NCLEX-RN 2026 qm
NO.1 qmA qmdepressed qmclient qmis qmseen qmat qmthe qmmental qmhealth qmcenter qmfor qmfollow-up qmafter qman
qmattempted qmsuicide qm1 q m week qmago. qmShe qmhas qmtaken qmphenelzine qmsulfate qm(Nardil), qma
qmmonoamine qmoxidase
( qmMAO) qminhibitor, qmfor qm7 qmstraight qmdays. qmShe qmstates qmthat qmshe qmis qmnot qmfeeling qmany qmbetter. qmThe
qmnurse qmexplains qmthat qmthe qmdrug qmmust qmaccumulate qmto qman qmeffective qmlevel qmbefore qmsymptoms
qmare qmtotally qmrelieved. qmSymptom qmrelief qmis qmexpected qmto qmoccur qmwithin:
A. 10 qmdays
B. 2-4 qmweeks
C. 2 qmmonths
D. 3
qmmonths
qmAnswer:
qmB
qmExplanatio
n:
( qmA) qmThis qmanswer qmis qmincorrect. qmIt qmcan qmtake qmup qmto qm1 qmmonth qmfor qmtherapeutic qmeffect qmof
qmthe qmmedication. qm( qmB) qmThis qmanswer qmis qmcorrect. qmBecause qmMAO qminhibitors qmare qmslow qmto
qmact, qmit qmtakes qm2-4 qmweeks qmbefore qmimprovement qmof qmsymptoms qmis qmnoted.
( qmC) qmThis qmanswer qmis qmincorrect. qmIt qmcan qmtake qmup qmto qm1 qmmonth qmfor qmtherapeutic qmeffect qmof qmthe
qmmedication. qm( qmD) qmThis qmanswer qmis qmincorrect. qmTherapeutic qmeffects qmof qmthe qmmedication qmare
qmnoted qmwithin qm1 qmmonth qmof qmdrug qmtherapy.
NO.2 qmCystic qmfibrosis qmis qmtransmitted qmas qman qmautosomal qmrecessive qmtrait. qmThis qmmeans qmthat:
A. qm Mothers qmcarry qmthe qmgene qmand qmpass qmit qmto qmtheir qmsons
B. q m Fathers qmcarry qmthe qmgene qmand qmpass qmit qmto qmtheir qmdaughters
C. q m Both qmparents qmmust qmhave qmthe qmdisease qmfor qma qmchild qmto qmhave qmthe qmdisease
D. qmBoth qmparents qmmust qmbe qmcarriers qmfor qma qmchild qmto qmhave qmthe qmdisease
Answer: qmD
qmExplanatio
n:
( qmA) qmCystic qmfibrosis qmis qmnot qman qmX-linked qmor qmsex-linked qmdisease. qm(B) qmThe qmonly qmcharacteristic
qmon qmthe qmY qmchromosome qmis qmthe qmtrait qmfor qmhairy qmears. qm(C) qmBoth qmparents qmdo qmnot qmneed qmto
qmhave qmthe qmdisease qmbut qmmust qmbe qmcarriers. qm(D) qmIf qma qmtrait qmis qmrecessive, qmtwo qmgenes qm(one qmfrom
qmeach qmparent) qmare qmnecessary qmto qmproduce qman qmaffected qmchild.
NO.3 qmA qm24-year-old qmclient qmpresents qmto qmthe qmemergency qmdepartment qmprotesting qm"I qmam qmGod."
1
, The qmnurse qmidentifies qmthis qmas qma:
qm
A. qm Delusion
B. q m Illusion
C. q m Hallucination
D. qmConversion
Answer: qmA
qmExplanatio
n:
( qmA) qmDelusion qmis qma qmfalse qmbelief. qm(B) qmIllusion qmis qmthe qmmisrepresentation qmof qma qmreal, qmexternal
qmsensory qmexperience. qm(C) qmHallucination qmis qma qmfalse qmsensory qmperception qminvolving qmany qmof qmthe
qmsenses. qm(D) qmConversion qmis qmthe qmexpression qmof qmintrapsychic qmconflict qmthrough qmsensory qmor
qmmotor qmmanifestations.
