NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 5 of 35, with answer review and explanations.

Question 21

The therapeutic blood-level range for lithium is:

  1. 0.25–1.0 mEq/L
  2. 0.5–1.5 mEq/L
  3. 1.0–2.0 mEq/L
  4. 2.0–2.5 mEq/L

Question 22

A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

  1. Administer a stat dose of lithium as necessary.
  2. Recognize this as an expected response to lithium.
  3. Request an order for a stat blood lithium level.
  4. Give an oral dose of lithium antidote.

Question 23

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

  1. Playing cards with other clients
  2. Working crossword puzzles
  3. Playing tennis with a staff member
  4. Sewing beads on a leather belt

Question 24

A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?

  1. Small, frequent feedings of foods that can be carried
  2. Tube feedings with nutritional supplements
  3. Allowing him to eat when and what he wants
  4. Giving him a quiet place where he can sit down to eat meals

Question 25

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am just no good." Which response by the nurse is most appropriate at this time?

  1. "I don’t think you are worthless. I’m glad to see you, and we will help you."
  2. "Don’t you think this is a sign of your illness?"
  3. "I know with your wife and new baby that you do have a lot to live for."
  4. "You’ve been feeling sad and alone for some time now?"