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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q185-Q190):

NEW QUESTION # 185
A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

A. Discuss the importance of getting blood drawn weekly to determine medication therapeutics.B. Inform the client to cease taking the medication when all psychotic symptoms have cleared.C. Inform the client that additional side effects are to be expected and need not be reported.D. Discuss the disease process and the importance of the medication in prevention of symptoms.

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is correct. If the client is well informed about what reactions to expect from her medication, she is more likely to follow the treatment regimen. (B) This answer is incorrect. There are many side effects that are reversible by medication, and these must be reported to the nurse or physician. There are also more severe side effects, such as neuroleptic malignant syndrome, characterized by fever, tachycardia, and diaphoresis, which can be life threatening. (C) This answer is incorrect. There is no need for weekly blood tests if the drug regimen has been followed properly. (D) This answer is incorrect. The client should continue the medicationuntil the physician recommends any change in the drug regimen. Symptoms will usually reappear if medication is discontinued.

NEW QUESTION # 186
A female client has married recently. A month ago she visited her physician with complaints of burning on urination. She was given a prescription for trimethoprim- sulfamethoxazole (Bactrim) DS bid for 10 days. She was admitted through the emergency room on Saturday evening complaining of flank pain. Her temperature was 104_F. A preliminary urinalysis revealed 31 bacteria along with red and white blood cells in the urine. A preliminary diagnosis of pyelonephritis was made. During a nursing admission assessment, which statement by the client demonstrates a possible cause for pyelonephritis?

A. "I have not been drinking six to eight glasses of water each day as the nurse had instructed."B. "I recently had the flu, which could be settling in my kidneys now."C. "I'm afraid I may have something wrong with my bladder because I have been getting bladder infections frequently since I've been married."D. "I took the Bactrim for 6 or 7 days. The burning stopped, so I saved the rest of the medication for the next time."

Answer: D

Explanation:
Explanation
(A) Although it is important that the client drink adequate fluids while treating a bladder infection with trimethoprimsulfamethoxazole, the failure to do so will not cause pyelonephritis. (B) A stricture or abnormality may cause the progression of bladder infection to urinary tract infection, but this is rare. There is no indication in this situation that this has occurred. (C) The most common cause of pyelonephritis is improper treatment of bladder infections. The client typically feels better after several days, discontinues the medication, and saves the remainder forthe next occurrence of a bladder infection. For this reason, it is imperative to provide client education related to completion of the prescribed medication. (D) There is no evidence that infection in another body system could cause pyelonephritis.

NEW QUESTION # 187
When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?

A. "I will not eat any raw or uncooked vegetables."B. "I will look into attending Alcoholics Anonymous meetings."C. "I will report any changes in bowel movements to my doctor."D. "I will limit my alcohol to one cocktail per day."

Answer: B

Explanation:
Section: Questions Set B
Explanation:
(A) Raw or uncooked vegetables are all right to eat postdischarge. (B) This client must avoid any alcohol intake. (C) The client displays awareness of the need to avoid alcohol. (D) This action would be pertinent only if fatty stools associated with chronic hepatitis were the problem.

NEW QUESTION # 188
The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

A. Hypertensive crisisB. Tardive dyskinesiaC. Oculogyric crisisD. Orthostatic hypotension

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A) Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or drug-induced extrapyramidal symptoms (EPS). (B) Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. (C) Orthostatic hypotension, a drop-in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. (D) Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications.

NEW QUESTION # 189
A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

A. "You don't hate your family, do you?"B. "Do you communicate with your parents?"C. "Do you get along well with your family?"D. "What is it like between you and your family?"

Answer: D

Explanation:
Explanation
(A, B) This statement can be answered with a simple yes or no. (C) This statement is asked in a negative manner and therefore has a negative connotation. (D) This statement is open ended and positively stated.

NEW QUESTION # 190
......

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