NCLEX RN Exam Review Answers

Question 1 of 5

A client diagnosed with schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should a nurse expect a physician to order to address this type of symptom?

A. Haloperidol (Haldol) to address the negative symptom B. Clonazepam (Klonopin) to address the positive symptom C. Risperidone (Risperdal) to address the positive symptom D. Clozapine (Clozaril) to address the negative symptom

Correct Answer: C

Rationale: The correct medication to address the symptom described, where the client is slow to respond and appears to be listening to unseen others, is Risperidone (Risperdal). Risperidone is an atypical antipsychotic that is commonly used to manage positive symptoms of schizophrenia. Positive symptoms can include hallucinations, delusions, and disorganized thinking. Haloperidol (Haldol) and Clozapine (Clozaril) are typically used for addressing negative symptoms, such as lack of motivation or social withdrawal. Clonazepam (Klonopin) is a benzodiazepine primarily used for anxiety disorders and seizures, not for addressing symptoms of schizophrenia.

Question 2 of 5

What does an anti-kickback statute prevent?

A. It prevents healthcare workers from providing food or hosting parties to celebrate special occasions at work. B. It promotes thorough and complete documentation when a client becomes injured. C. It forbids giving or accepting gifts to promote or provide referrals for certain services. D. It prevents physicians from ordering treatments that may require nursing care beyond the usual amount.

Correct Answer: C

Rationale: An anti-kickback statute aims to prevent healthcare providers, clients, consultants, or related organizations from giving or accepting gifts to reward others for referrals of certain services.
Choice A is incorrect because providing food or hosting parties at work is not the primary focus of anti-kickback statutes.
Choice B is incorrect as it pertains more to documentation practices rather than gift-giving.
Choice D is incorrect as it refers to the scope of physician orders and nursing care, not gift exchanges for referrals. The correct answer, as stated, aligns with the purpose of anti-kickback statutes to prevent improper incentives in healthcare relationships.

Question 3 of 5

The nurse is discussing the need for early diagnosis and treatment of autism spectrum disorder (ASD) with parents of children suspected of having the condition. Which statement should the nurse include?

A. Early diagnosis and treatment provide the only means for a cure of ASD. B. Early diagnosis and treatment gives your child the best chance of becoming a fully functioning adult. C. Early diagnosis and treatment provides the best way to ensure that your child can be admitted to an assisted living facility as an adult. D. Early diagnosis and treatment prevent your child from developing any other mental condition.

Correct Answer: B

Rationale: The correct statement for the nurse to include is that early diagnosis and treatment provide the best chance for the child to become a fully functioning adult. It is important to educate parents that while early intervention can improve outcomes for individuals with ASD, it does not offer a cure but helps in managing symptoms and developing necessary skills.
Choice A is incorrect as there is currently no cure for ASD.
Choice C is inaccurate as early diagnosis and treatment focus on improving the child's quality of life and independence rather than ensuring admission to an assisted living facility.
Choice D is incorrect as early diagnosis and treatment of ASD do not prevent the development of other mental health conditions; however, they can help in identifying and managing such conditions early on.

Question 4 of 5

The family of a patient who is receiving therapeutic hypothermia states they do not understand why the patient is being kept so cold. What objective information can you provide to help address their concerns?

A. Let them talk to another patient who has had the same therapy B. Provide research-based information about therapeutic hypothermia C. Connect them with the nurse manager D. Call the physician and ask him to talk to the family

Correct Answer: B

Rationale: Providing research-based information about the benefits of therapeutic hypothermia for their loved one will provide evidence that this is an established therapy with generally positive outcomes. Families are certainly not expected to be familiar with critical care interventions, and their concerns should be addressed with evidence-based data whenever possible. Option A is not appropriate as sharing patient information violates privacy laws and does not address the family's concerns directly. Option C may not directly provide the detailed information the family needs to understand therapeutic hypothermia. Option D involves unnecessary escalation by immediately involving the physician, when providing education and information should be the initial step in addressing the family's concerns.

Question 5 of 5

You are caring for an infant who is just about 12 months old. Which assessment data is normal for the infant at this age?

A. The infant had doubled their birth weight at twelve months. B. The infant had tripled their birth weight at twelve months. C. The mother reports that the infant is drinking 60 mLs per kilogram of its body weight. D. The infant had grown ¼ inch since last month.

Correct Answer: A

Rationale: The normal assessment data for the infant at 12 months of age is that the infant has doubled their birth weight at 12 months of age.

The mother's reports that the infant is drinking 60 mLs per kilogram of its body weight and the fact that the infant had grown ¼ inch since last month are not normal assessment data. Infants are fed breast milk or formula every two to four hours with a total daily intake of 80 to 100 mLs per kilogram of body weight.

As the neonate grows, they gain five to seven ounces during the first six months and then they double their birth weight during the first year; the head circumference increases a half inch each month for six months and then two tenths of an inch until the infant is one year of age. Similarly, the height or length of the newborn increases an inch a month for the first 6 months and then 1/2 inch a month until the infant is 1 year of age.

NCLEX RN Exam Review Answers - Nurselytic

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