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NCLEX-RN Exam Questions - Part 5
1. The therapeutic blood-level range for lithium is:
A) 0.25 - 1.0 mEq/L
B) 0.5 - 1.5 mEq/L
C) 1.0 - 2.0 mEq/L
D) 2.0 - 2.5 mEq/L
2. A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?
A) Administer a stat dose of lithium as necessary.
B) Recognize this as an expected response to lithium.
C) Request an order for a stat blood lithium level.
D) Give an oral dose of lithium antidote.
3. Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?
A) Playing cards with other clients
B) Working crossword puzzles
C) Playing tennis with a staff member
D) Sewing beads on a leather belt
4. A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?
A) Small, frequent feedings of foods that can be carried
B) Tube feedings with nutritional supplements
C) Allowing him to eat when and what he wants
D) Giving him a quiet place where he can sit down to eat meals
5. Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, 'I wish I were dead because I am worthless to everyone; I guess I am just no good.' Which response by the nurse is most appropriate at this time?
A) 'I don - t think you are worthless. I - m glad to see you, and we will help you.'
B) 'Don - t you think this is a sign of your illness?'
C) 'I know with your wife and new baby that you do have a lot to live for.'
D) 'You - ve been feeling sad and alone for some time now?'
A) 0.25 - 1.0 mEq/L
B) 0.5 - 1.5 mEq/L
C) 1.0 - 2.0 mEq/L
D) 2.0 - 2.5 mEq/L
2. A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?
A) Administer a stat dose of lithium as necessary.
B) Recognize this as an expected response to lithium.
C) Request an order for a stat blood lithium level.
D) Give an oral dose of lithium antidote.
3. Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?
A) Playing cards with other clients
B) Working crossword puzzles
C) Playing tennis with a staff member
D) Sewing beads on a leather belt
4. A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?
A) Small, frequent feedings of foods that can be carried
B) Tube feedings with nutritional supplements
C) Allowing him to eat when and what he wants
D) Giving him a quiet place where he can sit down to eat meals
5. Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, 'I wish I were dead because I am worthless to everyone; I guess I am just no good.' Which response by the nurse is most appropriate at this time?
A) 'I don - t think you are worthless. I - m glad to see you, and we will help you.'
B) 'Don - t you think this is a sign of your illness?'
C) 'I know with your wife and new baby that you do have a lot to live for.'
D) 'You - ve been feeling sad and alone for some time now?'
1. Right Answer: B
Explanation: (A) This range is too low to be therapeutic. (B) This is the therapeutic range for lithium. (C) This range is above the therapeutic level. (D) This range is toxic and may cause severe side effects.
2. Right Answer: C
Explanation: (A) These symptoms are indicative of lithium toxicity. A stat dose of lithium could be fatal. (B) These are toxic effects of lithium therapy. (C) The client is exhibiting symptoms of lithium toxicity, which may be validated by lab studies. (D) There is no known lithium antidote.
3. Right Answer: C
Explanation: (A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the clients attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.
4. Right Answer: A
Explanation: (A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with finger foods allow him to eat during periods of activity.(B) This type of therapy should be implemented when other methods have been exhausted. (C) The manic client should not be in control of his treatment plan.This type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.
5. Right Answer: D
Explanation: (A) This response does not acknowledge the clients feelings.(B) This is a closed question and does not encourage communication.(C) This response negates the clients feelings and does not require a response from the client. (D) This acknowledges the clients implied thoughts and feelings and encourages a response.
Explanation: (A) This range is too low to be therapeutic. (B) This is the therapeutic range for lithium. (C) This range is above the therapeutic level. (D) This range is toxic and may cause severe side effects.
2. Right Answer: C
Explanation: (A) These symptoms are indicative of lithium toxicity. A stat dose of lithium could be fatal. (B) These are toxic effects of lithium therapy. (C) The client is exhibiting symptoms of lithium toxicity, which may be validated by lab studies. (D) There is no known lithium antidote.
3. Right Answer: C
Explanation: (A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the clients attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.
4. Right Answer: A
Explanation: (A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with finger foods allow him to eat during periods of activity.(B) This type of therapy should be implemented when other methods have been exhausted. (C) The manic client should not be in control of his treatment plan.This type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.
5. Right Answer: D
Explanation: (A) This response does not acknowledge the clients feelings.(B) This is a closed question and does not encourage communication.(C) This response negates the clients feelings and does not require a response from the client. (D) This acknowledges the clients implied thoughts and feelings and encourages a response.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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