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Seller: absolutelynorefunds (186) 100%, Location: Durham, North Carolina, Ships to: US & many other countries, Item: 293039165612 NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2019 ebook file. NCLEX-RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS AND ANSWERS NCLEX 2019 NCLEX TAKES 75-265 QUESTIONS FROM A PULL OF 865 TEST BANK QUESTIONS. THIS IS RECENTLY UPDATED Study these questions and rationale. Sample of Questions and Answers NO.1 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 monoamine oxidase(MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explainsthat the drug must accumulate to an effective level before symptoms are totally relieved. Symptomrelief is expected to occur within:A. 10 daysB. 2-4 weeksC. 2 monthsD. 3 monthsAnswer: BExplanation:(A) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.(B) This answer is correct. Because MAO inhibitors are slow to act, it takes 2-4 weeks beforeimprovement of symptoms is noted.(C) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.(D) This answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drugtherapy. NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:A. Mothers carry the gene and pass it to their sonsB. Fathers carry the gene and pass it to their daughtersC. Both parents must have the disease for a child to have the diseaseD. Both parents must be carriers for a child to have the diseaseAnswer: DExplanation:(A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Ychromosome is the trait for 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 anaffected child. NO.3 A 24-year-old client presents to the emergency department protesting "I am God." The nurseidentifies this as a:A. DelusionB. IllusionC. HallucinationD. ConversionAnswer: AExplanation:(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensoryexperience. (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. NO.4 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. Alprazolam (Xanax)Answer: BExplanation:(A) Diazepam is an antianxiety medication and is not 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 not designed to reduce psychotic symptoms. NO.5 A violent client remains in restraints for several hours. Which of the following interventions ismost 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 areremoved.C. Measure vital signs at least every 4 hours.D. Release restraints every 2 hours for client to exercise.Answer: DExplanation:(A) Fluids (nourishment) should be offered at regular intervals whether the client requests (orrefuses) them or not. (B) Skin integrity and circulation of the extremities should be checked regularlywhile the client is restrained, not only before restraints are applied andafter 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. NO.6 The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?A. Administer oral griseofulvin on an empty stomach for best results.B. Discontinue drug therapy if food tastes funny.C. May discontinue medication when the child experiences symptomatic relief.D. Observe for headaches, dizziness, and anorexia.Answer: DExplanation:(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with afatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrientintake should be reported to the physician. (C) The child may experience symptomatic relief after 48-96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea, vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to the physician. NO.7 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to:A. Prevent systemic infectionB. Promote diuresisC. Decrease ammonia formationD. Acidify the small bowelAnswer: CExplanation:(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepaticcoma. (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of theliver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that breakdown protein into ammonia. (D) Lactulose is administered to create an acid environment in thebowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped andexcreted. NO.8 A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?A. Encourage the child to cough up blood if present.B. Give warm clear liquids when fully alert.C. Have child gargle and do toothbrushing to remove old blood.D. Observe for evidence of bleeding.Answer: DExplanation:(A) The nurse should discourage the child from coughing, clearing the throat, or putting objects in his mouth. These may induce bleeding. (B) Cool, clear liquids may be given when child is fully alert. Warm liquids may dislodge a blood clot. The nurse should avoid red- or brown-colored liquids to distinguish fresh or old blood from ingested liquid should the child vomit. (C) Gargles and vigorous toothbrushing could initiate bleeding. (D) Postoperative hemorrhage, though unusual, may occur.The nurse should observe for bleeding by looking directly into the throat and for vomiting of brightred blood, continuous swallowing, and changes in vital signs. NO.9 An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in hisleft leg that started approximately 20 minutes ago. When performing the admission assessment, thenurse would expect to observe which of the following:A. Both lower extremities warm to touch with 2_pedal pulsesB. Both lower extremities cyanotic when placed in a dependent positionC. Decreased or absent pedal pulse in the left legD. The left leg warmer to touch than the right legAnswer: CExplanation:(A) This statement describes a normal assessment finding of the lower extremities. (B) Thisassessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedalpulses reflect a problem caused by arterial insufficiency. (D) The leg that is experiencing arterialinsufficiency would be cool to touch due to the decreased circulation. Condition: Brand New, Product Type: Test Bank PDF, Format: PDF, Subject: NCLEX RN

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