Inspirational journeys
Follow the stories of academics and their research expeditions
NCLEX-RN Exam Questions - Part 93
1. A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:
A) He will manipulate the other clients for his own benefit
B) He will cause the other clients to become psychotic
C) He will become delusional and hallucinate as a result of the excess attention given to him by peers
D) He may exhibit self-mutilative behavior
2. In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, 'Forget all those rules. I always get along well with the nurses.' Which nursing response to him would be most effective?
A) 'OK, don - t listen to the rules. See where you end up.'
B) 'I - m pleased that you get along so well with the staff.You must still know and abide by the rules.'
C) 'It is irrelevant whether you get along with the nurses.'
D) 'I - m not the other nurses. You better read the rules yourself.'
3. A client was admitted to the hospital after falling in her home. At the time of admission, her blood alcohol level was 0.27 mg%. Her family indicates that she has been drinking a fifth of vodka a day for the past 9 months. She had her last drink 30 minutes prior to admission. Alcohol withdrawal symptoms would most likely be exhibited by her:
A) Two to 4 hours after the last drink
B) Six to 8 hours after the last drink
C) Immediately on admission
D) Twenty-four hours after the last drink
4. A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to 190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?
A) An opiate such as propoxyphene napsylate (Darvocet)
B) A benzodiazepine such as chlordiazepoxide (Librium)
C) A tricyclic antidepressant such as amitriptyline (Elavil)
D) A phenothiazine such as chlorpromazine (Thorazine)
5. A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimers disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:
A) Allowing the client to perform activities of daily living as much as possible unassisted
B) Confronting confabulations
C) Reality testing
D) Providing a highly stimulating environment
A) He will manipulate the other clients for his own benefit
B) He will cause the other clients to become psychotic
C) He will become delusional and hallucinate as a result of the excess attention given to him by peers
D) He may exhibit self-mutilative behavior
2. In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, 'Forget all those rules. I always get along well with the nurses.' Which nursing response to him would be most effective?
A) 'OK, don - t listen to the rules. See where you end up.'
B) 'I - m pleased that you get along so well with the staff.You must still know and abide by the rules.'
C) 'It is irrelevant whether you get along with the nurses.'
D) 'I - m not the other nurses. You better read the rules yourself.'
3. A client was admitted to the hospital after falling in her home. At the time of admission, her blood alcohol level was 0.27 mg%. Her family indicates that she has been drinking a fifth of vodka a day for the past 9 months. She had her last drink 30 minutes prior to admission. Alcohol withdrawal symptoms would most likely be exhibited by her:
A) Two to 4 hours after the last drink
B) Six to 8 hours after the last drink
C) Immediately on admission
D) Twenty-four hours after the last drink
4. A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to 190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?
A) An opiate such as propoxyphene napsylate (Darvocet)
B) A benzodiazepine such as chlordiazepoxide (Librium)
C) A tricyclic antidepressant such as amitriptyline (Elavil)
D) A phenothiazine such as chlorpromazine (Thorazine)
5. A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimers disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:
A) Allowing the client to perform activities of daily living as much as possible unassisted
B) Confronting confabulations
C) Reality testing
D) Providing a highly stimulating environment
1. Right Answer: A
Explanation: (A) This answer is correct. Persons with antisocial personality disorder typically are very manipulative. (B) This answer is incorrect. The clients behavior cannot cause another person to become psychotic. (C) This answer is incorrect. Psychosis is not a symptom of antisocial personality. One of the criteria for diagnosis of this disorder is that no psychosis be present. In addition, the client would love the attention. (D) This answer is incorrect. Self-mutilative behavior is characteristic of the borderline personality disorder.
2. Right Answer: B
Explanation: (A) This answer is incorrect. A nurse should be an appropriate role model. Threats are not appropriate. No limit setting was stated. (B) This answer is correct. The nurse made a positive statement followed by a simple, clear, concise setting of limits. (C) This answer is incorrect. It appears to have a negative connotation.There was no limit setting. (D) This answer is incorrect. The nurse obviously responded in a negative manner. Learning takes place more readily when one is accepted, not rejected. No limits were set.
