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Title: National Council
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Licensure Examination
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(NCLEX-RN)
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Vendor: NCLEX d
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dw Version: V12.35
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, IT dwCertification dwGuaranteed, dwThe dwEasy
dwWay!
NO.1 dwA dwdepressed dwclient dwis dwseen dwat dwthe dwmental dwhealth dwcenter dwfor dwfollow-up dwafter dwan
dwattempted dwsuicide dw1 dwweek dwago. dwShe dwhas dwtaken dwphenelzine dwsulfate dw(Nardil), dwa dwmonoamine
dwoxidase
(MAO) dwinhibitor, dwfor dw7 dwstraight dwdays. dwShe dwstates dwthat dwshe dwis dwnot dwfeeling dwany dwbetter. dwThe
dwnurse dwexplains dwthat dwthe dwdrug dwmust dwaccumulate dwto dwan dweffective dwlevel dwbefore dwsymptoms
dware dwtotally dwrelieved. dwSymptom dwrelief dwis dwexpected dwto dwoccur dwwithin:
A. 10 dwdays
B. 2-4 dwweeks
C. 2 dwmonths
D. 3
dwmonths
dwAnswer:
dwB
dwExplanatio
n:
(A) This dwanswer dwis dwincorrect. dwIt dwcan dwtake dwup dwto dw1 dwmonth dwfor dwtherapeutic dweffect dwof dwthe dwmedication.
(B) This dwanswer dwis dwcorrect. dwBecause dwMAO dwinhibitors dware dwslow dwto dwact, dwit dwtakes dw2-4
dwweeks dwbefore dwimprovement dwof dwsymptoms dwis dwnoted.
(C) This dwanswer dwis dwincorrect. dwIt dwcan dwtake dwup dwto dw1 dwmonth dwfor dwtherapeutic dweffect dwof dwthe dwmedication.
(D) This dwanswer dwis dwincorrect. dwTherapeutic dweffects dwof dwthe dwmedication dware dwnoted dwwithin dw1
dwmonth dwof dwdrug dwtherapy.
NO.2 dwCystic dwfibrosis dwis dwtransmitted dwas dwan dwautosomal dwrecessive dwtrait. dwThis dwmeans dwthat:
A. Mothers dwcarry dwthe dwgene dwand dwpass dwit dwto dwtheir dwsons
B. Fathers dwcarry dwthe dwgene dwand dwpass dwit dwto dwtheir dwdaughters
C. Both dwparents dwmust dwhave dwthe dwdisease dwfor dwa dwchild dwto dwhave dwthe dwdisease
D. Both dwparents dwmust dwbe dwcarriers dwfor dwa dwchild dwto dwhave dwthe dwdisease
Answer: dwD
dwExplanation:
(A) dwCystic dwfibrosis dwis dwnot dwan dwX-linked dwor dwsex-linked dwdisease. dw(B) dwThe dwonly dwcharacteristic dwon
dwthe dwY dwchromosome dwis dwthe dwtrait dwfor dwhairy dwears. dw(C) dwBoth dwparents dwdo dwnot dwneed dwto dwhave
dwthe dwdisease dwbut dwmust dwbe dwcarriers. dw(D) dwIf dwa dwtrait dwis dwrecessive, dwtwo dwgenes dw(one dwfrom dweach
dwparent) dware dwnecessary dwto dwproduce dwan dwaffected dwchild.
NO.3 dwA dw24-year-old dwclient dwpresents dwto dwthe dwemergency dwdepartment dwprotesting dw"I dwam dwGod."
dwThe dwnurse dwidentifies dwthis dwas dwa:
A. Delusion
B. Illusion
C. Hallucination
D. Conversion
dwAnswer: dwA
dwExplanation:
(A) dwDelusion dwis dwa dwfalse dwbelief. dw(B) dwIllusion dwis dwthe dwmisrepresentation dwof dwa dwreal, dwexternal
, IT dwCertification dwGuaranteed, dwThe dwEasy
dwWay!
dwsensory dwexperience. dw(C) dwHallucination dwis dwa dwfalse dwsensory dwperception dwinvolving dwany dwof dwthe
dwsenses. dw(D) dwConversion dwis dwthe dwexpression dwof dwintrapsychic dwconflict dwthrough dwsensory dwor
dwmotor dwmanifestations.
