NCLEX-RN

NCLEX-RN Review Study Guide

24. Your psychiatric patient is acting out and becoming very aggressive. What would be your first nursing action? a. Call the doctor b. Give the PRN tranquilizer to calm the patient c. Restrain the patient and put her in a quiet room d. Attempt to reason with the patient by telling her that her behavior is unacceptable. 25. A depressed and suicidal patient on your floor has suddenly changed her behavior. She seems content and less depressed. This is a sign that: a. The patient’s condition is improving b. The patient has decided how and when to kill herself and is happy about it c. It doesn’t mean anything d. None of the above 26. If a patient received regular insulin at 7:30am, at what time might the patient become hypoglycemic, especially if he hasn’t eaten? a. 3pm b. 8am c. 11am d. Midnight 27. A patient is brought into the emergency room by a concerned citizen. The patient was found wandering aimlessly about and can’t remember who he is or where he came from. He is most likely suffering from? a. Dissociative fugue b. Dissociative amnesia c. Dissociative paranoia d. Dissociative mania

28. A school aged child has just been diagnosed with diabetes and you, the nurse, are doing the teaching. Which of the following would not be appropriate to teach the family? a. Avoid eating before sports or other activities b. Wear comfortable shoes c. Treat him like any other child d. Be aware that stress or illness may require changes in diet or medication to accommodate for blood glucose level changes 29. A patient admitted to the emergency room with thyroid storm would be most likely to exhibit which of the following symptoms? a. Fatigue b. Hypotension c. Fever d. Hypothermia 30. A child is in the lower one third of the growth chart. The nurse might suspect which condition? a. Hypopituitarism b. Cushing’s disease c. Addison’s disease d. Hypothyroidism 31. A hypophysectomy is removal of the: a. Thyroid gland b. Gallbladder c. Adrenal gland d. Pituitary gland

©2018

Achieve

Page 27

of 55