{"id":117468,"date":"2023-08-28T21:09:48","date_gmt":"2023-08-28T21:09:48","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117468"},"modified":"2023-08-28T21:09:50","modified_gmt":"2023-08-28T21:09:50","slug":"2023-nclex-rn-actual-exam-test-bank-latest-800-questions-and-correct-detailed-answers-with-rationales-rn-nclex-test-bankalready-graded-abran-new2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/2023-nclex-rn-actual-exam-test-bank-latest-800-questions-and-correct-detailed-answers-with-rationales-rn-nclex-test-bankalready-graded-abran-new2023\/","title":{"rendered":"2023 NCLEX RN ACTUAL EXAM TEST BANK LATEST 800 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES\/RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2023"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>1 | P a g e<br>1<br>2023 NCLEX RN ACTUAL EXAM TEST<br>BANK LATEST 800 QUESTIONS AND<br>CORRECT DETAILED ANSWERS WITH<br>RATIONALES\/RN NCLEX TEST<br>BANK|ALREADY GRADED A+|BRAN<br>NEW!!2023<br>NO.1 A depressed client is seen at the mental health center for follow-up after an attempted suicide<br>1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase<br>(MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains<br>that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom<br>relief is expected to occur within:<br>A. 10 days<br>B. 2-4 weeks<br>C. 2 months<br>D. 3 months<br>Answer: B<br>Explanation:<br>(A) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.<br>(B) This answer is correct. Because MAO inhibitors are slow to act, it takes 2-4 weeks before<br>improvement of symptoms is noted.<br>(C) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.<br>(D) This answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drug<br>therapy.<br>NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:<br>A. Mothers carry the gene and pass it to their sons<br>B. Fathers carry the gene and pass it to their daughters<br>C. Both parents must have the disease for a child to have the disease<br>D. Both parents must be carriers for a child to have the disease<br>Answer: D<br>Explanation:<br>(A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y<br>chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but must be<br>carriers. (D) If a trait is recessive, two genes (one from each parent) are necessary to produce an<\/p>\n\n\n\n<p>2 | P a g e<br>2<br>affected child.<br>NO.3 A 24-year-old client presents to the emergency department protesting &#8220;I am God.&#8221; The nurse<br>identifies this as a:<br>A. Delusion<br>B. Illusion<br>C. Hallucination<br>D. Conversion<br>Answer: A<br>Explanation:<br>(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory<br>experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion<br>is the expression of intrapsychic conflict through sensory or motor manifestations.<br>NO.4 In acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or<\/p>\n\n\n\n<p>3 | P a g e<br>3<br>even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during<br>the first few days or weeks of an acute episode to manage severe behavioral excitement and acute<br>psychotic symptoms. In addition to the lithium, which one of the following medications might the<br>physician prescribe?<br>A. Diazepam (Valium)<br>B. Haloperidol (Haldol)<br>C. Sertraline (Zoloft)<br>D. Alprazolam (Xanax)<br>Answer: B<br>Explanation:<br>(A) Diazepam is an antianxiety medication and is not designed to reduce psychotic symptoms. (B)<br>Haloperidol is an antipsychotic medication and may be used until the lithium takes effect. (C)<br>Sertraline is an antidepressant and is used primarily to reduce symptoms of depression. (D)<br>Alprazolam is an antianxiety medication and is not designed to reduce psychotic symptoms.<br>NO.5 A violent client remains in restraintsfor several hours. Which of the following interventions is<br>most appropriate while he is in restraints?<br>A. Give fluids if the client requests them.<br>B. Assess skin integrity and circulation of extremities before applying restraints and as they are<br>removed.<br>C. Measure vital signs at least every 4 hours.<br>D. Release restraints every 2 hours for client to exercise.<br>Answer: D<br>Explanation:<br>(A) Fluids (nourishment) should be offered at regular intervals whether the client requests (or<br>refuses) them or not. (B) Skin integrity and circulation of the extremities should be checked regularly<br>while the client is restrained, not only before restraints are applied and<br>after they are removed. (C) Vital signs should be checked at least every 2 hours. If the client remains<br>agitated in restraints, vital signs should be monitored even more closely, perhaps every 1-2 hours. (D)<br>Restraints should be released every 2 hours for exercise, one extremity at a time, to maintain muscle<br>tone, skin and joint integrity, and circulation.<br>NO.6 The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral<br>griseofulvin. The nurse should emphasize which of these instructions to the mother and\/or child?<br>A. Administer oral griseofulvin on an empty stomach for best results.<br>B. Discontinue drug therapy if food tastes funny.<br>C. May discontinue medication when the child experiences symptomatic relief.<br>D. Observe for headaches, dizziness, and anorexia.<br>Answer: D<br>Explanation:<br>(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a<br>fatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations<\/p>\n\n\n\n<p>4 | P a g e<br>4<br>and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient<br>intake should be reported to the physician. (C) The child may experience symptomatic relief after 48-<br>96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually<br>about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea,<br>vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to<br>the physician.<br>NO.7 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h<br>via nasogastric tube. The rationale for this therapy is to:<br>A. Prevent systemic infection<br>B. Promote diuresis<br>C. Decrease ammonia formation<br>D. Acidify the small bowel<br>Answer: C<br>Explanation:<br>(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic<br>coma. (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the<br>liver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break<br>down protein into ammonia. (D) Lactulose is administered to create an acid environment in the<br>bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and<br>excreted.<br>NO.8 A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures<br>should be included in the postoperative care?<br>A. Encourage the child to cough up blood if present.<br>B. Give warm clear liquids when fully alert.<br>C. Have child gargle and do toothbrushing to remove old blood.<br>D. Observe for evidence of bleeding.<br>Answer: D<br>Explanation:<br>(A) The nurse should discourage the child from coughing, clearing the throat, or putting objects in his<br>mouth. These may induce bleeding. (B) Cool, clear liquids may be given when child is fully alert.<br>Warm liquids may dislodge a blood clot. The nurse should avoid red- or brown-colored liquids to<br>distinguish fresh or old blood from ingested liquid should the child vomit. (C) Gargles and vigorous<br>toothbrushing could initiate bleeding. (D) Postoperative hemorrhage, though unusual, may occur.<br>The nurse should observe for bleeding by looking directly into the throat and for vomiting of bright<br>red blood, continuous swallowing, and changes in vital signs.<br>NO.9 An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his<br>left leg that started approximately 20 minutes ago. When performing the admission assessment, the<br>nurse would expect to observe which of the following:<br>A. Both lower extremities warm to touch with 2_pedal pulses<br>B. Both lower extremities cyanotic when placed in a dependent position<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1 | P a g e12023 NCLEX RN ACTUAL EXAM TESTBANK LATEST 800 QUESTIONS ANDCORRECT DETAILED ANSWERS WITHRATIONALES\/RN NCLEX TESTBANK|ALREADY GRADED A+|BRANNEW!!2023NO.1 A depressed client is seen at the mental health center for follow-up after an attempted suicide1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase(MAO) inhibitor, for 7 straight days. She [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117468","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117468","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117468"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117468\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117468"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}