NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with a history of depression is treated with Parnate (tranylcypromine), an MAO inhibitor. Ingestion of foods containing tyramine while taking an MAO inhibitor can result in:
Correct Answer: A
Rationale: Tyramine-rich foods can cause a hypertensive crisis in clients on MAO inhibitors due to the inability to metabolize tyramine, leading to norepinephrine release.
Question 2 of 5
Which is true regarding the administration of antacids?
Correct Answer: C
Rationale: Antacids can interfere with the absorption of other medications, so they should be given separately.
Question 3 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.
Question 4 of 5
The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?
Correct Answer: D
Rationale: A cheese omelet is gluten-free, suitable for celiac disease, unlike the other options containing wheat.
Question 5 of 5
The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?
Correct Answer: B
Rationale: Visual impairment may hinder diabetes self-management, necessitating follow-up.