NO.4 qmIn qmacute qmepisodes qmof qmmania, qmlithium qmis qmeffective qmin qm1-2 qmweeks, qmbut qmit qmmay qmtake qmup
qmto qm4 qmweeks, qmor qmeven qma qmfew qmmonths, qmto qmtreat qmsymptoms qmfully. qmSometimes qman qmantipsychotic
qmagent qmis qmprescribed qmduring qmthe qmfirst qmfew qmdays qmor qmweeks qmof qman qmacute qmepisode qmto qmmanage
qmsevere qmbehavioral qmexcitement qmand qmacute qmpsychotic qmsymptoms. qmIn qmaddition qmto qmthe qmlithium,
qmwhich qmone qmof qmthe qmfollowing qmmedications qmmight qmthe qmphysician qmprescribe? qmA. qmDiazepam
qm(Valium)
B. q m Haloperidol qm(Haldol)
C. q m Sertraline qm(Zoloft)
D. qmAlprazolam qm(Xanax)
Answer: qmB
qmExplanatio
n:
( qmA) qmDiazepam qmis qman qmantianxiety qmmedication qmand qmis qmnot qmdesigned qmto qmreduce qmpsychotic
qmsymptoms. qm(B qm) qmHaloperidol qmis qman qmantipsychotic qmmedication qmand qmmay qmbe qmused qmuntil qmthe
qmlithium qmtakes qmeffect. qm(C) qmSertraline qmis qman qmantidepressant qmand qmis qmused qmprimarily qmto qmreduce
qmsymptoms qmof qmdepression. qm(D) qmAlprazolam qmis qman qmantianxiety qmmedication qmand qmis qmnot
qmdesigned qmto qmreduce qmpsychotic qmsymptoms.
NO.5 qmA qmviolent qmclient qmremains qmin qmrestraints qmfor qmseveral qmhours. qmWhich qmof qmthe qmfollowing
qminterventions qmis qmmost qmappropriate qmwhile qmhe qmis qmin qmrestraints? qmA. qmGive qmfluids qmif qmthe qmclient
qmrequests qmthem.
B. q m Assess qmskin qmintegrity qmand qmcirculation qmof qmextremities qmbefore qmapplying qmrestraints qmand qmas
qmthey qmare qmremoved.
C. q m Measure qmvital qmsigns qmat qmleast qmevery qm4 qmhours.
D. qmRelease qmrestraints qmevery qm2 qmhours qmfor qmclient qmto qmexercise.
Answer: qmD
2
, qExplanation
:
( qmA) qmFluids qm(nourishment) qmshould qmbe qmoffered qmat qmregular qmintervals qmwhether qmthe qmclient
qmrequests qm(or qmrefuses) qmthem qmor qmnot. qm(B) qmSkin qmintegrity qmand qmcirculation qmof qmthe qmextremities
qmshould qmbe qmchecked qmregularly qmwhile qmthe qmclient qmis qmrestrained, qmnot qmonly qmbefore qmrestraints
qmare qmapplied qmand qmafter qmthey qmare qmremoved. qm(C) qmVital qmsigns qmshould qmbe qmchecked qmat qmleast
qmevery qm2 qmhours. qmIf qmthe qmclient qmremains qmagitated qmin qmrestraints, qmvital qmsigns qmshould qmbe
qmmonitored qmeven qmmore qmclosely, qmperhaps qmevery qm1-2 qmhours. qm(D) qmRestraints qmshould qmbe
qmreleased qmevery qm2 qmhours qmfor qmexercise, qmone qmextremity qmat qma qmtime, qmto qmmaintain qmmuscle qmtone,
qmskin qmand qmjoint qmintegrity, qmand qmcirculation.
NO.6 qmThe qmpediatrician qmhas qmdiagnosed qmtinea qmcapitis qmin qman qm8- qmyear-old qmgirl qmand qmhas qmplaced
qmher qmon qmoral qmgriseofulvin. qmThe qmnurse qmshould qmemphasize qmwhich qmof qmthese qminstructions qmto qmthe qmmother
qmand/or qmchild?
