NCLEX-RN Updated 2022, Complete Questions & Answers with rationale

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Examination For NCLEX-RN Updated 2022, Complete Questions & Answers with rationale

NCLEX-RN Updated 2022, Complete Questions & Answers with rationale NO.1 A depressed shopper is seen on the psychological well being middle for follow-up after an atte mpted suicide 1 week in the past. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she will not be feeling any higher. The nurse explains that the drug should accumulate to an efficient degree earlier than signs are completely relieved. Symptom aid is predicted to happen inside: A. 10 days B. 2-4 weeks C. 2 months D. 3 months Reply: B Rationalization: (A) This reply is wrong. It might probably take as much as 1 month for therapeutic impact of the remedy. (B) This reply is appropriate. As a result of MAO inhibitors are gradual to behave, it takes 2-4 weeks earlier than enchancment of signs is famous. (C) This reply is wrong. It might probably take as much as 1 month for therapeutic impact of the remedy. (D) This reply is wrong. Therapeutic results of the remedy are famous inside 1 month of drug remedy. NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. Which means: A. Moms carry the gene and go it to their sons B. Fathers carry the gene and go it to their daughters C. Each mother and father will need to have the illness for a kid to have the illness D. Each mother and father should be carriers for a kid to have the illness Reply: D Rationalization: (A) Cystic fibrosis will not be an X-linked or sex-linked illness. (B) The one attribute on the Y chromosome is the trait for bushy ears. (C) Each mother and father don’t have to have the illness however should be carriers. (D) If a trait is recessive, two genes (one from every guardian) are vital to provide an affected baby. NO.3 A 24-year-old shopper presents to the emergency division protesting “I’m God.” The nurse identifies this as a: A. Delusion B. Phantasm C. Hallucination D. Conversion Reply: A Rationalization: (A) Delusion is a false perception. (B) Phantasm is the misrepresentation of an actual, exterior sensory expertise. (C) Hallucination is a false sensory notion involving any of the senses. (D) Conversion is the expression of intrapsychic battle by sensory or motor manifestations. NO.4 In acute episodes of mania, lithium is efficient in 1-2 weeks, however it could take as much as 4 weeks, or perhaps a few months, to deal with signs absolutely. Generally an antipsychotic agent is prescribed in the course of the first few days or perhaps weeks of an acute episode to handle extreme behavioral pleasure and acute psychotic signs. Along with the lithium, which one of many following medicines would possibly the doctor prescribe? A. Diazepam (Valium) B. Haloperidol (Haldol) C. Sertraline (Zoloft) D. Alprazolam (Xanax) Reply: B Rationalization: (A) Diazepam is an antianxiety remedy and isn’t designed to scale back psychotic signs. (B) Haloperidol is an antipsychotic remedy and could also be used till the lithium takes impact. (C) Sertraline is an antidepressant and is used primarily to scale back signs of melancholy. (D) Alprazolam is an antianxiety remedy and isn’t designed to scale back psychotic signs. NO.5 A violent shopper stays in restraints for a number of hours. Which of the next interventions is most acceptable whereas he’s in restraints? A. Give fluids if the shopper requests them. B. Assess pores and skin integrity and circulation of extremities earlier than making use of restraints and as they’re eliminated. C. Measure very important indicators no less than each 4 hours. D. Launch restraints each 2 hours for shopper to train. Reply: D Rationalization: (A) Fluids (nourishment) needs to be supplied at common intervals whether or not the shopper requests (or refuses) them or not. (B) Pores and skin integrity and circulation of the extremities needs to be checked usually whereas the shopper is restrained, not solely earlier than restraints are utilized and after they’re eliminated. (C) Important indicators needs to be checked no less than each 2 hours. If the shopper stays agitated in restraints, very important indicators needs to be monitored much more intently, maybe each 1-2 hours. (D) Restraints needs to be launched each 2 hours for train, one extremity at a time, to keep up muscle tone, pores and skin and joint integrity, and circulation. NO.6 The pediatrician has recognized tinea capitis in an 8- year-old lady and has positioned her on oral griseofulvin. The nurse ought to emphasize which of those directions to the mom and/or baby? A. Administer oral griseofulvin on an empty abdomen for finest outcomes. B. Discontinue drug remedy if meals tastes humorous. C. Might discontinue remedy when the kid experiences symptomatic aid. D. Observe for complications, dizziness, and anorexia. Reply: D Rationalization: (A) Giving the drug with or after meals might allay gastrointestinal discomfort. Giving the drug with a fatty meal (ice cream or milk) will increase absorption charge. (B) Griseofulvin might alter style sensations

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NCLEX-RN Updated 2022, Complete Questions & Answers with rationale
NCLEX-RN Updated 2022, Complete Questions & Answers with rationale

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