NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

A client with a 10-year history of major depressive disorder has relapsed and is now hospitalized. The client is currently on phenelzine and weighs 115 lb (52.2 kg) but weighed 150 lb (68 kg) 3 months before admission. Which foods would be best for this client?

Correct Answer: C

Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like cheese (
A) to prevent hypertensive crisis. Fish and potatoes (
C) are safe and nutritious. Eggs (
B) and avocado (
D) are safe but less balanced.

Question 2 of 5

The nurse is caring for a newborn who has a large myelomeningocele. It would be a priority for the nurse to

Correct Answer: B

Rationale: A myelomeningocele requires a sterile, moist dressing (
B) to prevent infection and drying. Checking anus tone (
A), measuring head circumference (
C), and supine positioning (
D) are secondary or contraindicated.

Question 3 of 5

The nurse is talking with the parent of a 5-year-old client who is receiving morphine for pain. Which of the following statements by the parent would be a priority to follow up?

Correct Answer: D

Rationale: Assuming a playing child has no pain (
D) is incorrect, as children may play despite pain. This requires follow-up to ensure adequate pain management. Aggression (
A) and feeling punished (
B) are valid concerns but less urgent. Using the FACES scale (
C) is appropriate.

Question 4 of 5

A client with coronary artery disease was discharged home with a prescription for sublingual nitroglycerin to treat angina. Which statement by the client indicates that further teaching is required?

Correct Answer: D

Rationale: Delaying 911 after three doses (
D) is dangerous; clients should call after no relief from the first dose or after three doses (5 minutes apart). Flushing (
A), lying down (
B), and not swallowing (
C) are correct.

Question 5 of 5

The nurse at the prenatal clinic is reinforcing education to a client who is HIV positive. Which information is appropriate for the nurse to include?

Correct Answer: A

Rationale: Continuing antiretroviral therapy (
A) during pregnancy reduces HIV transmission to the infant. Tdap vaccine (
B) is recommended in pregnancy. Breastfeeding (
C) is contraindicated in HIV-positive mothers in high-resource settings. Infants (
D) require prophylaxis post-birth.

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