A. qmAdminister qmoral qmgriseofulvin qmon qman qmempty qmstomach qmfor qmbest qmresults.
B. qm Discontinue qmdrug qmtherapy qmif qmfood qmtastes qmfunny.
C. q m Mayqmdiscontinue qmmedication qmwhen qmthe qmchild qmexperiences qmsymptomatic qmrelief.
D. qmObserve qmfor qmheadaches, qmdizziness, qmand qmanorexia.
Answer: qmD
qmExplanatio
n:
( qmA) qmGiving qmthe qmdrug qmwith qmor qmafter qmmeals qmmay qmallay qmgastrointestinal qmdiscomfort. qmGiving qmthe
qmdrug qmwith qma qmfatty qmmeal qm(ice qmcream qmor qmmilk) qmincreases qmabsorption qmrate. qm(B) qmGriseofulvin
qmmay qmalter qmtaste qmsensations qmand qmthereby qmdecrease qmthe qmappetite. qmMonitoring qmof qmfood qmintake
qmis qmimportant, qmand qminadequate qmnutrient qmintake qmshould qmbe qmreported qmto qmthe qmphysician. qm(C)
qmThe qmchild qmmay qmexperience qmsymptomatic qmrelief qmafter qm4896 qmhours qmof qmtherapy. qmIt qmis
qmimportant qmto qmstress qmcontinuing qmthe qmdrug qmtherapy qmto qmprevent qmrelapse qm(usually qmabout qm6
qmweeks). qm(D) qmThe qmincidence qmof qmside qmeffects qmis qmlow; qmhowever, qmheadaches qmare qmcommon.
qmNausea, qmvomiting, qmdiarrhea, qmand qmanorexia qmmay qmoccur. qmDizziness, qmalthough qmuncommon,
qmshould qmbe qmreported qmto qmthe qmphysician.
NO.7 qmA qmclient qmwith qmcirrhosis qmof qmthe qmliver qmbecomes qmcomatose qmand qmis qmstarted qmon qmneomycin
qm300 qmmg qmq6h qmvia qmnasogastric qmtube. qmThe qmrationale qmfor qmthis qmtherapy qmis qmto:
A. qmPrevent qmsystemic qminfection
B. q m Promote qmdiuresis
C. q m Decrease qmammonia qmformation
D. qmAcidify qmthe qmsmall qmbowel
Answer: qmC
3
, Explanatio
qm
n:
( qmA) qmNeomycin qmis qman qmantibiotic, qmbut qmthis qmis qmnot qmthe qmRationale qmfor qmadministering qmit qmto qma
qmclient qmin qmhepatic qmcoma. qm(B) qmDiuretics qmand qmsalt-free qmalbumin qmare qmused qmto qmpromote qmdiuresis
qmin qmclients qmwith qmcirrhosis qmof qmthe qmliver. qm(C) qmNeomycin qmdestroys qmthe qmbacteria qmin qmthe
qmintestines. qmIt qmis qmthe qmbacteria qmin qmthe qmbowel qmthat qmbreak qmdown qmprotein qminto qmammonia. qm(D)
qmLactulose qmis qmadministered qmto qmcreate qman qmacid qmenvironment qmin qmthe qmbowel. qmAmmonia qmleaves
qmthe qmblood qmand qmmigrates qmto qmthis qmacidic qmenvironment qmwhere qmit qmis qmtrapped qmand qmexcreted.
NO.8 qmA qm5-year-old qmhas qmjust qmhad qma qmtonsillectomy qmand qmadenoidectomy. qmWhich qmof qmthese qmnursing
qmmeasures qmshould qmbe qmincluded qmin qmthe qmpostoperative qmcare?
