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NCLEX Trainer Test 10 Questions

Extract:

An elderly alcoholic client has been receiving a long-acting benzodiazepine (Librium) for two days for symptom management and reduction. The client states: 'Get those bugs off of me and clean them out of here.'


Question 1 of 5

The nurse knows the client is exhibiting symptoms of

Correct Answer: B

Rationale: Strategy: Think about each answer choice. (1) client has been medicated with benzodiazepines and did not experience untoward reactions (2) correct-client has most probably progressed to another level of abstinence withdrawal from polypharmacy chemical dependence; characteristic symptoms include tremors, increased heart rate, and fever, as well as psychological problems of confusion, delusions, and hallucinations (3) schizophrenic client usually experiences an episode of auditory hallucinations, not visual or tactile hallucinations (4) combination effect of the normal aging process and dementia could precipitate a similar reaction; however, the normal aging process does not produce delirium, but rather dementia

Extract:


Question 2 of 5

The nurse would identify which of the following clients as being at the highest risk for developing a pulmonary embolus?

Correct Answer: B

Rationale: obesity, immobility, and pooling of blood in the pelvic cavity contribute to development of pulmonary emboli

Question 3 of 5

The nurse is caring for a client with a history of hypothyroidism.

Correct Answer: B

Rationale: Cold intolerance and fatigue are classic symptoms of hypothyroidism due to slowed metabolism. Weight loss, tachycardia, and diarrhea are associated with hyperthyroidism.

Question 4 of 5

A brace is ordered for a young teen with scoliosis. The nurse knows that teaching has been effective if the client makes which of the following statements?

Correct Answer: D

Rationale: should be worn at all times, except when bathing

Question 5 of 5

Prior to a cesarean section delivery, a 24-year-old woman is treated for abruptio placentae. The nurse is caring for the woman during the postpartum period. Which of the following symptoms would be suggestive of disseminated intravascular coagulation (DIC)?

Correct Answer: D

Rationale: DIC is acquired clotting disorder from overstimulation, prolonged oozing from sites of minor trauma first symptom

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