NCLEX Exam NCLEX-PN ALL QUESTIONS AND ANSWERS GRADED A+
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NCLEX-PN
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NCLEX-PN
NCLEX Exam NCLEX-PN ALL QUESTIONS AND ANSWERS GRADED A+
Haloperidol (Haldol) - Answer acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or even a few months treat symptoms fully. Sometimes an antipsychotic agent is prescribed the first few days or weeks o...
NCLEX Exam NCLEX-PN ALL QUESTIONS AND ANSWERS GRADED
A+
Haloperidol (Haldol) - Answer acute episodes of mania, lithium is effective in 1-2 weeks, but it
may take up to 4 weeks, or even a few months treat symptoms fully. Sometimes an antipsychotic
agent is prescribed the first few days or weeks of an acute episode to manage severe behavioral
excitement and acute psychotic symptoms. In addition to the lithium, which one of the following
medications might the physician prescribe?
NO.1 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 months months B Explanation:
NO.2 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
Delusion - Answer NO.3 A 24-year-old client presents to the emergency department protesting
"I am God. The nurse identifies this as a
Release restraints every 2 hours for client to exercise. - Answer NO.5 A violent client remains in
restraints for several hours. Which of the following interventions is most appropriate while he is
in restraints?
Observe for headaches, dizziness, and anorexia - Answer NO.6 The pediatrician has diagnosed
tinea capitis in an 8-year-old girl and has placed her on oral griseofulvin. The nurse should
emphasize which of these instructions to the mother and/or child?
Decrease ammonia formation - Answer n.7 A client with cirrhosis of the liver becomes comatose
and is started on neomycin 300 mg q6h nasogastric tube. The rationale for this therapy is to:
, Observe for evidence of bleeding. - Answer NO.8 A 5-year-old has just had a tonsillectomy and
adenoidectomy. Which of these nursing measures should be included in the postoperative care?
Decreased absent pedal pulse in the left leg - Answer NO.9 An 80-year-old male client with a
history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20
minutes ago. When performing the admission assessment, the nurse would expect to observe
which of the following:
Hematocrit 60% - Answer NO.10 A 16-month-old infant is being prepared for tetralogy of Fallot
repair. In the nursing assessment, which lab value should elicit further assessment and requires
notification of physician? 7.39
Walk him as he paces. - Answer NO.11 A male client is experiencing extreme distress. He
begins to pace up and down the corridor. What nursing intervention is appropriate when
communicating with the pacing client?
Walk with him as he paces. - Answer NO.11 A male client is experiencing extreme distress. He
begins to pace up and down the corridor. What nursing intervention is appropriate when
communicating with the pacing client?
Locate the position of the placenta and fetus - Answer NO.12 Prior to an amniocentesis, a fetal
ultrasound is done in order to
February 27 - Answer NO.13 A 25-year-old client believes she may be pregnant with her first
child. She schedules an obstetric examination with the nurse practitioner to determine the status
of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of
confinement using Nagele's rule is:
Gestational diabetes mellitus - Answer NO.14 A client is now pregnant for the second time. Her
first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood
sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as
having:
, Vitamin C - Answer NO.16 The nurse is assisting a 4th-day postoperative cholecystectomy
client in planning her meals for tomorrow's menu. Which vitamin is the most essential in
promoting tissue healing?
Allowing him to do as much for himself as he is able, including learning to do pin-site care
under supervision - Answer NO.17 A 10-year-old client with a pin in the right femur is
immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty
with problem solving, inability to concentrate on activities, and monotony. Which of the
following nursing implementations would be most effective in helping him cope with
immobility?
First trimester - Answer NO.18 In client teaching, the nurse should emphasize that fetal damage
occurs more frequently with ingestion of drugs during:
High Fowler - Answer NO.19 On admission, the client has signs and symptoms of pulmonary
edema. The nurse places the client in the most appropriate position for a client in pulmonary
edema, which is:
Respiratory obstruction - Answer NO.20 A client has returned to the unit from the recovery
room after having a thyroidectomy. The nurse knows that a major complication after a
thyroidectomy is:
Mother calls infant by name. - Answer NO.2 The nurse should facilitate bonding during the
postpartum period. What should the nurse expect to observe in the taking-hold phase?
Respect the client's family's wishes. - Answer NO.22 A female client has just died. Her family is
requesting that all nursing staff leave the room. The family's religious leader has arrived and is
ready to conduct a ceremony for the deceased in the room, requesting that only family members
be present. The nurse assigned to the client should perform the appropriate nursing action, which
might include:
Wear a patch over one eye - Answer NO.23 A woman diagnosed with multiple sclerosis is
disturbed with diplopia. The nurse will teach her to
, Level of consciousness - Answer NO.24 One of the most reliable assessment tools for adequacy
of fluid resuscitation in burned children is:
Urine output - Answer NO.25 Which one of the following is considered a reliable indicator for
assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and
fullthickness burns to 25% of her body?
Headache and facial flushing - Answer NO.26 A client with a diagnosis of C-4 injury has been
stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he
and his family should be instructed to assess for and report:
Phenytoin (Dilantin) - Answer NO.27 A client states to his nurse that I was told by the doctor not
to take one of my drugs because it seems to have caused decreasing blood cells. Based on this
information, which drug might the nurse expect to be discontinued?
Administer the morning lithium dose as scheduled - Answer NO.28 A client has been taking
lithium 300 mg po bid for the past two weeks. This morning her lithium level was 1 mEq/L. The
nurse should:
Maintaining an adequate level of hydration - Answer NO.29 The primary focus of nursing
interventions for the child experiencing sickle cell crisis is aimed toward:
You've been feeling sad and alone for some time now? - Answer NO.30 Three weeks following
discharge, male client is readmitted to the psychiatric unit for depression. His wife stated that he
had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, "I
wish I were dead because I am worthless to everyone; I guess I am just no good." Which
response by the nurse is most appropriate at this time?
Move furniture out of the way and place a blanket under his head - Answer NO.32 The nurse
enters the playroom and finds an 8-year-old child having a grand mal seizure. Which one of the
following actions should the nurse take?
Immerse both legs in cool water - Answer NO.33 An 11-year-old boy has received a partial-
thickness burn to both legs. He presents to the emergency room approximately 15 minutes after
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