A. qm Encourage qmthe qmchild qmto qmcough qmup qmblood qmif qmpresent.
B. q m Give qmwarm qmclear qmliquids qmwhen qmfully qmalert.
C. q m Have qmchild qmgargle qmand qmdo qmtoothbrushing qmto qmremove qmold qmblood.
D. qmObserve qmfor qmevidence qmof qmbleeding.
Answer: qmD
qmExplanatio
n:
These qmmay qminduce qmbleeding. qm(B) qmCool, qmclear qmliquids qmmay qmbe qmgiven qmwhen qmchild qmis qmfully qmalert. qmWarm
qmliquids qmmay qmdislodge qma qmblood qmclot. qmThe qmnurse qmshould qmavoid qmred- qmor qmbrown-colored qmliquids qmto
qmdistinguish qmfresh qmor qmold qmblood qmfrom qmingested qmliquid qmshould qmthe qmchild qmvomit. qm(C) qmGargles qmand qmvigorous
qmtoothbrushing qmcould qminitiate qmbleeding. qm(D) qmPostoperative qmhemorrhage, qmthough qmunusual, qmmay qmoccur. qmThe
qmnurse qmshould qmobserve qmfor qmbleeding qmby qmlooking qmdirectly qminto qmthe qmthroat qmand qmfor qmvomiting qmof qmbright qmred
qmblood, qmcontinuous qmswallowing, qmand qmchanges qmin qmvital qmsigns.
NO.9 qmAn qm80-year-old qmmale qmclient qmwith qma qmhistory qmof qmarteriosclerosis qmis qmexperiencing qmsevere
qmpain qmin qmhis qmleft qmleg qmthat qmstarted qmapproximately qm20 qmminutes qmago. qmWhen qmperforming qmthe
qmadmission qmassessment, qmthe qmnurse qmwould qmexpect qmto qmobserve qmwhich qmof qmthe qmfollowing:
A. qm Both qmlower qmextremities qmwarm qmto qmtouch qmwith qm2_pedal qmpulses
B. q m Both qmlower qmextremities qmcyanotic qmwhen qmplaced qmin qma qmdependent qmposition
C. q m Decreased qmor qmabsent qmpedal qmpulse qmin qmthe qmleft qmleg
D. qmThe qmleft qmleg qmwarmer qmto qmtouch qmthan qmthe qmright qmleg
Answer: qmC
qmExplanatio
n:
( qmA) qmThis qmstatement qmdescribes qma qmnormal qmassessment qmfinding qmof qmthe qmlower qmextremities. qm(B)
qmThis qmassessment qmfinding qmreflects qmproblems qmcaused qmby qmvenous qminsufficiency. qm(C) qmDecreased qmor
qmabsentpedal qmpulses qmreflect qma qmproblem qmcaused qmby qmarterial qminsufficiency. qm(D) qmThe qmleg qmthat
4
NO.1 qmA qmdepressed qmclient qmis qmseen qmat qmthe qmmental qmhealth qmcenter qmfor qmfollow-up qmafter qman
qmattempted qmsuicide qm1 q m week qmago. qmShe qmhas qmtaken qmphenelzine qmsulfate qm(Nardil), qma
qmmonoamine qmoxidase
( qmMAO) qminhibitor, qmfor qm7 qmstraight qmdays. qmShe qmstates qmthat qmshe qmis qmnot qmfeeling qmany qmbetter. qmThe
qmnurse qmexplains qmthat qmthe qmdrug qmmust qmaccumulate qmto qman qmeffective qmlevel qmbefore qmsymptoms
qmare qmtotally qmrelieved. qmSymptom qmrelief qmis qmexpected qmto qmoccur qmwithin:
A. 10 qmdays
B. 2-4 qmweeks
C. 2 qmmonths
D. 3
qmmonths
qmAnswer:
qmB
qmExplanatio
n:
( qmA) qmThis qmanswer qmis qmincorrect. qmIt qmcan qmtake qmup qmto qm1 qmmonth qmfor qmtherapeutic qmeffect qmof
qmthe qmmedication. qm( qmB) qmThis qmanswer qmis qmcorrect. qmBecause qmMAO qminhibitors qmare qmslow qmto
qmact, qmit qmtakes qm2-4 qmweeks qmbefore qmimprovement qmof qmsymptoms qmis qmnoted.
( qmC) qmThis qmanswer qmis qmincorrect. qmIt qmcan qmtake qmup qmto qm1 qmmonth qmfor qmtherapeutic qmeffect qmof qmthe
qmmedication. qm( qmD) qmThis qmanswer qmis qmincorrect. qmTherapeutic qmeffects qmof qmthe qmmedication qmare
qmnoted qmwithin qm1 qmmonth qmof qmdrug qmtherapy.
