low magnesium level developing a low magnesium level
due to nutritional deficiency. The due to nutritional deficiency. The
otherother
conditions do not. conditions do not. Reduction of Risk Reduction of Risk
Potential.Potential.

32. 7. Continuous Passive Motion Devices (CMP) are:7. Continuous Passive Motion Devices (CMP) are:
1. machines that are used to stimulate nerve 1. machines that are used to stimulate nerve
pathways all over the body.pathways all over the body.
2. used exclusively with Cardiovascular2. used exclusively with Cardiovascular
Accident (CVA) clients.Accident (CVA) clients.
3. used to stimulate regeneration of particular 3. used to stimulate regeneration of particular
tissues.tissues.
4. devices for passive range of motion of arms 4. devices for passive range of motion of arms
and fingers.and fingers.

33. Answer Answer
(3) The purposes of the continuous (3) The purposes of the continuous
passive devices (CPD) to move the passive devices (CPD) to move the
knee joint without weight bearing orknee joint without weight bearing or
straining muscles and stimulating straining muscles and stimulating
regeneration of articular tissues following regeneration of articular tissues following
orthopedic surgery for the knee.orthopedic surgery for the knee.
Basic Care and ComfortBasic Care and Comfort

34. 8. Which finding, assessed during a bed 8. Which finding, assessed during a bed
bath, indicates to the nurse that the bath, indicates to the nurse that the
client has poor hygiene practices?client has poor hygiene practices?
1. dry, flaking skin1. dry, flaking skin
2. strong breath odor2. strong breath odor
3. itchy patches on the scalp3. itchy patches on the scalp
4. unkempt finger and toenails4. unkempt finger and toenails

35. Answer Answer
(4) Unkempt finger and toenails would (4) Unkempt finger and toenails would
be an area that is not cared for; the be an area that is not cared for; the
other areas could mean under lyingother areas could mean under lying
possible disease processes or a scalp possible disease processes or a scalp
that has acquired soborrhea, or not that has acquired soborrhea, or not
thoroughly cleaned. thoroughly cleaned. Basic Care andBasic Care and
Comfort. Comfort.

36. 9. The signs and symptoms of smallpox 9. The signs and symptoms of smallpox
are similar to those of:are similar to those of:
1. measles.1. measles.
2. meningitis.2. meningitis.
3. botulism.3. botulism.
4. chicken pox.4. chicken pox.

37. (4) The signs and symptoms of small (4) The signs and symptoms of small
pox are similar to those of chicken pox are similar to those of chicken
pox. In chicken pox, the rash appearspox. In chicken pox, the rash appears
first on the trunk and spreads to the first on the trunk and spreads to the
extremities. In smallpox, the rash begins extremities. In smallpox, the rash begins
on the extremities and spreads to theon the extremities and spreads to the
trunk. trunk. Safety and Infection ControlSafety and Infection Control