NO.4 dwIn dwacute dwepisodes dwof dwmania, dwlithium dwis dweffective dwin dw1-2 dwweeks, dwbut dwit dwmay dwtake dwup dwto dw4
dwweeks, dwor even dwa dwfew dwmonths, dwto dwtreat dwsymptoms dwfully. dwSometimes dwan dwantipsychotic dwagent dwis
dwprescribed dwduring dwthe dwfirst dwfew dwdays dwor dwweeks dwof dwan dwacute dwepisode dwto dwmanage dwsevere dwbehavioral
dwexcitement dwand dwacute dwpsychotic dwsymptoms. dwIn dwaddition dwto dwthe dwlithium, dwwhich dwone dwof dwthe dwfollowing
dwmedications dwmight dwthe dwphysician dwprescribe?
A. Diazepam dw(Valium)
B. Haloperidol dw(Haldol)
C. Sertraline dw(Zoloft)
D. Alprazolam
dw(Xanax) dwAnswer: dwB
dwExplanation:
(A) dwDiazepam dwis dwan dwantianxiety dwmedication dwand dwis dwnot dwdesigned dwto dwreduce dwpsychotic
dwsymptoms. dw(B) dwHaloperidol dwis dwan dwantipsychotic dwmedication dwand dwmay dwbe dwused dwuntil dwthe
dwlithium dwtakes dweffect. dw(C) dwSertraline dwis dwan dwantidepressant dwand dwis dwused dwprimarily dwto dwreduce
dwsymptoms dwof dwdepression. dw(D) dwAlprazolam dwis dwan dwantianxiety dwmedication dwand dwis dwnot
dwdesigned dwto dwreduce dwpsychotic dwsymptoms.
NO.5 dwA dwviolent dwclient dwremains dwin dwrestraints dwfor dwseveral dwhours. dwWhich dwof dwthe dwfollowing
dwinterventions dwis dwmost dwappropriate dwwhile dwhe dwis dwin dwrestraints?
A. Give dwfluids dwif dwthe dwclient dwrequests dwthem.
B. Assess dwskin dwintegrity dwand dwcirculation dwof dwextremities dwbefore dwapplying dwrestraints dwand
dwas dwthey dware dwremoved.
C. Measure dwvital dwsigns dwat dwleast dwevery dw4 dwhours.
D. Release dwrestraints dwevery dw2 dwhours dwfor dwclient dwto dwexercise.
Answer: dwD
dwExplanation:
(A) dwFluids dw(nourishment) dwshould dwbe dwoffered dwat dwregular dwintervals dwwhether dwthe dwclient
dwrequests dw(or dwrefuses) dwthem dwor dwnot. dw(B) dwSkin dwintegrity dwand dwcirculation dwof dwthe dwextremities
dwshould dwbe dwchecked dwregularly dwwhile dwthe dwclient dwis dwrestrained, dwnot dwonly dwbefore dwrestraints dware
dwapplied dwand
after dwthey dware dwremoved. dw(C) dwVital dwsigns dwshould dwbe dwchecked dwat dwleast dwevery dw2 dwhours. dwIf dwthe
dwclient dwremains dwagitated dwin dwrestraints, dwvital dwsigns dwshould dwbe dwmonitored dweven dwmore dwclosely,
dwperhaps dwevery dw1-2 dwhours. dw(D) dwRestraints dwshould dwbe dwreleased dwevery dw2 dwhours dwfor dwexercise,
dwone dwextremity dwat dwa dwtime, dwto dwmaintain dwmuscle dwtone, dwskin dwand dwjoint dwintegrity, dwand
dwcirculation.
NO.6 dwThe dwpediatrician dwhas dwdiagnosed dwtinea dwcapitis dwin dwan dw8- dwyear-old dwgirl dwand dwhas dwplaced
dwher dwon dworal dwgriseofulvin. dwThe dwnurse dwshould dwemphasize dwwhich dwof dwthese dwinstructions dwto dwthe
dwmother dwand/or dwchild?
A. Administer dworal dwgriseofulvin dwon dwan dwempty dwstomach dwfor dwbest dwresults.
B. Discontinue dwdrug dwtherapy dwif dwfood dwtastes dwfunny.
, IT dwCertification dwGuaranteed, dwThe dwEasy
dwWay!
C. May dwdiscontinue dwmedication dwwhen dwthe dwchild dwexperiences dwsymptomatic dwrelief.
D. Observe dwfor dwheadaches, dwdizziness, dwand dwanorexia.
Answer: dwD
dwExplanation:
(A) dwGiving dwthe dwdrug dwwith dwor dwafter dwmeals dwmay dwallay dwgastrointestinal dwdiscomfort. dwGiving dwthe
dwdrug dwwith dwa dwfatty dwmeal dw(ice dwcream dwor dwmilk) dwincreases dwabsorption dwrate. dw(B) dwGriseofulvin
dwmay dwalter dwtaste dwsensations