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Psychiatric Mental Health Nursing NCLEX RN Questions Part 2 Answers and Rationale
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1. Answer C. The elevated ST segments in this client’s ECG indicate myocardial ischemia. To reverse this problem, the physician is most likely to prescribe an infusion of nitroglycerin to dilate the coronary arteries. Lidocaine and procainamide are cardiac drugs that may be indicated for this client at some point but aren’t used for... Continue Reading
Psychiatric Mental Health Nursing NCLEX RN Questions Part 2
1. A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client’s history of drug abuse, nurse Greg expects the physician to prescribe: ... Continue Reading
Psychiatric Mental Health Nursing NCLEX RN Questions Part 1 Answers and Raitonale
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1. Answer A. Seizures are the most common serious adverse effect of using flumazenil to reverse benzodiazepine overdose. The effect is magnified if the client has a combined tricyclic antidepressant and benzodiazepine overdose. Less common adverse effects include shivering, anxiety, and chest pain. 2. Answer C. Bulimic... Continue Reading
Psychiatric Mental Health Nursing NCLEX RN Questions Part 1
1. Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect?
a. Seizures
b. Shivering
c. Anxiety
d. Chest pain
2. Nurse Tim is caring for a client diagnosed with bulimia. The most appropriate initial goal... Continue Reading
NCLEX Review Questions – Genitourinary System Answers and Rationale
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1. Answer B. When the urethra is ruptured, a hematoma or collection of blood separates the two sections of urethra. This may feel like a boggy mass on rectal examination. Because of the rupture and hematoma, the prostate becomes high riding. A palpable prostate gland usually indicates a nonurethral injury. Absent sphincter tone would refer to a... Continue Reading
NCLEX Review Questions – Genitourinary System
1. The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?
a. A low-riding prostate
b. The presence of a boggy mass
c. Absent sphincter tone
d. A positive Hemoccult
2. When a female client with an indwelling urinary (Foley) catheter insists on walking to the... Continue Reading
NCLEX Practice Test for Endocrine Disorders Part 2 Answers and Rationale
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1. Answer C. Because of changes in fat distribution, adipose tissue accumulates in the trunk, face (moonface), and dorsocervical areas (buffalo hump). Hypertension is caused by fluid retention. Skin becomes thin and bruises easily because of a loss of collagen. Muscle wasting causes muscle atrophy and thin extremities.
2. ... Continue Reading
NCLEX Practice Test for Endocrine Disorders Part 2
1. Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
d. Weight gain in arms and legs.
2. A male client with primary diabetes insipidus is... Continue Reading
NCLEX Practice Test for Endocrine Disorders Answers and Rationale
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1. Answer B. To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple... Continue Reading
NCLEX Practice Test for Endocrine Disorders
1. An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches... Continue Reading
NCLEX Practice Test for Skin and Integumentary Diseases Part 2 Answers and Rationale
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1. Answer C. Pouring solution onto a sterile field cloth violates surgical asepsis because moisture penetrating the cloth can carry microorganisms to the sterile field via capillary action. The other options are practices that help ensure surgical asepsis. 2. Answer D. During the acute phase of a burn, the nurse should... Continue Reading
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