NO.2 qmCystic qmfibrosis qmis qmtransmitted qmas qman qmautosomal qmrecessive qmtrait. qmThis qmmeans qmthat:
A. qm Mothers qmcarry qmthe qmgene qmand qmpass qmit qmto qmtheir qmsons
B. q m Fathers qmcarry qmthe qmgene qmand qmpass qmit qmto qmtheir qmdaughters
C. q m Both qmparents qmmust qmhave qmthe qmdisease qmfor qma qmchild qmto qmhave qmthe qmdisease
D. qmBoth qmparents qmmust qmbe qmcarriers qmfor qma qmchild qmto qmhave qmthe qmdisease
Answer: qmD
qmExplanatio
n:
( qmA) qmCystic qmfibrosis qmis qmnot qman qmX-linked qmor qmsex-linked qmdisease. qm(B) qmThe qmonly qmcharacteristic
qmon qmthe qmY qmchromosome qmis qmthe qmtrait qmfor qmhairy qmears. qm(C) qmBoth qmparents qmdo qmnot qmneed qmto
qmhave qmthe qmdisease qmbut qmmust qmbe qmcarriers. qm(D) qmIf qma qmtrait qmis qmrecessive, qmtwo qmgenes qm(one qmfrom
qmeach qmparent) qmare qmnecessary qmto qmproduce qman qmaffected qmchild.
NO.3 qmA qm24-year-old qmclient qmpresents qmto qmthe qmemergency qmdepartment qmprotesting qm"I qmam qmGod."
1
, The qmnurse qmidentifies qmthis qmas qma:
qm
A. qm Delusion
B. q m Illusion
C. q m Hallucination
D. qmConversion
Answer: qmA
qmExplanatio
n:
( qmA) qmDelusion qmis qma qmfalse qmbelief. qm(B) qmIllusion qmis qmthe qmmisrepresentation qmof qma qmreal, qmexternal
qmsensory qmexperience. qm(C) qmHallucination qmis qma qmfalse qmsensory qmperception qminvolving qmany qmof qmthe
qmsenses. qm(D) qmConversion qmis qmthe qmexpression qmof qmintrapsychic qmconflict qmthrough qmsensory qmor
qmmotor qmmanifestations.
NO.4 qmIn qmacute qmepisodes qmof qmmania, qmlithium qmis qmeffective qmin qm1-2 qmweeks, qmbut qmit qmmay qmtake qmup
qmto qm4 qmweeks, qmor qmeven qma qmfew qmmonths, qmto qmtreat qmsymptoms qmfully. qmSometimes qman qmantipsychotic
qmagent qmis qmprescribed qmduring qmthe qmfirst qmfew qmdays qmor qmweeks qmof qman qmacute qmepisode qmto qmmanage
qmsevere qmbehavioral qmexcitement qmand qmacute qmpsychotic qmsymptoms. qmIn qmaddition qmto qmthe qmlithium,
qmwhich qmone qmof qmthe qmfollowing qmmedications qmmight qmthe qmphysician qmprescribe? qmA. qmDiazepam
qm(Valium)
B. q m Haloperidol qm(Haldol)
C. q m Sertraline qm(Zoloft)
D. qmAlprazolam qm(Xanax)
Answer: qmB
qmExplanatio
n:
( qmA) qmDiazepam qmis qman qmantianxiety qmmedication qmand qmis qmnot qmdesigned qmto qmreduce qmpsychotic
qmsymptoms. qm(B qm) qmHaloperidol qmis qman qmantipsychotic qmmedication qmand qmmay qmbe qmused qmuntil qmthe
qmlithium qmtakes qmeffect. qm(C) qmSertraline qmis qman qmantidepressant qmand qmis qmused qmprimarily qmto qmreduce
qmsymptoms qmof qmdepression. qm(D) qmAlprazolam qmis qman qmantianxiety qmmedication qmand qmis qmnot
qmdesigned qmto qmreduce qmpsychotic qmsymptoms.
NO.5 qmA qmviolent qmclient qmremains qmin qmrestraints qmfor qmseveral qmhours. qmWhich qmof qmthe qmfollowing
qminterventions qmis qmmost qmappropriate qmwhile qmhe qmis qmin qmrestraints? qmA. qmGive qmfluids qmif qmthe qmclient
qmrequests qmthem.
B. q m Assess qmskin qmintegrity qmand qmcirculation qmof qmextremities qmbefore qmapplying qmrestraints qmand qmas
qmthey qmare qmremoved.
