Exam : NCLEX-RN
Title : National Council Licensure
Examination(NCLEX-RN)
Vendor : NCLEX
Version : V12.35
1
,NO.1 A. depressed client is seen a.t the menta.l hea.lth center for follow-u.p a.fter a.n a.ttempted
su.icide1 week a.go. She ha.s ta.ken phenelzine su.lfa.te (Na.rdil), a. monoa.mine oxida.se
(MA.O) inhibitor, for 7 stra.ight da.ys. She sta.tes tha.t she is not feeling a.ny better. The nu.rse
expla.ins tha.t the dru.g mu.st a.ccu.mu.la.te to a.n effective level before symptoms a.re tota.lly
relieved. Symptomrelief is expected to occu.r within:
A. 10 da.ys
B. 2-4 weeks
C. 2 months
D. 3 months
A.nswer: B
Expla.na.tio
n:
(A) This a.nswer is incorrect. It ca.n ta.ke u.p to 1 month for thera.peu.tic effect of the medica.tion.
(B) This a.nswer is correct. Beca.u.se MA.O inhibitors a.re slow to a.ct, it ta.kes 2-4 weeks
beforeimprovement of symptoms is noted.
(C) This a.nswer is incorrect. It ca.n ta.ke u.p to 1 month for thera.peu.tic effect of the medica.tion.
(D) This a.nswer is incorrect. Thera.peu.tic effects of the medica.tion a.re noted within 1 month of
dru.gthera.py.
NO.2 Cystic fibrosis is tra.nsmitted a.s a.n a.u.tosoma.l recessive tra.it. This mea.ns tha.t:
A. Mothers ca.rry the gene a.nd pa.ss it to their sons
B. Fa.thers ca.rry the gene a.nd pa.ss it to their da.u.ghters
C. Both pa.rents mu.st ha.ve the disea.se for a. child to ha.ve the disea.se
D. Both pa.rents mu.st be ca.rriers for a. child to ha.ve the disea.se
A.nswer: D
Expla.na.tio
n:
(A.) Cystic fibrosis is not a.n X-linked or sex-linked disea.se. (B) The only cha.ra.cteristic on the Y
chromosome is the tra.it for ha.iry ea.rs. (C) Both pa.rents do not need to ha.ve the disea.se bu.t
mu.st beca.rriers. (D) If a. tra.it is recessive, two genes (one from ea.ch pa.rent) a.re necessa.ry to
produ.ce a.n a.ffected child.
NO.3 A. 24-yea.r-old client presents to the emergency depa.rtment protesting "I a.m God." The nu.rse
identifies this a.s a.:
A. Delu.sion
B. Illu.sion
C. Ha.llu.cina.tion
D. Conversion
A.nswer: A.
Expla.na.tion:
(A.) Delu.sion is a. fa.lse belief. (B) Illu.sion is the misrepresenta.tion of a. rea.l, externa.l sensory
2
,experience. (C) Ha.llu.cina.tion is a. fa.lse sensory perception involving a.ny of the senses. (D)
Conversionis the expression of intra.psychic conflict throu.gh sensory or motor ma.nifesta.tions.
NO.4 In a.cu.te episodes of ma.nia., lithiu.m is effective in 1-2 weeks, bu.t it ma.y ta.ke u.p to 4 weeks,
or
3
, even a. few months, to trea.t symptoms fu.lly. Sometimes a.n a.ntipsychotic a.gent is prescribed
du.ringthe first few da.ys or weeks of a.n a.cu.te episode to ma.na.ge severe beha.viora.l
excitement a.nd a.cu.tepsychotic symptoms. In a.ddition to the lithiu.m, which one of the following
medica.tions might the physicia.n prescribe?
A. Dia.zepa.m (Va.liu.m)
B. Ha.loperidol (Ha.ldol)
C. Sertra.line (Zoloft)
D. A.lpra.zola.m
(Xa.na.x)A.nswer: B
Expla.na.tion:
(A.) Dia.zepa.m is a.n a.ntia.nxiety medica.tion a.nd is not designed to redu.ce psychotic
symptoms. (B)Ha.loperidol is a.n a.ntipsychotic medica.tion a.nd ma.y be u.sed u.ntil the lithiu.m
ta.kes effect. (C) Sertra.line is a.n a.ntidepressa.nt a.nd is u.sed prima.rily to redu.ce symptoms
of depression. (D) A.lpra.zola.m is a.n a.ntia.nxiety medica.tion a.nd is not designed to redu.ce
psychotic symptoms.
