NCLEX NCLEX Certifications NCLEX-RN Questions & Answers

• Question 851:

  Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

  A. 70 mg/dL and 120 mg/dL

  B. 100 mg/dL and 200 mg/dL

  C. 40 mg/dL and 130 mg/dL

  D. 90 mg/dL and 200 mg/dL

  Correct Answer: A

  (A) The recommended range is 70?20 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.

• Question 852:

  A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being "on the move," sleeping 3? hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

  A. Short, polite responses to interview questions

  B. Introspection related to his present situation

  C. Exaggerated self-importance

  D. Feelings of helplessness and hopelessness

  Correct Answer: C

  (A) During the manic phase of bipolar disorder, clients have short attention spans and may be abusive toward authority figures. (B) Introspection requires focusing and concentration; clients with mania experience flight of ideas, which prevents concentration. (C) Grandiosity and an inflated sense of self-worth are characteristic of this disorder. (D) Feelings of helplessness and hopelessness are symptoms of the depressive stage of bipolar disorder.

• Question 853:

  Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

  A. Playing cards with other clients

  B. Working crossword puzzles

  C. Playing tennis with a staff member

  D. Sewing beads on a leather belt

  Correct Answer: C

  (A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the client's attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.

• Question 854:

  Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

  A. Kidney (urinary system)

  B. Brain (nervous system)

  C. Heart (circulatory system)

  D. Lungs (respiratory system)

  Correct Answer: B

  (A) The kidney can survive after 30 minutes of water submersion. (B) The cerebral neurons sustain irreversible damage after 4? minutes of water submersion. (C) The heart can survive up to 30 minutes of water submersion. (D) The lungs can survive up to 30 minutes of water submersion.

• Question 855:

  A diagnosis of hepatitis C is confirmed by a male client's physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

  A. The potential for chronic liver disease is minimal.

  B. The onset of symptoms is abrupt.

  C. The incubation period is 2?6 weeks.

  D. There is an effective vaccine for hepatitis B, but not for hepatitis C.

  Correct Answer: C

  (A) Hepatitis C and B may result in chronic liver disease. Hepatitis A has a low potential for chronic liver disease. (B) Hepatitis C and B have insidious onsets. Hepatitis A has an abrupt onset. (C) Incubation periods are as follows: hepatitis C is 2?6 weeks, hepatitis B is 6?0 weeks, and hepatitis A is 2? weeks. (D) Only hepatitis B has an effective vaccine.

• Question 856:

  A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

  A. Administer a stat dose of lithium as necessary.

  B. Recognize this as an expected response to lithium.

  C. Request an order for a stat blood lithium level.

  D. Give an oral dose of lithium antidote.

  Correct Answer: C

  (A) These symptoms are indicative of lithium toxicity. A stat dose of lithium could be fatal. (B) These are toxic effects of lithium therapy. (C) The client is exhibiting symptoms of lithium toxicity, which may be validated by lab studies. (D) There is no known lithium antidote.

• Question 857:

  A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?

  A. Small, frequent feedings of foods that can be carried

  B. Tube feedings with nutritional supplements

  C. Allowing him to eat when and what he wants

  D. Giving him a quiet place where he can sit down to eat meals

  Correct Answer: A

  (A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with finger foods allow him to eat during periods of activity. (B) This type of therapy should be implemented when other methods have been exhausted. (C) The manic client should not be in control of his treatment plan. This type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.

• Question 858:

  A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

  A. Sustained temperature elevation over 103F is generally related to febrile seizures

  B. Febrile seizures do not usually recur

  C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures

  D. Febrile seizures are associated with diseases of the central nervous system

  Correct Answer: C

  (A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur during the temperature rise rather than after a prolonged elevation. (B) Febrile seizures may recur and are more likely to do so when the first seizure occurs in the 1st year of life. (C) There is little risk of neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. (D) Febrile seizures are associated with disease of the central nervous system.

• Question 859:

  Which of the following findings would be abnormal in a postpartal woman?

  A. Chills shortly after delivery

  B. Pulse rate of 60 bpm in morning on first postdelivery day

  C. Urinary output of 3000 mL on the second day after delivery

  D. An oral temperature of 101F (38.3C) on the third day after delivery

  Correct Answer: D

  (A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a nervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The pulse rate during the immediate postpartal period may be low but presents no cause for alarm. The body attempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C) Urinary output increases during the early postpartal period (12?4 hours) owing to diuresis. The kidneys must eliminate an estimated 2000?000 mL of extracellular fluid associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after delivery as a result of exertion and dehydration of labor. However, any temperature greater than 100.4F needs further investigation to identify any infectious process.

• Question 860:

  A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

  A. Auditory

  B. Gustatory

  C. Olfactory

  D. Visceral

  Correct Answer: B

  (A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve sensory perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral hallucinations involve sensory perceptions of sensation.