C. q m Measure qmvital qmsigns qmat qmleast qmevery qm4 qmhours.
D. qmRelease qmrestraints qmevery qm2 qmhours qmfor qmclient qmto qmexercise.
Answer: qmD
2
, qExplanation
:
( qmA) qmFluids qm(nourishment) qmshould qmbe qmoffered qmat qmregular qmintervals qmwhether qmthe qmclient
qmrequests qm(or qmrefuses) qmthem qmor qmnot. qm(B) qmSkin qmintegrity qmand qmcirculation qmof qmthe qmextremities
qmshould qmbe qmchecked qmregularly qmwhile qmthe qmclient qmis qmrestrained, qmnot qmonly qmbefore qmrestraints
qmare qmapplied qmand qmafter qmthey qmare qmremoved. qm(C) qmVital qmsigns qmshould qmbe qmchecked qmat qmleast
qmevery qm2 qmhours. qmIf qmthe qmclient qmremains qmagitated qmin qmrestraints, qmvital qmsigns qmshould qmbe
qmmonitored qmeven qmmore qmclosely, qmperhaps qmevery qm1-2 qmhours. qm(D) qmRestraints qmshould qmbe
qmreleased qmevery qm2 qmhours qmfor qmexercise, qmone qmextremity qmat qma qmtime, qmto qmmaintain qmmuscle qmtone,
qmskin qmand qmjoint qmintegrity, qmand qmcirculation.
NO.6 qmThe qmpediatrician qmhas qmdiagnosed qmtinea qmcapitis qmin qman qm8- qmyear-old qmgirl qmand qmhas qmplaced
qmher qmon qmoral qmgriseofulvin. qmThe qmnurse qmshould qmemphasize qmwhich qmof qmthese qminstructions qmto qmthe qmmother
qmand/or qmchild?
A. qmAdminister qmoral qmgriseofulvin qmon qman qmempty qmstomach qmfor qmbest qmresults.
B. qm Discontinue qmdrug qmtherapy qmif qmfood qmtastes qmfunny.
C. q m Mayqmdiscontinue qmmedication qmwhen qmthe qmchild qmexperiences qmsymptomatic qmrelief.
D. qmObserve qmfor qmheadaches, qmdizziness, qmand qmanorexia.
Answer: qmD
qmExplanatio
n:
( qmA) qmGiving qmthe qmdrug qmwith qmor qmafter qmmeals qmmay qmallay qmgastrointestinal qmdiscomfort. qmGiving qmthe
qmdrug qmwith qma qmfatty qmmeal qm(ice qmcream qmor qmmilk) qmincreases qmabsorption qmrate. qm(B) qmGriseofulvin
qmmay qmalter qmtaste qmsensations qmand qmthereby qmdecrease qmthe qmappetite. qmMonitoring qmof qmfood qmintake
qmis qmimportant, qmand qminadequate qmnutrient qmintake qmshould qmbe qmreported qmto qmthe qmphysician. qm(C)
qmThe qmchild qmmay qmexperience qmsymptomatic qmrelief qmafter qm4896 qmhours qmof qmtherapy. qmIt qmis
qmimportant qmto qmstress qmcontinuing qmthe qmdrug qmtherapy qmto qmprevent qmrelapse qm(usually qmabout qm6
qmweeks). qm(D) qmThe qmincidence qmof qmside qmeffects qmis qmlow; qmhowever, qmheadaches qmare qmcommon.
qmNausea, qmvomiting, qmdiarrhea, qmand qmanorexia qmmay qmoccur. qmDizziness, qmalthough qmuncommon,
qmshould qmbe qmreported qmto qmthe qmphysician.
