NCLEX-RN STYLE QUESTIONS 2022
A depressed client is seen at the Mental Health Center for follow up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur
within: - Answer- 2-4 weeks
Cystic Fibrosis is transmitted as an autosomal recessive trait. This means that: - Answer- Both parents must be carriers for a child to have the disease
A 24 yr old client presents to the ED protesting "I am GOD." The nurse identifies this
as a: - Answer- Delusion
In acute episodes of manic, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or a few months to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the 1st few days or weeks of an acute episode to manage severe behavioral excitement & acute psychotic symptoms. In addition to the lithium, which one of the following meds might the physician prescribe? - Answer- Haloperidol(Haldol)
A violent client remains in restraints for several hrs. Which of the following interventions is most appropriate while he is in restraints? - Answer- Release restraints every 2hrs for client to exercise
The pediatrician has diagnosed tinea capitis in an 8 yr old girl & has placed her on oral griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child? - Answer- Observe for headaches, dizziness, & anorexia
A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to: - Answer- Decrease ammonia formation
A 5 yr old has just had a tonsillectomy & adenoidectomy. Which of these nursing measures should be included in the postoperative care? - Answer- Observe for evidence of bleeding
An 80 yr old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 mins ago. When performing the admission assessment, the nurse would expect to observe which of the following: - Answer- Decrease or absent pedal pulse in the left leg
A 16 month old infant is being prepared for "Tetralogy of Fallot" repair. In the nursing assessment, which lab value should elicit further assessment & requires notification of physician? - Answer- Hematocrit 60%