40 QUESTIONS WITH ANSWERS

Nursing Leadership & Management Exam 2

(40 QUESTIONS WITH ANSWERS )

NCLEX Question Chapter 33

• Which of the following drugs should Nurse Mary prepare to administer to a

client with a toxic acetaminophen (Tylenol) level?A deferoxamine mesylate (Desferal) B succimer (Chemet) C flumazenil (Romazicon) D acetylcysteine (Mucomyst)

Rational: The antidote for acetaminophen toxicity is acetylcysteine

• A male client is admitted to the substance abuse unit for alcohol detoxification.

Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal?A naloxone (Narcan) B haloperidol (Haldol) C magnesium sulfate D chlordiazepoxide (Librium

Rational: Chlordiazepoxide (Librium) and other tranquilizers help reduce the

symptoms of alcohol withdrawal.

• The nurse is aware that the outcome criteria would be appropriate for a child

diagnosed with oppositional defiant disorder?A Accept responsibility for own behaviors B Be able to verbalize own needs and assert rights C Set firm and consistent limits with the client D Allow the child to establish his own limits and boundaries Rational: Children with oppositional defiant disorder frequently violate the rights of others.

• Nurse Taylor is aware that the victims of domestic violence should be assessed

for what important information?A Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation) B Readiness to leave the perpetrator and knowledge of resources C Use of drugs or alcohol D History of previous victimization

Rational: Victims of domestic violence must be assessed for their readiness to

leave the perpetrator and their knowledge of the resources available to them.

• Nurse Helen is assigned to care for a client with anorexia nervosa. Initially,

which nursing intervention is most appropriate for this client?A Providing one-on-one supervision during meals and for 1 hour afterward B Letting the client eat with other clients to create a normal mealtime atmosphere C Trying to persuade the client to eat and thus restore nutritional balance D Giving the client as much time to eat as desired

Rational: Because the client with anorexia nervosa may discard food or induce

vomiting in the bathroom, the nurse should provide one-on-one supervision during meals and for 1 hour afterward

• In the emergency department, a client with facial lacerations states that her

husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client’s husband arrives, shouting that he wants to “finish the job.” What is the first priority of the health care worker who witnesses this scene?A Remaining with the client and staying calm B Calling a security guard and another staff member for assistance C Telling the client’s husband that he must leave at once D Determining why the husband feels so angry Rational: The health care worker who witnesses this scene must take precautions to ensure personal as well as client safety, but shouldn’t attempt to manage a physically aggressive person alone.

• Kellan, a high school student is referred to the school nurse for suspected

substance abuse. Following the nurse’s assessment and interventions, what would be the most desirable outcome?A The student discusses conflicts over drug use B The student accepts a referral to a substance abuse counselor C The student agrees to inform his parents of the problem D The student reports increased comfort with making choice Rational: All of the outcomes stated are desirable; however, the best outcome is that the student would agree to seek the assistance of a professional substance abuse counselor

• A male client is being treated for alcoholism. After a family meeting, the client’s

spouse asks the nurse about ways to help the family deal with the effects of alcoholism. Nurse Lily should suggest that the family join which organization?A Al-Anon B Make Today Count C Emotions Anonymous D Alcoholics Anonymous Rational: Al-Anon is an organization that assists family members to share common experiences and increase their understanding of alcoholism.

• A male client tells the nurse he was involved in a car accident while he was

intoxicated. What would be the most therapeutic response from nurse Julia?A “Why didn’t you get someone else to drive you?” B “Tell me how you feel about the accident.” C “You should know better than to drink and drive.” D “I recommend that you attend an Alcoholics Anonymous meeting.”

Rational: An open-ended statement or question is the most therapeutic response.

• During postprandial monitoring, a female client with bulimia nervosa tells the

nurse, “You can sit with me, but you’re just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice.” What is the nurse’s best response?A “I trust you not to purge.” B “How are you purging and when do you do it?” C “Don’t worry. I won’t allow you to purge today.” D “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes after you eat.”