NCLEX RN EXAM UPDATE WITH QUESTIONS & ANSWERS 2023 NEW UPDATE!! GRADED A+

NCLEX RN EXAM 2023 UPDATE WITH QUESTIONS & ANSWERS 2023 NEW UPDATE!! QUESTION 1 While the nurse is taking a male client's blood pressure, he makes flirtatious remarks to her. The nurse will handle this effectively if she: A. Politely tells the client, "Keep your hands off " B. Ignores the remarks and hopes he will not try it again C. Confronts the remarks but attempts not to reject the client D. Leaves the room in order to compose herself Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A) This response does not recognize normal feelings of attraction and rejects the client. (B) By ignoring the situation, the nurse has not set limits to discourage other remarks or perhaps more sexually aggressive behavior. (C) By confronting the remarks, she can recognize that his feelings of attraction may be normal but are not appropriate within the context of their nurse-client relationship. (D) Leaving the room does not deal with setting limits for future interactions. QUESTION 2 A client is a victim of domestic violence. She is now receiving assistance at a shelter for battered women. She tells the nurse about the cycle of violence that she has been experiencing in her relationship with her husband of 5 years. In the "tension-building phase," the nurse might expect the client to describe which of the following? A. Promises of gifts that her husband made to her B. Acute battering of the client, characterized by his volatile discharge of tension C. Minor battering incidents, such as the throwing of food or dishes at her D. A period of tenderness between the couple Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A) This description is characteristic of the "honeymoon" or "respite" phase. (B) This description is characteristic of the "battering" phase. (C) This description is characteristic of the "tension- building" phase prior to the volatile discharge of tension found in the battering phase. (D) This description is characteristic of the "honeymoon" or "respite" phase. QUESTION 3 Which of the following symptoms might the nurse observe in a client with a lithium blood level over 2.0? A. Fine hand tremor, headache, mental dullness B. Vomiting, impaired consciousness, decreased blood pressure C. Polyuria, polydipsia, edema D. Gastric irritation, nausea, diarrhea Correct Answer: B Section: (none) Explanation Explanation/Reference: Explanation: (A) These symptoms are acute, common, and usually harmless central nervous system side effects of lithium. (B) These symptoms of lithium toxicity are usually dose related. (C) These symptoms are acute, common, and usually harmless renal side effects of lithium. (D) These symptoms are acute, common, and usually harmless gastrointestinal side effects of lithium. QUESTION 4 A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following? A. Antipsychotic medications B. Antidepressant medications C. Antianxiety medications D. Antimania medication Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A) Antipsychotic medications are also known as major tranquilizers. (B) Antidepressants fall into different categories, such as the tricyclics or the MAO inhibitors. (C) Antianxiety medications are also known as minor tranquilizers. (D) Antimania medications are those such as lithium and lithium carbonate (Lithobid). QUESTION 5 The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse: A. "I know it was my fault that it happened, because I shouldn't have been out so late." B. "If I had not worn that sexy dress that night, he wouldn't have raped me." C. "I know my date just had so much passion he couldn't handle me saying `no.' " D. "I know now that it was not my fault, but I want to continue counseling after my discharge." Correct Answer: D Section: (none) Explanation (A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapist's behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge. QUESTION 6 A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information: A. "I know that I will not ever be able to socially drink alcohol again and will need the support of the AA group." B. "I know that I can only drink one or two drinks at social gatherings in the future, but at least I don't have to continue AA." C. "I really wasn't addicted to alcohol when I came here, I just needed some help dealing with my divorce." D. "It really wasn't my fault that I had to come here. If my wife hadn't left, I wouldn't have needed those drinks." Correct Answer: A Section: (none) Explanation Explanation/Reference: Explanation: (A) The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support him--Alcoholics Anonymous. (B) The client is still using denial and is not dealing with his alcohol addiction. (C) The client is exhibiting denial about his alcohol addiction and projecting blame on his divorce. (D) The client is projecting blame onto his wife for being in the hospital while still denying his alcohol addiction. QUESTION 7 Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder? A. "Some folks believe that aging causes this, Mother." B. "Perhaps, it's the way your parents used those double- bind messages, Mother." C. "I know some people who are having this problem and they were exposed to chemicals at work, Mother." D. "It can