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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q21-Q26):
NEW QUESTION # 21
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
- A. Exercise should be performed 30 minutes before meals.
- B. Hyperglycemia may occur 2-4 hours after exercise.
- C. A snack may be needed before and/or during exercise.
- D. The blood glucose level should be 100 mg or below before exercise is begun.
Answer: C
Explanation:
(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.
NEW QUESTION # 22
After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:
- A. Psychotic behavior
- B. Violence toward others
- C. Suicide
- D. Exacerbation of depressive symptoms
Answer: C
Explanation:
Section: Questions Set A
Explanation:
(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) The depressed client has a tendency for self- violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.
NEW QUESTION # 23
The nurse in the mental health center is instructing a depressed client about the dietary restrictions necessary in taking her medication, which is a monoamine oxidase (MAO) inhibitor. Which of the following is she restricting from the client's diet?
- A. Cream cheese
- B. Yeast bread
- C. Aged cheese
- D. Fresh fruits
Answer: C
Explanation:
Section: Questions Set F
Explanation:
(A) Cream cheese does not contain tyramine, which might cause a hypertensive crisis. (B) Fresh fruits do not contain tyramine, which might cause a hypertensive crisis. (C) Aged or matured cheese combined with a monoamine oxidase predisposes the client to a hypertensive crisis. (D) Bread products raised with yeast do not contain tyramine.
NEW QUESTION # 24
A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:
- A. Chloride level of 99 mEq/L
- B. Potassium level of 3.1 mEq/L
- C. Sodium level of 136 mEq/L
- D. Potassium level of 6.3 mEq/L
Answer: D
Explanation:
Section: Questions Set F
Explanation:
(A) The chloride level is within acceptable limits. (B) The sodium level is within acceptable limits. (C) This value indicates hypokalemia, rather than the hyperkalemia that occurs during diabetic ketoacidosis. (D) When diabetic ketoacidosis exists, intracellular dehydration occurs and potassium leaves the cells and enters the vascular system, thus increasing the serum level beyond an acceptable range. When insulin and fluids are administered, cell walls are repaired and potassium is transported back into the cells. Normal serum potassium levels range from 3.5-5.0 mEq/L.
NEW QUESTION # 25
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules.
A nursing intervention appropriate for this client would include:
- A. Encouraging him to engage in recreational activities
- B. Contracting with him for the amount of time he will spend on the compulsive behaviors
- C. Encouraging the client to set a time schedule and deadlines for himself
- D. Avoiding discussion of his annoying behavior
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. The client will work hard at the activity instead of enjoying it. (B) This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. (C) This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. (D) This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.
NEW QUESTION # 26
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