NCLEX RN Exam Review Answers

Question 1 of 118

What might be signaled when a client tells the nurse to 'pray for me' and entrusts her wedding ring to the nurse?

A. Anxiety

B. Suicidal ideation

C. Major depression

D. Hopelessness

Correct Answer:

Rationale:

Question 2 of 118

A client on lithium has diarrhea and vomiting. What should the nurse do first?

A. Recognize this as a drug interaction

B. Give the client Cogentin

C. Reassure the client that these are common side effects of lithium therapy

D. Hold the next dose and obtain an order for a stat serum lithium level

Correct Answer:

Rationale:

Question 3 of 118

What is the highest priority for post ECT care?

A. Observe for confusion

B. Monitor respiratory status

C. Reorient to time, place, and person

D. Document the client's response to the treatment

Correct Answer:

Rationale:

Question 4 of 118

A writer is admitted for the second time accompanied by his wife. He is demanding, arrogant, talks fast, and is hyperactive. Initially, the nurse should plan this for a manic client:

A. Set realistic limits to the client's behavior

B. Repeat verbal instructions as often as needed

C. Allow the client to express feelings to relieve tension

D. Assign a staff member to be with the client at all times to help maintain control

Correct Answer:

Rationale:

Question 5 of 118

Which of the following interventions should be prioritized in the care of the suicidal client?

A. Remove all potentially harmful items from the client's room

B. Allow the client to express feelings of hopelessness

C. Note the client's capabilities to increase self esteem

D. Set a "no suicide"? contract with the client

Correct Answer:

Rationale:

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