Free NCLEX-RN Exam Questions & Answers from NCLEX (2025)

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QUESTION: 443

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A client was exhibiting signs of mania and was recently started on lithium carbonate. She has no known physical problems. A teaching plan for this client would include which of the following?

  1. Regular foods should be eaten, including those that contain salt, such as bacon, ham, V-8 juice, and tomato juice.
  2. Restrict fluids to 1000 mL/day.
  3. Restrict foods that contain salt or sodium.
  4. Discontinue the medication if nausea occurs.

Answer(s): A

Explanation:

(A) This answer is correct. A balanced diet with adequate salt intake is necessary. (B) This answer is incorrect. The client must drink six to eight full glasses of fluid per day (2000­3000 mL/day). (C) This answer is incorrect. The client should be instructed to avoid fluctuations of sodium intake. Diet should be balanced, with an adequate salt intake. (D) This answer is incorrect. Nausea is a frequent side effect that can be minimized with administration of drug with meals or after eating food.


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QUESTION: 443

View Related Case Study

This Exam Topic does not have a case study.

A client was exhibiting signs of mania and was recently started on lithium carbonate. She has no known physical problems. A teaching plan for this client would include which of the following?

  1. Regular foods should be eaten, including those that contain salt, such as bacon, ham, V-8 juice, and tomato juice.
  2. Restrict fluids to 1000 mL/day.
  3. Restrict foods that contain salt or sodium.
  4. Discontinue the medication if nausea occurs.

Answer(s): A

Explanation:

(A) This answer is correct. A balanced diet with adequate salt intake is necessary. (B) This answer is incorrect. The client must drink six to eight full glasses of fluid per day (2000­3000 mL/day). (C) This answer is incorrect. The client should be instructed to avoid fluctuations of sodium intake. Diet should be balanced, with an adequate salt intake. (D) This answer is incorrect. Nausea is a frequent side effect that can be minimized with administration of drug with meals or after eating food.


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QUESTION: 444

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A 27-year-old primigravida at 32 weeks' gestation has been diagnosed with complete placenta previa. Conservative management including bed rest is the proper medical management. The goal for fetal survival is based on fetal lung maturity. The test used to determine fetal lung maturity is:

  1. Dinitrophenylhydrazine
  2. Metachromatic stain
  3. Blood serum phenylalanine test
  4. Lecithin-sphingomyelin ratio

Answer(s): D

Explanation:

(A) Dinitrophenylhydrazine is a laboratory test used to detect phenylketonuria, maple syrup urine disease, and Lowe's syndrome. (B) Metachromatic stain is a laboratory test that may be used to diagnose Tay-Sachs and other lipid diseases of the central nervous system. (C) The blood serum phenylalanine test is diagnostic of phenylketonuria and can be used for wide-scale screening. (D) A lecithin-sphingomyelin ratio of at least 2:1 is indicative of fetal lung maturity, and survival of the fetus is likely.


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QUESTION: 444

View Related Case Study

This Exam Topic does not have a case study.

A 27-year-old primigravida at 32 weeks' gestation has been diagnosed with complete placenta previa. Conservative management including bed rest is the proper medical management. The goal for fetal survival is based on fetal lung maturity. The test used to determine fetal lung maturity is:

  1. Dinitrophenylhydrazine
  2. Metachromatic stain
  3. Blood serum phenylalanine test
  4. Lecithin-sphingomyelin ratio

Answer(s): D

Explanation:

(A) Dinitrophenylhydrazine is a laboratory test used to detect phenylketonuria, maple syrup urine disease, and Lowe's syndrome. (B) Metachromatic stain is a laboratory test that may be used to diagnose Tay-Sachs and other lipid diseases of the central nervous system. (C) The blood serum phenylalanine test is diagnostic of phenylketonuria and can be used for wide-scale screening. (D) A lecithin-sphingomyelin ratio of at least 2:1 is indicative of fetal lung maturity, and survival of the fetus is likely.


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Naveen Ahlam Wrote on November 29, 2024
Great stuff
Anonymous

Isadora Guimarães Wrote on November 10, 2024
Very good to study
UNITED STATES

Marydee Wrote on April 02, 2020
Just purchased, will see if it is the real deal. Will give a further update later!
Anonymous

Free NCLEX-RN Exam Questions & Answers  from NCLEX (2025)

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