NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which client statement?
Correct Answer: C
Rationale: HIV is not easily transmitted by casual contact.
Question 2 of 5
The physician has prescribed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:
Correct Answer: A
Rationale: Tranylcypromine, a monoamine oxidase inhibitor, can cause a hypertensive crisis if tyramine-rich foods (e.g., aged cheese, wine) are consumed, due to tyramine’s effect on norepinephrine release. The other effects are not associated with this interaction.
Question 3 of 5
In acute episodes of mania, lithium is effective in 12 weeks, but it may take up to 4 weeks, or even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode to manage severe behavioral excitement and acute psychotic symptoms. In addition to the lithium, which one of the following medications might the physician prescribe?
Correct Answer: B
Rationale: Haloperidol is an antipsychotic medication and may be used until the lithium takes effect.
Question 4 of 5
A nurse is administering a blood transfusion to a client on the oncology unit. Which clinical manifestation indicates an acute hemolytic reaction to the blood?
Correct Answer: A
Rationale: Low back pain is a hallmark of acute hemolytic reaction due to immune-mediated hemolysis. Headache (
B) and urticaria (
C) suggest allergic reactions, and neck vein distention (
D) suggests fluid overload.
Question 5 of 5
The nurse is teaching a client with a history of hypertension about dietary modifications. The nurse should tell the client to avoid:
Correct Answer: C
Rationale: Processed foods are high in sodium, which can exacerbate hypertension by increasing blood volume, so they should be avoided.