NCLEX RN V12.35 NUCLEX –RN QUESTIONS AND ANSWERS WITH RATIONALE LATEST UPDATED 2024 VERIFIED BY EXPERT 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, f...
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. Symptomrelief is expected to occur within:
• 10 days
• 2-4 weeks
• 2 months
• 3
mo
nth
s
Ans
wer
:B
Exp
lan
atio
n:
• This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.
• This answer is correct. Because MAO inhibitors are slow to act, it takes 2-4
weeks beforeimprovement of symptoms is noted.
• This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.
,• This answer is incorrect. Therapeutic effects of the medication are noted within 1
month of drugtherapy.
NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:
• Mothers carry the gene and pass it to their sons
• Fathers carry the gene and pass it to their daughters
• Both parents must have the disease for a child to have the disease
• Both parents must be carriers for a child to have the disease
Ans
wer
:D
Exp
lan
atio
n:
(A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y
chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but
must becarriers. (D) If a trait is recessive, two genes (one from each parent) are necessary
to produce an affected child.
NO.3 A 24-year-old client presents to the emergency department protesting "I am God."
The nurseidentifies this as a:
• Delusion
• Illusion
• Hallucination
• Co
nver
sion
Ans
wer:
A
Expla
natio
n:
(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory
experience. (C) Hallucination is a false sensory perception involving any of the senses. (D)
Conversionis the expression of intrapsychic conflict through sensory or motor
manifestations.
, NO.4 In acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4
weeks, or
even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed
duringthe 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?
• Diazepam (Valium)
• Haloperidol (Haldol)
• Sertraline (Zoloft)
• Alprazola
m (Xanax)
Answer: B
Explanation:
(A) Diazepam is an antianxiety medication and is not designed to reduce psychotic
symptoms. (B)Haloperidol is an antipsychotic medication and may be used until the lithium
takes effect. (C) Sertraline is an antidepressant and is used primarily to reduce symptoms of
depression. (D) Alprazolam is an antianxiety medication and is not designed to reduce
psychotic symptoms.
NO.5 A violent client remains in restraints for several hours. Which of the following
interventions ismost appropriate while he is in restraints?
• Give fluids if the client requests them.
• Assess skin integrity and circulation of extremities before applying restraints and as
they areremoved.
• Measure vital signs at least every 4 hours.
• Release restraints every 2 hours for client to exercise.
Ans
wer
:D
Exp
lan
atio
n:
(A) Fluids (nourishment) should be offered at regular intervals whether the client requests
(or refuses) them or not. (B) Skin integrity and circulation of the extremities should be
checked regularlywhile the client is restrained, not only before restraints are applied and
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