NO.7 qmA qmclient qmwith qmcirrhosis qmof qmthe qmliver qmbecomes qmcomatose qmand qmis qmstarted qmon qmneomycin
qm300 qmmg qmq6h qmvia qmnasogastric qmtube. qmThe qmrationale qmfor qmthis qmtherapy qmis qmto:
A. qmPrevent qmsystemic qminfection
B. q m Promote qmdiuresis
C. q m Decrease qmammonia qmformation
D. qmAcidify qmthe qmsmall qmbowel
Answer: qmC
3
, Explanatio
qm
n:
( qmA) qmNeomycin qmis qman qmantibiotic, qmbut qmthis qmis qmnot qmthe qmRationale qmfor qmadministering qmit qmto qma
qmclient qmin qmhepatic qmcoma. qm(B) qmDiuretics qmand qmsalt-free qmalbumin qmare qmused qmto qmpromote qmdiuresis
qmin qmclients qmwith qmcirrhosis qmof qmthe qmliver. qm(C) qmNeomycin qmdestroys qmthe qmbacteria qmin qmthe
qmintestines. qmIt qmis qmthe qmbacteria qmin qmthe qmbowel qmthat qmbreak qmdown qmprotein qminto qmammonia. qm(D)
qmLactulose qmis qmadministered qmto qmcreate qman qmacid qmenvironment qmin qmthe qmbowel. qmAmmonia qmleaves
qmthe qmblood qmand qmmigrates qmto qmthis qmacidic qmenvironment qmwhere qmit qmis qmtrapped qmand qmexcreted.
NO.8 qmA qm5-year-old qmhas qmjust qmhad qma qmtonsillectomy qmand qmadenoidectomy. qmWhich qmof qmthese qmnursing
qmmeasures qmshould qmbe qmincluded qmin qmthe qmpostoperative qmcare?
A. qm Encourage qmthe qmchild qmto qmcough qmup qmblood qmif qmpresent.
B. q m Give qmwarm qmclear qmliquids qmwhen qmfully qmalert.
C. q m Have qmchild qmgargle qmand qmdo qmtoothbrushing qmto qmremove qmold qmblood.
D. qmObserve qmfor qmevidence qmof qmbleeding.
Answer: qmD
qmExplanatio
n:
These qmmay qminduce qmbleeding. qm(B) qmCool, qmclear qmliquids qmmay qmbe qmgiven qmwhen qmchild qmis qmfully qmalert. qmWarm
qmliquids qmmay qmdislodge qma qmblood qmclot. qmThe qmnurse qmshould qmavoid qmred- qmor qmbrown-colored qmliquids qmto
qmdistinguish qmfresh qmor qmold qmblood qmfrom qmingested qmliquid qmshould qmthe qmchild qmvomit. qm(C) qmGargles qmand qmvigorous
qmtoothbrushing qmcould qminitiate qmbleeding. qm(D) qmPostoperative qmhemorrhage, qmthough qmunusual, qmmay qmoccur. qmThe
qmnurse qmshould qmobserve qmfor qmbleeding qmby qmlooking qmdirectly qminto qmthe qmthroat qmand qmfor qmvomiting qmof qmbright qmred
qmblood, qmcontinuous qmswallowing, qmand qmchanges qmin qmvital qmsigns.
NO.9 qmAn qm80-year-old qmmale qmclient qmwith qma qmhistory qmof qmarteriosclerosis qmis qmexperiencing qmsevere
qmpain qmin qmhis qmleft qmleg qmthat qmstarted qmapproximately qm20 qmminutes qmago. qmWhen qmperforming qmthe
qmadmission qmassessment, qmthe qmnurse qmwould qmexpect qmto qmobserve qmwhich qmof qmthe qmfollowing:
A. qm Both qmlower qmextremities qmwarm qmto qmtouch qmwith qm2_pedal qmpulses
B. q m Both qmlower qmextremities qmcyanotic qmwhen qmplaced qmin qma qmdependent qmposition
C. q m Decreased qmor qmabsent qmpedal qmpulse qmin qmthe qmleft qmleg
D. qmThe qmleft qmleg qmwarmer qmto qmtouch qmthan qmthe qmright qmleg
Answer: qmC
qmExplanatio
n:
( qmA) qmThis qmstatement qmdescribes qma qmnormal qmassessment qmfinding qmof qmthe qmlower qmextremities. qm(B)
qmThis qmassessment qmfinding qmreflects qmproblems qmcaused qmby qmvenous qminsufficiency. qm(C) qmDecreased qmor
qmabsentpedal qmpulses qmreflect qma qmproblem qmcaused qmby qmarterial qminsufficiency. qm(D) qmThe qmleg qmthat
4
