Exam (elaborations)
Test Bank NCLEX RN ACTUAL EXAM OF REAL QUESTIONS & ANSWERS NCLEX 2023-24
- Module
- Institution
NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2023-24
[Show more]
1 review
By: mankiebaker • 5 months ago
By: a_plus_work • 5 months ago
Thank you good luck to your exams feel free to ask any documents you need further ...
Seller
Follow
a_plus_work
Reviews received
Content preview
lOMoAR cPSD| 30878495NCLEX RN ACTUAL EXAM TEST
BANK OF REAL QUESTIONS &
ANSWERS NCLEX 2023
, Nclex RN Actual EXAM TEST BANK OF REAL Questions Answers Nclex 2023
QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: A
Explanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial
contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with
hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C)
Diuretics are used with caution to avoid causing hypovolemi
A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
Answer: D
Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous
bronchial lumin
A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale.
Cyanosis is not an early sign of hypoxi
A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.
QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type
Test Bank Page 2
, Nclex RN Actual EXAM TEST BANK OF REAL Questions Answers Nclex 2023
of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Answer: B
Explanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve
sensory perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral
hallucinations involve sensory perceptions of sensation.
QUESTION 4
Which of the following findings would be abnormal in a postpartal woman?
A. Chills shortly after delivery
B. Pulse rate of 60 bpm in morning on first postdelivery day
C. Urinary output of 3000 mL on the second day after delivery
D. An oral temperature of 101F (38.3C) on the third day after delivery
Answer: D
Explanation:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a nervous
response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The pulse rate
during the immediate postpartal period may be low but presents no cause for alarm. The body attempts to adapt
to the decreased pressures intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C)
Urinary output increases during the early postpartal period (12–24 hours) owing to diuresis. The kidneys must
eliminate an estimated 2000–3000 mL of extracellular fluid associated with a normal pregnancy. (D) A
temperature of 100.4F (38C) may occur after delivery as a result of exertion and dehydration of labor. However,
any temperature greater than 100.4F needs further investigation to identify any infectious process.
QUESTION 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the
parents, the nurse states that:
Test Bank Page 3
, Nclex RN Actual EXAM TEST BANK OF REAL Questions Answers Nclex 2023
A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures
D. Febrile seizures are associated with diseases of the central nervous system
Answer: C
Explanation:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur during the
temperature rise rather than after a prolonged elevation. (B) Febrile seizures may recur and are more likely to do
so when the first seizure occurs in the 1st year of life. (C) There is little risk of neurological deficit, mental
retardation, or altered behavior secondary to febrile seizures. (D) Febrile seizures are associated with disease of
the central nervous system.
QUESTION 6
A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following
nutritional interventions would be most therapeutic for him at this time?
A. Small, frequent feedings of foods that can be carried
B. Tube feedings with nutritional supplements
C. Allowing him to eat when and what he wants
D. Giving him a quiet place where he can sit down to eat meals
Answer: A
Explanation:
(A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with
finger foods allow him to eat during periods of activity. (B) This type of therapy should be implemented when
other methods have been exhausted. (C) The manic client should not be in control of his treatment plan. This
type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.
QUESTION 7
A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and
diarrhe
A. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following
actions by the nurse is appropriate?
A. Administer a stat dose of lithium as necessary.
Test Bank Page 4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller a_plus_work. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.64. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now