NCLEX Review Questions

Based on the National Council of State Boards of Nursing format.

Highlights

  • Just like you'll see on the actual exam
  • No negatively phrased questions
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Sample Stem:

A patient with an exacerbation of chronic obstructive pulmonary disease (COPD) is admitted to the hospital. Which of the following nursing diagnoses requires the most collaboration with other health team members to achieve the best outcome for the patient?

Answers

Challenging distractors are one of the most important features of a high quality NCLEX question.

Highlights

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Answer Options:

 impaired gas exchange
 impaired skin integrity
 activity intolerance
 imbalanced nutrition: less than body requirements

Explanations

Understanding why an answer choice is incorrect is just as important as knowing why it is correct for a truly effective NCLEX review course.

Highlights

  • Detailed explanation for the correct and incorrect answer choices
  • Integrated media for visual learning
  • Key points link associated concepts and practice guidelines

Correct Answer:

impaired gas exchange

Educational Objective:

Describe nursing interventions for a patient with an exacerbation of chronic obstructive pulmonary disease.

Key Point:

Impaired gas exchange is the priority diagnosis for the patient with a COPD exacerbation and requires much interdisciplinary collaboration.

Explanation:

Impaired gas exchange requires collaboration between the nurse, physician, and respiratory therapist to help achieve the best respiratory outcome for the patient. Medications, oxygen, nebulizer treatments, and arterial blood gas analyses all require a physician's order. The respiratory therapist administers the oxygen and nebulizer treatments. The nurse assesses the patient's response to medications and respiratory treatments and provides feedback to the physician and respiratory therapist.

Impaired skin integrity, activity intolerance, and imbalanced nutrition that are less than body requirements (when applied to the patient with COPD) largely require independent nursing interventions without collaboration with other health team members. These interventions include skin care, pacing nursing care to promote rest and minimize fatigue, and providing small, frequent meals.

References:

Gulanick M, Myers J, eds. Nursing Care Plans: Diagnoses, Interventions, & Outcomes. 9th ed., 2017

Potter PA, et al. Essentials for Nursing Practice. 9th ed., 2019:228.

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Multimedia From Real Cases Strengthens NCLEX Training

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Each NCLEX Review Question Has A Detailed Answer

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NCLEX Review Topics

Blueprint-based Exam Simulation

NCLEX publishes content blueprints of the material that will appear on RN exams.

This is how we determine which material appears in NCLEX-RN exam simulations.

NCLEX-RN Blueprint

Safe and Effective Care Environment
- Management of Care 17-23%
- Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
- Basic Care and Comfort 6-12%
- Pharmacological and Parenteral Therapies 12-18%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 11-17%

Blueprint-based Exam Simulation

NCLEX publishes content blueprints of the material that will appear on PN exams.

This is how we determine which material appears in NCLEX-PN exam simulations.

NCLEX-PN Blueprint

Safe and Effective Care Environment
- Coordinated Care 18-24%
- Safety and Infection Control 10-16%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 9-15%
Physiological Integrity
- Basic Care and Comfort 7-13%
- Pharmacological Therapies 10-16%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 7-13%

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