NCLEX-RN Exam Questions - Part 93

1. A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:

A) He will manipulate the other clients for his own benefit
B) He will cause the other clients to become psychotic
C) He will become delusional and hallucinate as a result of the excess attention given to him by peers
D) He may exhibit self-mutilative behavior



2. In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, 'Forget all those rules. I always get along well with the nurses.' Which nursing response to him would be most effective?

A) 'OK, don - t listen to the rules. See where you end up.'
B) 'I - m pleased that you get along so well with the staff.You must still know and abide by the rules.'
C) 'It is irrelevant whether you get along with the nurses.'
D) 'I - m not the other nurses. You better read the rules yourself.'



3. A client was admitted to the hospital after falling in her home. At the time of admission, her blood alcohol level was 0.27 mg%. Her family indicates that she has been drinking a fifth of vodka a day for the past 9 months. She had her last drink 30 minutes prior to admission. Alcohol withdrawal symptoms would most likely be exhibited by her:

A) Two to 4 hours after the last drink
B) Six to 8 hours after the last drink
C) Immediately on admission
D) Twenty-four hours after the last drink



4. A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to 190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?

A) An opiate such as propoxyphene napsylate (Darvocet)
B) A benzodiazepine such as chlordiazepoxide (Librium)
C) A tricyclic antidepressant such as amitriptyline (Elavil)
D) A phenothiazine such as chlorpromazine (Thorazine)



5. A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimers disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:

A) Allowing the client to perform activities of daily living as much as possible unassisted
B) Confronting confabulations
C) Reality testing
D) Providing a highly stimulating environment