NCLEX EXAM QUESTIONS | TESTED AND PROVEN
ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
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:
Ans>> 2-4 weeks months months B Explanation:
NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that
Ans>> Both parents must be carriers for a child to have the disease
Delusion
Ans>> NO.3 A 24-year-old client presents to the emergency department protesting "I am God.
The nurse identifies this as a
Haloperidol (Haldol)
1
,Ans>> acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks,
or even a few months treat symptoms fully. Sometimes an antipsychotic agent is prescribed the
first few days or weeks of an acute episode to manage severe behavioral excitement and acute
psychotic symptoms. In addition to the lithium, which one of the following medications might the
physician prescribe?
Release restraints every 2 hours for client to exercise.
Ans>> NO.5 A violent client remains in restraints for several hours. Which of the following
interventions is most appropriate while he is in restraints?
Observe for headaches, dizziness, and anorexia
Ans>> NO.6 The pediatrician has diagnosed tinea capitis in an 8-year-old girl and has placed
her on oral griseofulvin. The nurse should emphasize which of these instructions to the mother
and/or child?
Decrease ammonia formation
Ans>> n.7 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300
mg q6h nasogastric tube. The rationale for this therapy is to:
2
,Observe for evidence of bleeding.
Ans>> NO.8 A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these
nursing measures should be included in the postoperative care?
Decreased absent pedal pulse in the left leg
Ans>> NO.9 An 80-year-old male client with a history of arteriosclerosis is experiencing severe
pain in his left leg that started approximately 20 minutes ago. When performing the admission
assessment, the nurse would expect to observe which of the following:
Hematocrit 60%
Ans>> NO.10 A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the
nursing assessment, which lab value should elicit further assessment and requires notification of
physician? 7.39
Walk him as he paces.
Ans>> NO.11 A male client is experiencing extreme distress. He begins to pace up and down
the corridor. What nursing intervention is appropriate when communicating with the pacing client?
3
, Walk with him as he paces.
Ans>> NO.11 A male client is experiencing extreme distress. He begins to pace up and down
the corridor. What nursing intervention is appropriate when communicating with the pacing client?
Locate the position of the placenta and fetus
Ans>> NO.12 Prior to an amniocentesis, a fetal ultrasound is done in order to
February 27
Ans>> NO.13 A 25-year-old client believes she may be pregnant with her first child. She
schedules an obstetric examination with the nurse practitioner to determine the status of her
possible pregnancy. Her last menstrual period began May 20, and her estimated date of
confinement using Nagele's rule is:
Gestational diabetes mellitus
Ans>> NO.14 A client is now pregnant for the second time. Her first child weighed 4536 g at
delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only
shows signs of diabetes when she is pregnant, she is classified as having:
4
ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
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:
Ans>> 2-4 weeks months months B Explanation:
NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that
Ans>> Both parents must be carriers for a child to have the disease
Delusion
Ans>> NO.3 A 24-year-old client presents to the emergency department protesting "I am God.
The nurse identifies this as a
Haloperidol (Haldol)
1
,Ans>> acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks,
or even a few months treat symptoms fully. Sometimes an antipsychotic agent is prescribed the
first few days or weeks of an acute episode to manage severe behavioral excitement and acute
psychotic symptoms. In addition to the lithium, which one of the following medications might the
physician prescribe?
Release restraints every 2 hours for client to exercise.
Ans>> NO.5 A violent client remains in restraints for several hours. Which of the following
interventions is most appropriate while he is in restraints?
Observe for headaches, dizziness, and anorexia
Ans>> NO.6 The pediatrician has diagnosed tinea capitis in an 8-year-old girl and has placed
her on oral griseofulvin. The nurse should emphasize which of these instructions to the mother
and/or child?
Decrease ammonia formation
Ans>> n.7 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300
mg q6h nasogastric tube. The rationale for this therapy is to:
2
,Observe for evidence of bleeding.
Ans>> NO.8 A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these
nursing measures should be included in the postoperative care?
Decreased absent pedal pulse in the left leg
Ans>> NO.9 An 80-year-old male client with a history of arteriosclerosis is experiencing severe
pain in his left leg that started approximately 20 minutes ago. When performing the admission
assessment, the nurse would expect to observe which of the following:
Hematocrit 60%
Ans>> NO.10 A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the
nursing assessment, which lab value should elicit further assessment and requires notification of
physician? 7.39
Walk him as he paces.
Ans>> NO.11 A male client is experiencing extreme distress. He begins to pace up and down
the corridor. What nursing intervention is appropriate when communicating with the pacing client?
3
, Walk with him as he paces.
Ans>> NO.11 A male client is experiencing extreme distress. He begins to pace up and down
the corridor. What nursing intervention is appropriate when communicating with the pacing client?
Locate the position of the placenta and fetus
Ans>> NO.12 Prior to an amniocentesis, a fetal ultrasound is done in order to
February 27
Ans>> NO.13 A 25-year-old client believes she may be pregnant with her first child. She
schedules an obstetric examination with the nurse practitioner to determine the status of her
possible pregnancy. Her last menstrual period began May 20, and her estimated date of
confinement using Nagele's rule is:
Gestational diabetes mellitus
Ans>> NO.14 A client is now pregnant for the second time. Her first child weighed 4536 g at
delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only
shows signs of diabetes when she is pregnant, she is classified as having:
4