be caused by lots of things, toxic agents and even alcohol, Mother." Correct Answer: B Section: (none) Explanation (A) Aging is a factor in the cause of degenerative disorders. (B) Double-bind messages may be found in the histories of families of individuals who develop schizophrenia, but they are not related to degenerative disorders. (C) Chemicals (toxic agents) in work environments are predisposing factors to degenerative disorders. (D) Alcohol causes some degenerative disorders, such as Wernicke's syndrome. QUESTION 8 A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles? A. The parts of a system are only minimally related. B. Dysfunction in one part affects every other part. C. A family system has no boundaries. D. Healthy families are enmeshed. Correct Answer: B Section: (none) Explanation Explanation/Reference: Explanation: (A) The parts of a system are interrelated. (B) Any change in any part of the system affects all other parts. (C) A family system, like any other system, has boundaries. (D) Healthy families are neither enmeshed nor disengaged. QUESTION 9 The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her son's condition by which of the following statements? A. "Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain." B. "Has anyone in your family ever had schizophrenia?" C. "If your son has a twin, he probably will eventually develop schizophrenia, too." D. "Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship." Correct Answer: A Section: (none) (A) The most plausible theory to date is that dopamine causes an overstimulation in the brain, which results in the psychotic symptoms. (B) This statement will only create anxiety in the mother, and the genetic theory is only one of the etiological factors. (C) This statement will cause the mother much alarm, and nothing was mentioned about any other child. (D) The motherchild relationship is one of the previous theories examined, but it is not one to be emphasized, thereby causing a lot of anxiety for the mother. QUESTION 10 A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurse's most therapeutic response will be: A. "I don't see your mother in the room. Let's talk about how you're feeling." B. "OK, I'll come back later when you're feeling more like taking your medicine." C. "She may be here, but I can't see her." D. "Why don't you finish talking to her, and I'll wait." Correct Answer: A Section: (none) Explanation Explanation/Reference: Explanation: (A) This response uses the principle of reality orientation by the nurse telling the client that he or she does not see anything, but it does recognize his feelings. (B) This response does not make it clear that the nurse does not see anyone else in the room, and the nurse leaves the client alone to continue hallucinating. (C) This response leaves room for doubt; the nurse is further confusing the client by this statement. (D) This response reinforces the hallucination and implies that the nurse sees his mother, too. QUESTION 11 A female client with major depression stated that "life is hopeless and not worth living." The nurse should place highest priority on which of the following questions? A. "How has your appetite been recently?" B. "Have you thought about hurting yourself?" C. "How is your relationship with your husband?" D. "How has your depression affected your daily livingactivities?" Correct Answer: B Section: (none) (A) Although eating habits are important to assess, they are less important than suicidal intent. (B) Maintenance of the client's life is the priority; assessment of suicidal intent is imperative. (C) Relationships and support systems are an important part of assessment, but they are less important than suicidal intent. (D) Daily living activities will give additional information about the level of depression, and are less significant than suicidal intent, although this information may give additional information about the actual plan for a suicidal attempt. QUESTION 12 A client presented herself to the mental health center, describing the following symptoms: a weight loss of 20 lb in the past 2 months, difficulty concentrating, repeated absences from work due to "fatigue," and not wanting to get dressed in the morning. She leaves her recorded message on her telephone and has lost interest in answering the phone or doorbell. The nurse's assessment of her behavior would most likely be: A. Deep depression B. Psychotic depression C. Severe anxiety D. Severe depression Correct Answer: D Section: (none) Explanation Explanation/Reference: Explanation: (A) A client in deep depression would have been brought to the mental health center and would not be physically able to seek help for herself. (B) She is not manifesting psychotic symptoms in her behaviors. (C) The client's symptoms are more indicative of depression than anxiety. (D) Although the client was able to bring herself to the mental health center, the extent of her weight loss and the interference of symptoms with activities of daily living indicate that she is severely depressed. QUESTION 13 A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20- year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture? A. Lifting heavy objects B. Walking briskly C. Ingestion of barbiturates D. Ingestion of antacids