NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.
Question 2 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 3 of 5
The nurse is performing a breast exam on a client when she discovers a mass. Which characteristic of the mass would most indicate a reason for concern?
Correct Answer: D
Rationale: A firm, immobile mass is more likely to be malignant. Tender, regular, or mobile masses are often benign, but firmness warrants further evaluation.
Question 4 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.
Question 5 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.