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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 33 )

Updated On: 12-Jan-2026
Page 33 of 345
PDF with 862 Questions

When giving discharge instructions to a 24-year-old client who had a short-arm cast applied for a fractured right ulna, the nurse recognizes the importance of telling him that the drying time for a plaster of Paris cast is approximately:

  1. 30 minutes
  2. 1­4 hours
  3. 12­24 hours
  4. 24­72 hours

Answer(s): D

Explanation:

(A) Synthetic cast materials harden in 3­15 minutes. Weight bearing is permitted in 15­30 minutes. Drying time for plaster of Paris is about 24­72 hours. (B, C) Plaster of Paris cast materials are heavier than synthetic materials and require a drying time of 24­72 hours. Synthetic materials dry within 30 minutes. (D) Plaster of Paris cast materials are heavier thansynthetic materials and require a longer period to set and dry. Even though setting time (hardening) is only 3­15 minutes, the drying time for plaster of Paris is 24­72 hours. This depends on the size and thickness of the cast, exposure to air, and humidity in the air.



The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:

  1. Month-old magazines that are provided by volunteers
  2. Large maps and posters depicting area of current residence
  3. A litter of kittens for the clients to pet
  4. A library of biographical books

Answer(s): B

Explanation:

(A) This answer is incorrect. Current magazines would be appropriate. (B) This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. (C) This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. (D) This answer is incorrect.
Biographies depict a past, not a present, orientation.



A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?

  1. Vitamin C
  2. Vitamin K
  3. Vitamin E
  4. Vitamin A

Answer(s): B

Explanation:

(A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting. (C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.



The 4th of July holiday comes while a client is in the hospital being treated for schizophrenia. She is taking chlorpromazine and has improved to the point of being allowed to go with a group to the park for a picnic. The side effect of chlorpromazine that the nurse needs to keep in mind during this outing is:

  1. Hypotension
  2. Photosensitivity
  3. Excessive appetite
  4. Dryness of the mouth

Answer(s): B

Explanation:

(A) A decrease in blood pressure sometimes occurs with chlorpromazine. It would not be a factor influenced by a picnic in the park. (B) Protection from the sun is important in clients taking phenothiazines because they burn easily and severely. (C) An appetite increase sometimes occurs with chlorpromazine. It would not be affected by a picnic. (D) Dryness of the mouth may occur at any time and is not affected by the picnic outing.



A first-trimester primigravida is diagnosed with anemia.
The nurse should suspect that this anemia is a result of:

  1. Mother's increased blood volume
  2. Mother's decreased blood volume
  3. Fetal blood volume increase
  4. Increase in iron absorption

Answer(s): A

Explanation:

(A) Maternal blood volume increases at the end of the first trimester leading to a dilutional anemia. (B) Maternal blood volume increases. (C) Fetal blood volume is minimal in the first trimester. (D) Increased iron absorption would facilitate the manufacturing of erythrocytes and decrease anemia.



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