Quiz: NCLEX Nursing Exam Questions!

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Quiz: NCLEX Nursing Exam Questions! - Quiz

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Questions and Answers
  • 1. 
    Which is the best indicator of success in the long term management of the client?
    • A. 

      His symptoms are replaced by indifference to his feelings

    • B. 

      He participates in diversionary activities.

    • C. 

      He learns to verbalize his feelings and concerns

    • D. 

      He states that his behavior is irrational.

  • 2. 
    Situation: A young woman is brought to the emergency room appearing depressed. The nurse learned that her child died a year ago due to an accident. The initial nursing diagnosis is dysfunctional grieving. The statement of the woman that supports this diagnosis is:
    • A. 

      “I feel envious of mothers who have toddlers”

    • B. 

      “I haven’t been able to open the door and go into my baby’s room “

    • C. 

      “I watch other toddlers and think about their play activities and I cry.”

    • D. 

      “I often find myself thinking of how I could have prevented the death.

  • 3. 
    The client said “I can’t even take care of my baby. I’m good for nothing.” Which is the appropriate nursing diagnosis?
    • A. 

      Ineffective individual coping related to loss.

    • B. 

      Impaired verbal communication related to inadequate social skills.

    • C. 

      Low esteem related to failure in role performance

    • D. 

      Impaired social interaction related to repressed anger.

  • 4. 
    The following medications will likely be prescribed for the client EXCEPT:
    • A. 

      Prozac

    • B. 

      Tofranil

    • C. 

      Parnate

    • D. 

      Zyprexa

  • 5. 
    Which is the highest priority in the post-ECT care?
    • A. 

      Observe for confusion

    • B. 

      Monitor respiratory status

    • C. 

      Reorient to time. place and person

    • D. 

      Document the client’s response to the treatment

  • 6. 
    Situation: A 27-year-old writer is admitted for the second time accompanied by his wife. He is demanding. arrogant. talked fast and hyperactive. Initially. the nurse should plan this for a manic client:
    • A. 

      Set realistic limits to the client’s behavior

    • B. 

      Repeat verbal instructions as often as needed

    • C. 

      Allow the client to get out feelings to relieve tension

    • D. 

      Assign a staff to be with the client at all times to help maintain control

  • 7. 
    An activity appropriate for the client is:
    • A. 

      Table tennis

    • B. 

      Painting

    • C. 

      Chess

    • D. 

      Cleaning

  • 8. 
    The client is arrogant and manipulative. In ensuring a therapeutic milieu. the nurse does one of the following:
    • A. 

      Agree on a consistent approach among the staff assigned to the client.

    • B. 

      Suggest that the client take a leading role in the social activities

    • C. 

      Provide the client with extra time for one on one sessions

    • D. 

      Allow the client to negotiate the plan of care

  • 9. 
    The nurse exemplifies an awareness of the rights of a client whose anger is escalating by:
    • A. 

      Taking a directive role in verbalizing feelings

    • B. 

      Using an authoritarian. confrontational approach

    • C. 

      Putting the client in a seclusion room

    • D. 

      Applying mechanical restraints

  • 10. 
    A client on Lithium has diarrhea and vomiting. What should the nurse do first:
    • A. 

      Recognize this as a drug interaction

    • B. 

      Give the client Cogentin

    • C. 

      Reassure the client that these are common side effects of lithium therapy

    • D. 

      Hold the next dose and obtain an order for a stat serum lithium level

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