NCLEX RN NEW VERSION EXAM 2022/2023 JOINT MIDTERM –FINAL EXAM TEST BANK WITH RATIONALE HIGHLY RECOMMENDED

NCLEX RN NEW VERSION EXAM 2022/2023 JOINT MIDTERM –FINAL EXAM TEST BANK WITH RATIONALE HIGHLY RECOMMENDED NO.1 A depressed client is seen at the mental health center for follow-up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur within: A. 10 days B. 2-4 weeks C. 2 months D. 3 months Selected answer : B RATIONALE: (A) This Selected answer is incorrect. It can take up to 1 month for therapeutic effect of the medication. (B) This Selected answer is correct. Because MAO inhibitors are slow to act, it takes 2-4 weeks before improvement of symptoms is noted. (C) This Selected answer is incorrect. It can take up to 1 month for therapeutic effect of the medication. (D) This Selected answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drug therapy. NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that: A. Mothers carry the gene and pass it to their sons B. Fathers carry the gene and pass it to their daughters C. Both parents must have the disease for a child to have the disease D. Both parents must be carriers for a child to have the disease Selected answer : D RATIONALE: (A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but must be carriers. (D) If a trait is recessive, two genes (one from each parent) are necessary to produce an affected child.