NURS EXAM QUESTIONS AND ANSWERS
ASSURED A+ ON NCLEX-RN WITH
EXPLANATION
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 monumberamine 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 relieved.
Symptom relief is expected to occur within:
A. 10 days
B. 2-4 weeks
C. 2 months
D. 3
m
o
n
t
h
s
h
e
• This answer is incorrect. It can take up to 1 month for the
therapeutic effect of the medication.
• This answer is correct. Because MAO inhibitors are slow to
act, it takes 2-4 weeks before improvement of symptoms is
numbered.
• This answer is incorrect. It can take up to 1 month for the
therapeutic effect of the medication.
• This answer is incorrect. Therapeutic effects of the medication are
numbered within 1 month of drug therapy.
Cystic fibrosis is transmitted as an autosomal recessive trait. This
means that:
A. Mothers carry the gene and pass it to their sons
, B. Fathers carry the gene and pass it to their daughters
C. Both parents must have the disease for a child to have the disease
D. Both parents must be carriers for a child to have the disease
(A) Cystic fibrosis is number an X-linked or sex-linked disease. (B) The
only characteristic on the Y chromosome is the trait of hairy ears. (C)
Both parents do not need to have the disease but must be carriers.
(D) If a trait is recessive, two genes (one from each parent) are
necessary to produce an affected child.
A 24-year-old client presents to the emergency department
protesting "I am God." The nurse identifies this as a:
A. Delusion
B. Illusion
C. Hallucination
D. C
on
ve
rsi
on
(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) Conversion is the
expression of intrapsychic conflict through sensory or motor
manifestations.
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 during the 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?
A. Diazepam (Valium)
B. Haloperidol (Haldol)
, C. Sertraline (Zoloft)
D. Alpra
zola
m
(Xana
x) :
(A) Diazepam is an antianxiety medication and is number 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 number designed to reduce psychotic
symptoms.
A violent client remains in restraints for several hours. Which of
the following interventions is most appropriate while he is in
restraints?
A. Give fluids if the client requests them.
B. Assess skin integrity and circulation of extremities before
applying restraints and as they are removed.
C. Measure vital signs at least every 4 hours.
D. Release restraints every 2 hours for the client to exercise.
(A) Fluids (numberurishment) should be offered at regular intervals
whether the client requests (or refuses) them or numbers. (B) Skin
integrity and circulation of the extremities should be checked
regularly while the client is restrained, numbers only before restraints
are applied and
after they are removed. (C) Vital signs should be checked at least
every 2 hours. If the client remains agitated in restraints, vital signs
should be monitored even more closely, perhaps every 1-2 hours. (D)
Restraints should be released every 2 hours for exercise, one
extremity at a time, to maintain muscle tone, skin and joint integrity,
and circulation.
The pediatrician has diagnosed tinea capitis in an 8- year-old girl
and has placed her on oral griseofulvin. The nurse should
ASSURED A+ ON NCLEX-RN WITH
EXPLANATION
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 monumberamine 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 relieved.
Symptom relief is expected to occur within:
A. 10 days
B. 2-4 weeks
C. 2 months
D. 3
m
o
n
t
h
s
h
e
• This answer is incorrect. It can take up to 1 month for the
therapeutic effect of the medication.
• This answer is correct. Because MAO inhibitors are slow to
act, it takes 2-4 weeks before improvement of symptoms is
numbered.
• This answer is incorrect. It can take up to 1 month for the
therapeutic effect of the medication.
• This answer is incorrect. Therapeutic effects of the medication are
numbered within 1 month of drug therapy.
Cystic fibrosis is transmitted as an autosomal recessive trait. This
means that:
A. Mothers carry the gene and pass it to their sons
, B. Fathers carry the gene and pass it to their daughters
C. Both parents must have the disease for a child to have the disease
D. Both parents must be carriers for a child to have the disease
(A) Cystic fibrosis is number an X-linked or sex-linked disease. (B) The
only characteristic on the Y chromosome is the trait of hairy ears. (C)
Both parents do not need to have the disease but must be carriers.
(D) If a trait is recessive, two genes (one from each parent) are
necessary to produce an affected child.
A 24-year-old client presents to the emergency department
protesting "I am God." The nurse identifies this as a:
A. Delusion
B. Illusion
C. Hallucination
D. C
on
ve
rsi
on
(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) Conversion is the
expression of intrapsychic conflict through sensory or motor
manifestations.
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 during the 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?
A. Diazepam (Valium)
B. Haloperidol (Haldol)
, C. Sertraline (Zoloft)
D. Alpra
zola
m
(Xana
x) :
(A) Diazepam is an antianxiety medication and is number 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 number designed to reduce psychotic
symptoms.
A violent client remains in restraints for several hours. Which of
the following interventions is most appropriate while he is in
restraints?
A. Give fluids if the client requests them.
B. Assess skin integrity and circulation of extremities before
applying restraints and as they are removed.
C. Measure vital signs at least every 4 hours.
D. Release restraints every 2 hours for the client to exercise.
(A) Fluids (numberurishment) should be offered at regular intervals
whether the client requests (or refuses) them or numbers. (B) Skin
integrity and circulation of the extremities should be checked
regularly while the client is restrained, numbers only before restraints
are applied and
after they are removed. (C) Vital signs should be checked at least
every 2 hours. If the client remains agitated in restraints, vital signs
should be monitored even more closely, perhaps every 1-2 hours. (D)
Restraints should be released every 2 hours for exercise, one
extremity at a time, to maintain muscle tone, skin and joint integrity,
and circulation.
The pediatrician has diagnosed tinea capitis in an 8- year-old girl
and has placed her on oral griseofulvin. The nurse should
