NCLEX-RN V12.35 National Council Licensure Examination test bank answers 100%

NCLEX-
RN V12.35 (Natinonal Council Licensure Examinati
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on New Doc 2021 -2022)
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Exam : NCLEX-RN



Title : National Council Licensure
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Examination(NCLEX-RN)




Vendor : NCLEX



Version : V12.35




1

,NCLEX-
RN V12.35 (Natinonal Council Licensure Examinati
r r r r r



on
NO.1New
r Docclient
A depressed
r r 2021
r -2022)
is seen
r at the mental health center for follow-
r r r r r r r r r r r


uprafterranrattemptedrsuicider1rweekrago.rSherhasrtakenrphenelzinersulfater(Nardil),rarmonoamineroxid
ase
(MAO)rinhibitor,rforr7rstraightrdays.rSherstatesrthatrsherisrnotrfeelingranyrbetter.rThernurserexplainsrtha
trtherdrugrmustraccumulatertoranreffectiverlevelrbeforersymptomsrarertotallyrrelieved.rSymptomrreliefr
isrexpectedrtoroccurrwithin:
A. 10rdays
B. 2-4rweeks
C. 2rmonths
D. 3rmonthsr
Answer:rBrE
xplanation:
(A) Thisranswerrisrincorrect.rItrcanrtakeruprtor1rmonthrforrtherapeuticreffectrofrthermedication.
(B) Thisranswerrisrcorrect.rBecauserMAOrinhibitorsrarerslowrtoract,ritrtakesr2-
4rweeksrbeforerimprovementrofrsymptomsrisrnoted.
(C) Thisranswerrisrincorrect.rItrcanrtakeruprtor1rmonthrforrtherapeuticreffectrofrthermedication.
(D) Thisranswerrisrincorrect.rTherapeuticreffectsrofrthermedicationrarernotedrwithinr1rmonthrofrdrugrthe
rapy.

NO.2rCysticrfibrosisrisrtransmittedrasranrautosomalrrecessivertrait.rThisrmeansrthat:
A. Mothersrcarryrthergenerandrpassritrtortheirrsons
B. Fathersrcarryrthergenerandrpassritrtortheirrdaughters
C. Bothrparentsrmustrhavertherdiseaserforrarchildrtorhavertherdisease
D. Bothrparentsrmustrbercarriersrforrarchildrtorhavertherdisease
Answer:rDrE
xplanation:
(A)rCysticrfibrosisrisrnotranrX-linkedrorrsex-
linkedrdisease.r(B)rTheronlyrcharacteristicronrtherYrchromosomerisrthertraitrforrhairyrears.r(C)rBothrparentsr
dornotrneedrtorhavertherdiseaserbutrmustrbercarriers.r(D)rIfrartraitrisrrecessive,rtworgenesr(onerfromreachrpa
rent)rarernecessaryrtorproduceranraffectedrchild.

NO.3rAr24-year-
oldrclientrpresentsrtortheremergencyrdepartmentrprotestingr"IramrGod."rThernurseridentifiesrthisrasra:
A. Delusion
B. Illusion
C. Hallucination
D. Conversionr
Answer:rArEx
planation:
(A)rDelusionrisrarfalserbelief.r(B)rIllusionrisrthermisrepresentationrofrarreal,rexternalrsensoryrexperience.r(
C)rHallucinationrisrarfalsersensoryrperceptionrinvolvingranyrofrthersenses.r(D)rConversionrisrtherexpressio
nrofrintrapsychicrconflictrthroughrsensoryrorrmotorrmanifestations.


2

,NCLEX-
RN V12.35 (Natinonal Council Licensure Examinati
r r r r r



on
NO.4New
r
In acuteDoc
r r
2021
episodes
r
r
-2022)
of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or
r
r r
r
r r r r r r r r r r r r r r r




3

, NCLEX-
RN V12.35 (Natinonal Council Licensure Examinati
r r r r r



on
evenNew
r r rDocto2021
a few months,
r r -2022)
treat symptoms
rr r fully. Sometimes an antipsychotic agent is prescribed duringthe f
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irstrfewrdaysrorrweeksrofranracuterepisodertormanagersevererbehavioralrexcitementrandracuterpsychotic
rsymptoms.rInradditionrtortherlithium,rwhichronerofrtherfollowingrmedicationsrmightrtherphysicianrpresc


ribe?
A. Diazepamr(Valium)
B. Haloperidolr(Haldol)
C. Sertraliner(Zoloft)
D. Alprazolamr(Xanax)r
Answer:rBrExplanatio
n:
(A)rDiazepamrisranrantianxietyrmedicationrandrisrnotrdesignedrtorreducerpsychoticrsymptoms.r(B)rHalope
ridolrisranrantipsychoticrmedicationrandrmayrberusedruntilrtherlithiumrtakesreffect.r(C)rSertralinerisranran
tidepressantrandrisrusedrprimarilyrtorreducersymptomsrofrdepression.r(D)rAlprazolamrisranrantianxietyr
medicationrandrisrnotrdesignedrtorreducerpsychoticrsymptoms.

NO.5rArviolentrclientrremainsrinrrestraintsrforrseveralrhours.rWhichrofrtherfollowingrinterventionsrisrmostra
ppropriaterwhilerherisrinrrestraints?
A. Giverfluidsrifrtherclientrrequestsrthem.
B. Assessrskinrintegrityrandrcirculationrofrextremitiesrbeforerapplyingrrestraintsrandrasrtheyrarerre
moved.
C. Measurervitalrsignsratrleastreveryr4rhours.
D. Releaserrestraintsreveryr2rhoursrforrclientrtorexercise.
Answer:rDrE
xplanation:
(A)rFluidsr(nourishment)rshouldrberofferedratrregularrintervalsrwhetherrtherclientrrequestsr(orrrefuses)rt
hemrorrnot.r(B)rSkinrintegrityrandrcirculationrofrtherextremitiesrshouldrbercheckedrregularlyrwhilertherclie
ntrisrrestrained,rnotronlyrbeforerrestraintsrarerappliedrand
afterrtheyrarerremoved.r(C)rVitalrsignsrshouldrbercheckedratrleastreveryr2rhours.rIfrtherclientrremainsragitat
edrinrrestraints,rvitalrsignsrshouldrbermonitoredrevenrmorerclosely,rperhapsreveryr1-
2rhours.r(D)rRestraintsrshouldrberreleasedreveryr2rhoursrforrexercise,ronerextremityratrartime,rtormaintainr
musclertone,rskinrandrjointrintegrity,randrcirculation.

NO.6rTherpediatricianrhasrdiagnosedrtinearcapitisrinranr8-ryear-
oldrgirlrandrhasrplacedrherronroralrgriseofulvin.rThernursershouldremphasizerwhichrofrtheserinstructionsrtort
hermotherrand/orrchild?
A. Administerroralrgriseofulvinronranremptyrstomachrforrbestrresults.
B. Discontinuerdrugrtherapyrifrfoodrtastesrfunny.
C. Mayrdiscontinuermedicationrwhenrtherchildrexperiencesrsymptomaticrrelief.
D. Observerforrheadaches,rdizziness,randranorexia.
Answer:rDrE
xplanation:
(A)rGivingrtherdrugrwithrorrafterrmealsrmayrallayrgastrointestinalrdiscomfort.rGivingrtherdrugrwithrarfattyrm
ealr(icercreamrorrmilk)rincreasesrabsorptionrrate.r(B)rGriseofulvinrmayralterrtastersensations
4