3. Right Answer: B
Explanation: (A) This answer is incorrect. Alcohol withdrawal usually begins approximately 68 hours after the last drink. (B) This answer is correct. It takes approximately 68 hours for metabolism of alcohol. (C) This answer is incorrect. The alcohol is still in the system, as indicated by the high blood alcohol level. (D) This answer is incorrect. Symptoms of alcohol withdrawal usually begin within 68 hours of the last drink.
4. Right Answer: B
Explanation: (A) This answer is incorrect. Benzodiazepines are drugs of choice for alcohol withdrawal. (B) This answer is correct. The drug has a sedative effect, is safe, and has an anticonvulsant effect.(C) This answer is incorrect. Amitriptyline is an antidepressant. (D) This answer is incorrect. Chlorpromazine is most effective in psychotic disorders.
5. Right Answer: A
Explanation: (A) This answer is correct. The more the client is able to control her daily routine, the less anxiety she will experience. (B) This answer is incorrect. Confrontation tends to increase anxiety. (C) This answer is incorrect. Reality testing is an assessment tool. It does not decrease anxiety. (D) This answer is incorrect. A highly stimulating environment increases distractibility and anxiety.
Explanation: (A) This answer is correct. Persons with antisocial personality disorder typically are very manipulative. (B) This answer is incorrect. The clients behavior cannot cause another person to become psychotic. (C) This answer is incorrect. Psychosis is not a symptom of antisocial personality. One of the criteria for diagnosis of this disorder is that no psychosis be present. In addition, the client would love the attention. (D) This answer is incorrect. Self-mutilative behavior is characteristic of the borderline personality disorder.
2. Right Answer: B
Explanation: (A) This answer is incorrect. A nurse should be an appropriate role model. Threats are not appropriate. No limit setting was stated. (B) This answer is correct. The nurse made a positive statement followed by a simple, clear, concise setting of limits. (C) This answer is incorrect. It appears to have a negative connotation.There was no limit setting. (D) This answer is incorrect. The nurse obviously responded in a negative manner. Learning takes place more readily when one is accepted, not rejected. No limits were set.
3. Right Answer: B
Explanation: (A) This answer is incorrect. Alcohol withdrawal usually begins approximately 68 hours after the last drink. (B) This answer is correct. It takes approximately 68 hours for metabolism of alcohol. (C) This answer is incorrect. The alcohol is still in the system, as indicated by the high blood alcohol level. (D) This answer is incorrect. Symptoms of alcohol withdrawal usually begin within 68 hours of the last drink.
4. Right Answer: B
Explanation: (A) This answer is incorrect. Benzodiazepines are drugs of choice for alcohol withdrawal. (B) This answer is correct. The drug has a sedative effect, is safe, and has an anticonvulsant effect.(C) This answer is incorrect. Amitriptyline is an antidepressant. (D) This answer is incorrect. Chlorpromazine is most effective in psychotic disorders.
5. Right Answer: A
Explanation: (A) This answer is correct. The more the client is able to control her daily routine, the less anxiety she will experience. (B) This answer is incorrect. Confrontation tends to increase anxiety. (C) This answer is incorrect. Reality testing is an assessment tool. It does not decrease anxiety. (D) This answer is incorrect. A highly stimulating environment increases distractibility and anxiety.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
Tags:
NCLEX-RN nclex nclex-pn nurse exam nurse 2023 nclex 2023 uworld nurse hospital medical health doctor exam care medicine clinic uniform woman female people professional stethoscope person medic young treatment portrait healthcare technology occupation disease service specialist modern white college university learning physician education patient study intern studying expertise examination student illness diagnosis male tablet health care test background adult document research0 Comments
Categories
Recent posts
Navigating the Organization
Fri, 18 Apr 2025
SHRM Topic - Leadership
Thu, 17 Apr 2025
Leave a comment