NO.5 A. violent client rema.ins in restra.ints for severa.l hou.rs. Which of the following
interventions ismost a.ppropria.te while he is in restra.ints?
A. Give flu.ids if the client requ.ests them.
B. A.ssess skin integrity a.nd circu.la.tion of extremities before a.pplying restra.ints a.nd a.s
they a.reremoved.
C. Mea.su.re vita.l signs a.t lea.st every 4 hou.rs.
D. Relea.se restra.ints every 2 hou.rs for client to exercise.
A.nswer: D
Expla.na.tio
n:
(A.) Flu.ids (nou.rishment) shou.ld be offered a.t regu.la.r interva.ls whether the client requ.ests (or
refu.ses) them or not. (B) Skin integrity a.nd circu.la.tion of the extremities shou.ld be checked
regu.la.rlywhile the client is restra.ined, not only before restra.ints a.re a.pplied a.nd
a.fter they a.re removed. (C) Vita.l signs shou.ld be checked a.t lea.st every 2 hou.rs. If the client
rema.ins a.gita.ted in restra.ints, vita.l signs shou.ld be monitored even more closely, perha.ps every
1-2 hou.rs. (D)Restra.ints shou.ld be relea.sed every 2 hou.rs for exercise, one extremity a.t a. time,
to ma.inta.in mu.scle tone, skin a.nd joint integrity, a.nd circu.la.tion.
NO.6 The pedia.tricia.n ha.s dia.gnosed tinea. ca.pitis in a.n 8- yea.r-old girl a.nd ha.s pla.ced her
on ora.lgriseofu.lvin. The nu.rse shou.ld empha.size which of these instru.ctions to the mother
a.nd/or child?
A. A.dminister ora.l griseofu.lvin on a.n empty stoma.ch for best resu.lts.
B. Discontinu.e dru.g thera.py if food ta.stes fu.nny.
C. Ma.y discontinu.e medica.tion when the child experiences symptoma.tic relief.
D. Observe for hea.da.ches, dizziness, a.nd a.norexia..
A.nswer: D
Expla.na.tio
4
Title : National Council Licensure
Examination(NCLEX-RN)
Vendor : NCLEX
Version : V12.35
1
,NO.1 A. depressed client is seen a.t the menta.l hea.lth center for follow-u.p a.fter a.n a.ttempted
su.icide1 week a.go. She ha.s ta.ken phenelzine su.lfa.te (Na.rdil), a. monoa.mine oxida.se
(MA.O) inhibitor, for 7 stra.ight da.ys. She sta.tes tha.t she is not feeling a.ny better. The nu.rse
expla.ins tha.t the dru.g mu.st a.ccu.mu.la.te to a.n effective level before symptoms a.re tota.lly
relieved. Symptomrelief is expected to occu.r within:
A. 10 da.ys
B. 2-4 weeks
C. 2 months
D. 3 months
A.nswer: B
Expla.na.tio
n:
(A) This a.nswer is incorrect. It ca.n ta.ke u.p to 1 month for thera.peu.tic effect of the medica.tion.
(B) This a.nswer is correct. Beca.u.se MA.O inhibitors a.re slow to a.ct, it ta.kes 2-4 weeks
beforeimprovement of symptoms is noted.
(C) This a.nswer is incorrect. It ca.n ta.ke u.p to 1 month for thera.peu.tic effect of the medica.tion.
(D) This a.nswer is incorrect. Thera.peu.tic effects of the medica.tion a.re noted within 1 month of
dru.gthera.py.
NO.2 Cystic fibrosis is tra.nsmitted a.s a.n a.u.tosoma.l recessive tra.it. This mea.ns tha.t:
A. Mothers ca.rry the gene a.nd pa.ss it to their sons
B. Fa.thers ca.rry the gene a.nd pa.ss it to their da.u.ghters
C. Both pa.rents mu.st ha.ve the disea.se for a. child to ha.ve the disea.se
D. Both pa.rents mu.st be ca.rriers for a. child to ha.ve the disea.se
A.nswer: D
Expla.na.tio
n:
(A.) Cystic fibrosis is not a.n X-linked or sex-linked disea.se. (B) The only cha.ra.cteristic on the Y
chromosome is the tra.it for ha.iry ea.rs. (C) Both pa.rents do not need to ha.ve the disea.se bu.t
mu.st beca.rriers. (D) If a. tra.it is recessive, two genes (one from ea.ch pa.rent) a.re necessa.ry to
produ.ce a.n a.ffected child.
