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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q529-Q534):

NEW QUESTION # 529
A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

• A. Encourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes
• B. Allow her privacy at mealtimes
• C. Observe behavior for 1-2 hours after meals to prevent vomiting
• D. Praise her for eating everything

Answer: C Explanation:
Explanation/Reference:
Explanation:
(A) Eating alone is not recommended for anorexic clients because they tend to hoard food instead of eating it. (B) The client should be praised for whatever she eats, which is usually a small portion or percentage of what is served. Praise should not be withheld until she eats everything. (C) The client should be observed eyeto- eye for at least 1 hour following meals to prevent discarding food stashed in her clothing at mealtime or engaging in selfinduced vomiting. (D) If offered these choices, the client would choose low-caloric foods, not a nutritious diet.
NEW QUESTION # 530
A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor for the tubing is 10 gtt/mL. How many drops per minute should the nurse administer?

• A. 20 gtt/min
• B. 21 gtt/min
• C. 125 gtt/min
• D. 48 gtt/min

Answer: B Explanation:
(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C) This answer has not been rounded off to an even number. (D) 20.8, or 21 gtt/min.
NEW QUESTION # 531
After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client complains of stiffness in his neck and his tongue "pulling to one side." These extrapyramidal symptoms (EPS) will most likely be relieved by the administration of:

• A. Lorazepam (Ativan)
• B. Thiothixene (Navane)
• C. Benztropine (Cogentin)
• D. Flurazepan (Dalmane)

Answer: C Explanation:
Explanation
(A) Lorazepam is an antianxiety agent that produces muscle relaxation and inhibits cortical and limbic arousal.
It has no action in the basal ganglia of the brain. (B) Benztropine acts to reduce EPS by blocking excess CNS cholinergic activity associated with dopamine deficiency in the basal ganglia by displacing acetylcholine at the receptor site. (C) Thiothixene is an antipsychotic known to block dopamine in the limbic system, thereby causing EPS. (D) Flurazepan is a hypnotic that acts in the limbic system, thalamus, and hypothalamus of the CNS to produce sleep. It has no known action in the vasal ganglia.
NEW QUESTION # 532
A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:

• A. Administering medications such as lithium
• B. Requiring the client to eat more during meals
• C. Checking the client's room frequently
• D. Establishing routine tasks and activities around mealtimes

Answer: D Explanation:
Explanation/Reference:
Explanation:
(A) Providing a more structured, supportive environment addresses safety and comfort needs, thereby helping the anorexic client develop more internal control. (B) Medications (commonly antidepressants) are frequently ordered for the anorexic client. However, lithium (used primarily with bipolar disorder) is not commonly used to treat the anorexic client. (C) Requiring and/or demanding that the anorexic client "eat more" at mealtimes increases the client's feelings of powerlessness. (D) Like the previous strategy, checking the client's room frequently contributes to the client's feelings of powerlessness.
NEW QUESTION # 533
A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B.
After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:

• A. Isolation of the client from the remainder of the family
• B. No necessary precautions because she is beyond the contagious phase
• C. Laundering clothes separately in cold water with a chloride solution
• D. Separate bathroom facilities if possible; if not, then cleansing daily of the facilities with a chloride solution

Answer: D Explanation:
(A) Isolation is not necessary, even in the acute phase. (B) Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. (C) Precautions continue to be necessary while the client is in the active phase of hepatitis. (D) Clothes are to be laundered separately in hot water with a chloride solution.
NEW QUESTION # 534
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