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Exam Code: NCLEX-RN
Exam Name: National Council Licensure Examination(NCLEX-RN)One year free update, No help, Full refund!
NCLEX-RN Training Materials Total Q&A: 865 Questions and Answers
Last Update: 05-26,2016
NCLEX-RN Exam Cost Detail: NCLEX-RN Training Materials
NO.1 A 24-year-old client presents to the emergency department protesting "I am God." The nurse
identifies this as a:
A. Hallucination
B. Illusion
C. Delusion
D. Conversion
Answer: C
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Explanation:
(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory
experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion
is the expression of intrapsychic conflict through sensory or motor manifestations.
NO.2 The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for
tomorrow's menu. Which vitamin is the most essential in promoting tissue healing?
A. Vitamin B1
B. Vitamin D
C. Vitamin C
D. Vitamin A
Answer: C
Explanation:
(A) Vitamin C (ascorbic acid) is essential in promoting wound healing and collagen formation. (B)
Vitamin B1 (thiamine) maintains normal gastrointestinal (GI) functioning, oxidizes carbohydrates, and
is essential for normal functioning of nervous tissue. (C) Vitamin D regulates absorption of calcium
and phosphorus from the GI tract and helps prevent rickets. (D) Vitamin A is necessary for the
formation and maintenance of skin and mucous membranes. It is also essential for normal growth
and development of bones and teeth.
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NO.3 Three weeks following discharge, a male client is readmitted to the psychiatric unit for
depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse
admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am
just no good." Which response by the nurse is most appropriate at this time?
A. "I don't think you are worthless. I'm glad to see you, and we will help you."
B. "Don't you think this is a sign of your illness?"
C. "I know with your wife and new baby that you do have a lot to live for."
D. "You've been feeling sad and alone for some time now?"
Answer: D
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Explanation:
(A)
This response does not acknowledge the client's feelings.
(B)
This is a closed question and does not encourage communication.
(C)
This response negates the client's feelings and does not require a response from the client. (D) This
acknowledges the client's implied thoughts and feelings and encourages a response.
NO.4 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. 2-4 weeks
B. 2 months
C. 3 months
D. 10 days
Answer: A
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Explanation:
(A) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.
(B) This answer is correct. Because MAO inhibitors are slow to act, it takes 2-4 weeks before
improvement of symptoms is noted.
(C) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.
(D) This answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drug
therapy.
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