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Chapter 32

NCLEX® Review Questions

NCLEX® Review Questions

This activity contains 10 questions.

	A nurse is assessing a client to determine the effectiveness of the psychotropic medication the client has been taking. Which of the following assessment findings is reason for concern? (Select all that apply.)   Restful sleep pattern Increased thirst Elevated blood pressure Increased agitation Bradycardia

	Within 3 days of beginning a new antipsychotic medication, the client reports severe muscle spasms. This adverse effect is known as:   Dystonia. Akathisia. Parkinsonian syndrome. Tardive dyskinesia.

	The nurse is educating the client and family members on the symptoms associated with drug-induced parkinsonism. What safety factors should the nurse emphasize in the teaching plan?   Maintain clear walkways throughout the house. Discontinue the medication if symptoms of drug-induced parkinsonism appear. Encourage the client to drink extra fluids to prevent dry mouth. Limit the client’s mobility and activity while on the medications.

	A client with major depression with suicidal ideations and psychomotor retardation has been taking antidepressants for 2 weeks. What is the priority nursing assessment for this client?   Nutrition Suicidality Sleep patterns Blood pressure

	The nurse plans to provide client education about the side effects of antipsychotic medications to a client with delusions and psychosis. When should the nurse provide the client with the educational material?   Prior to administering the first dose of medication Client education is not required for clients who have psychotic behaviors. Twenty-four hours after the first dose of medication When the client is stabilized and psychotic symptoms are manageable

	A client on antipsychotic medications presents with symptoms of hyperprolactinemia. What symptom should the nurse assess for?   Dry mouth Weight gain Constipation Difficulty achieving orgasms

	A psychotic client with a family history of diabetes and hypertension is started on an antipsychotic. Which of the following symptoms should the nurse monitor the client most closely for?   Constipation Drowsiness Decreased libido Insatiable thirst

	At the 2-month follow-up visit at the mental health clinic, the client tells the nurse he stopped taking the clomipramine (Anafranil) 6 weeks ago because of the side effects. What symptoms should the nurse expect to observe in the client?   Increased drowsiness and slurred speech Repeatedly folding pages in a magazine Orthostatic hypotension Increased appetite

	The nurse is assessing the client with schizophrenia who is taking clozapine (Clozaril). Which of the following findings should the nurse report immediately to the prescriber?   Dry mouth Constipation Decreased platelet count Elevated body temperature

	What is the priority nursing diagnosis for the client experiencing neuroleptic malignant syndrome?   Activity Intolerance Risk for Imbalanced Fluid Volume Hyperthermia Risk for Aspiration

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