Nursing 213 Final NCLEX Questions
A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (SATA) A. Seizures B. Illusions C. Tremors D. Polyphagia E. Nystagmus
A, B, C Ex: Seizures are an expected finding of sever alcohol withdrawal. Illusions and tremors are an expected finding of alcohol withdrawal.
A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding? A. "I should expect tremors to start less than 24 hours after I stop drinking" B. "Disulfiram will block my cravings for alcohol." C. "My symptoms should last about 5 to 7 days once they begin" D. "It is important that I take vitamin C to prevent cirrhosis or other liver damage"
A. Ex: Signs of withdrawal might develop within a few hours of the client's last drink of alcohol
A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (SATA) A. Severe hypotension B. Visual hallucinations C. Hyperglycemia D. Insomnia E. Tremors
B, D, E Ex: Visual and auditory hallucinations are expected findings with alcohol withdrawal. Insomnia, restlessness, irritability, and tremors are common manifestations of alcohol withdrawal.
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse include in the discussion as a health risk of heroin use? A. Acute pancreatitis B. Slowed breathing C. Nasal septum perforation D. Permanent short-term memory loss
B. Ex: Slowed or arrested breathing is just one of the many physical complications related to heroin use. Others include drowsiness, impaired coordination, nausea, and sedation.
A charge nurse is preparing an educational session about addictive disorders for nursing staff. Which of the following should the nurse include as an etiological factor of addictive disorders? (SATA) A. Being female B. Low self-esteem C. Family history of addiction D. Personality disorders E. Asian ethnicity
C, D Ex: There is a higher rate of addictive disorders in men versus women. Low self-esteem is considered a psychological factor associated with addictive disorders. Family history of addiction is an etiological factor associated with addictive disorders. Research supports the link between personality disorders and addictive disorders. Clients of Asian ethnicity have a lower rate of addictive disorders compared to other ethnicities.
A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer? A. Methadone B. Disulfiram C. Diazepam D. Buprenorphine
C. Ex: Diazepam is prescribed to treat the symptoms and prevent complications of alcohol withdrawal.
A nurse in an substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress? A. The client demonstrated an allergic response to the medication B. The client experienced a common side effect to the medication C. The client consumed alcohol while taking the medication D. The client took an overdose of the medication
C. Ex: Disulfiram is given to clients who have a history of alcohol abuse. It produces a sensitivity to alcohol that results in a highly unpleasant reaction when the clients ingests even small amounts of alcohol. When combined with alcohol, disulfiram produces nausea and vomiting.
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess? A. Amylase B. Creatinine C. Aspartate Aminotransferase (AST) D. Antidiuretic hormone (ADH)
C. Ex: The greatest risk to this client is liver injury from the combined adverse effects of alcohol and acetaminophen. Therefore, the priority laboratory value for the nurse to evaluate is AST because an elevated level is an indication of liver damage.
A nurse is caring for a client who was admitted with delirium tremens five days ago. The client seeks permission from the nurse before performing activities of daily living. This behavior indicates which of the following findings to the nurse? A. The client is ready for discharge B. The client may be having a recurrence of delirium tremens C. The client is able to function independently D. The client is exhibiting dependency
D. Ex. Seeking permission for simple tasks indicates dependent functioning
A nurse in the emergency department is planning care for a client who is admitted for an overdose of phencyclidine (PCP). Which of the following actions should the nurse plan to take? A. Administer warmed IV fluids to counteract hypothermia B. Reverse the toxicity with naloxone C. Verbally attempt to calm the client D. Administer ammonium chloride
D. Ex: Ammonium chloride acidifies the urine and promotes excretion of PCP. In addition, the nurse should monitor the client's respiratory status and be prepared to assist with intubation and mechanical ventilation.
A nurse is assessing a client who is taking bupropion. The nurse should recognize which of the following findings as an indication that the medication is effective? A. Increased weight gain B. Increased urinary output C. Decreased sexual function D. Decreased urge to smoke
D. Ex: Bupropion is an antidepressant, also used for smoking cessation.