NCLEX RN Exam Review Answers

Extract:

Question 1 of 5

Jaime has a diagnosis of schizophrenia with negative symptoms. In planning care for the client, Nurse Brienne would anticipate a problem with:

Correct Answer: D

Rationale: In clients with negative symptoms of schizophrenia, such as Jaime, a common problem is avolition, which is the lack of motivation for activities. These 'negative' symptoms are characterized by inexpressive faces, blank looks, monotone speech, few gestures, and a seeming lack of interest in the world. Patients may also experience an inability to feel pleasure or act spontaneously. It is crucial to differentiate between the lack of expression and lack of feeling, as well as between lack of will and lack of activity. Auditory hallucinations (choice
A) are positive symptoms, not typically associated with negative symptoms of schizophrenia. Bizarre behaviors (choice
B) are more aligned with positive symptoms like disorganized behavior. Ideas of reference (choice
C) involve incorrectly interpreting casual incidents and external events as having direct reference to oneself, which is not directly related to motivation for activities seen in negative symptoms.

Question 2 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 3 of 5

A client with a new prescription for lithium carbonate for bipolar disorder is being educated by a nurse on early indications of toxicity. The nurse should include which of the following manifestations in the teachings?

A. Constipation B. Polyuria C. Rash D. Tinnitus

Correct Answer: B

Rationale: Polyuria is a crucial early indication of lithium toxicity. It results from the drug's effect on the kidneys, leading to increased urine output. This is a significant symptom to monitor as it can indicate potential toxicity. Constipation, rash, and tinnitus are not typically associated with early indications of lithium toxicity. Constipation is more commonly seen as a side effect of some medications, while rash and tinnitus are not specific indicators of lithium toxicity.

Question 4 of 5

The depressed client verbalizes feelings of low self-esteem and self-worth, typified by statements such as "I'm such a failure"? I can't do anything right!"? The best nursing response would be:

A. To tell the client this is not true; that we all have a purpose in life. B. To remain with the client and sit in silence; this will encourage the client to verbalize feelings. C. To reassure the client that you know how the client is feeling and that things will get better. D. To identify recent behaviors or accomplishments that demonstrate skill ability.

Correct Answer: C

Rationale: The correct response in this situation is to reassure the client that you understand how they are feeling and provide hope for improvement. While acknowledging the client's feelings, it is essential to offer support and encouragement.
Choice A is not the best response as it dismisses the client's feelings and offers a generalized statement.
Choice B, remaining silent, may lead the client to feel unheard or unsupported.
Choice D, identifying recent behaviors or accomplishments, may not be as effective in addressing the immediate emotional distress and negative self-talk expressed by the client.
Therefore, choice C is the most appropriate response in this scenario, offering empathy and optimism to help the client feel understood and supported.

Question 5 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.

NCLEX RN Exam Review Answers - Nurselytic

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