NO.3 A. 24-yea.r-old client presents to the emergency depa.rtment protesting "I a.m God." The nu.rse
identifies this a.s a.:
A. Delu.sion
B. Illu.sion
C. Ha.llu.cina.tion
D. Conversion
A.nswer: A.
Expla.na.tion:
(A.) Delu.sion is a. fa.lse belief. (B) Illu.sion is the misrepresenta.tion of a. rea.l, externa.l sensory
2
,experience. (C) Ha.llu.cina.tion is a. fa.lse sensory perception involving a.ny of the senses. (D)
Conversionis the expression of intra.psychic conflict throu.gh sensory or motor ma.nifesta.tions.
NO.4 In a.cu.te episodes of ma.nia., lithiu.m is effective in 1-2 weeks, bu.t it ma.y ta.ke u.p to 4 weeks,
or
3
, even a. few months, to trea.t symptoms fu.lly. Sometimes a.n a.ntipsychotic a.gent is prescribed
du.ringthe first few da.ys or weeks of a.n a.cu.te episode to ma.na.ge severe beha.viora.l
excitement a.nd a.cu.tepsychotic symptoms. In a.ddition to the lithiu.m, which one of the following
medica.tions might the physicia.n prescribe?
A. Dia.zepa.m (Va.liu.m)
B. Ha.loperidol (Ha.ldol)
C. Sertra.line (Zoloft)
D. A.lpra.zola.m
(Xa.na.x)A.nswer: B
Expla.na.tion:
(A.) Dia.zepa.m is a.n a.ntia.nxiety medica.tion a.nd is not designed to redu.ce psychotic
symptoms. (B)Ha.loperidol is a.n a.ntipsychotic medica.tion a.nd ma.y be u.sed u.ntil the lithiu.m
ta.kes effect. (C) Sertra.line is a.n a.ntidepressa.nt a.nd is u.sed prima.rily to redu.ce symptoms
of depression. (D) A.lpra.zola.m is a.n a.ntia.nxiety medica.tion a.nd is not designed to redu.ce
psychotic symptoms.
NO.5 A. violent client rema.ins in restra.ints for severa.l hou.rs. Which of the following
interventions ismost a.ppropria.te while he is in restra.ints?
A. Give flu.ids if the client requ.ests them.
B. A.ssess skin integrity a.nd circu.la.tion of extremities before a.pplying restra.ints a.nd a.s
they a.reremoved.
C. Mea.su.re vita.l signs a.t lea.st every 4 hou.rs.
D. Relea.se restra.ints every 2 hou.rs for client to exercise.
A.nswer: D
Expla.na.tio
n:
(A.) Flu.ids (nou.rishment) shou.ld be offered a.t regu.la.r interva.ls whether the client requ.ests (or
refu.ses) them or not. (B) Skin integrity a.nd circu.la.tion of the extremities shou.ld be checked
regu.la.rlywhile the client is restra.ined, not only before restra.ints a.re a.pplied a.nd
a.fter they a.re removed. (C) Vita.l signs shou.ld be checked a.t lea.st every 2 hou.rs. If the client
rema.ins a.gita.ted in restra.ints, vita.l signs shou.ld be monitored even more closely, perha.ps every
1-2 hou.rs. (D)Restra.ints shou.ld be relea.sed every 2 hou.rs for exercise, one extremity a.t a. time,
to ma.inta.in mu.scle tone, skin a.nd joint integrity, a.nd circu.la.tion.
NO.6 The pedia.tricia.n ha.s dia.gnosed tinea. ca.pitis in a.n 8- yea.r-old girl a.nd ha.s pla.ced her
on ora.lgriseofu.lvin. The nu.rse shou.ld empha.size which of these instru.ctions to the mother
a.nd/or child?
A. A.dminister ora.l griseofu.lvin on a.n empty stoma.ch for best resu.lts.
B. Discontinu.e dru.g thera.py if food ta.stes fu.nny.
C. Ma.y discontinu.e medica.tion when the child experiences symptoma.tic relief.
D. Observe for hea.da.ches, dizziness, a.nd a.norexia..
A.nswer: D
Expla.na.tio
4
