,
, NCLEX RN ACTUAL EXAM TESTBANK OF REAL QUESTIONS & ANSWERS
NCLEX 2023
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 7
A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and
diarrhe
A. 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.
Answer: C
Explanation:
(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 8
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 2–26 weeks.
D. There is an effective vaccine for hepatitis B, but not for hepatitis C.
Answer: C
Explanation:
(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 2–26 weeks, hepatitis B is 6–20 weeks, and hepatitis A is 2–6 weeks. (D) Only
hepatitis B has an effective vaccine.
QUESTION 9
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)
Answer: B
Explanation:
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