NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A nurse indicates that she is licensed in her new state of residence even though reciprocity has not been granted. The nurse’s action can result in a charge of:
Correct Answer: A
Rationale: Claiming licensure without reciprocity is a deliberate misrepresentation, constituting fraud. A tort is a civil wrong, malpractice involves substandard care, and negligence implies carelessness, none of which fully describe this intentional act.
Question 2 of 5
A 35-year-old client is receiving psychopharmacological treatment of his major depression with tranylcypromine sulfate (Parnate), a monoamine oxidase (MAO) inhibitor. The nurse teaches the client that while he is taking this type of antidepressant, he needs to restrict his dietary intake of:
Correct Answer: C
Rationale: The client may need to avoid some potassium-rich foods (such as bananas, raisins, etc.). However, this is not because of the potassium content of these foods. Tryptophan is an essential amino acid that is present in high concentrations in animal and fish protein. The client will need to watch his dietary intake of tyramine. Tyramine is a by-product of the conversion of tyrosine to epinephrine. Tyramine is found in a variety of foods and beverages, ranging from aged cheese to caffeine drinks. Ingestion of tyramine-rich foods while taking a MAO inhibitor may lead to an increase in blood pressure and/or a life-threatening hypertensive crisis.
To maintain a healthy lifestyle, restriction of dietary saturated fats is advisable.
Question 3 of 5
A client with a history of osteoarthritis is admitted with complaints of joint stiffness. The nurse should expect the client to have:
Correct Answer: A
Rationale: Osteoarthritis causes joint pain worsened by activity due to cartilage degeneration, unlike rheumatoid arthritis, which involves prolonged morning stiffness.
Question 4 of 5
The nurse is caring for a client following a cerebral vascular accident. Which portion of the brain is responsible for changes in the client's vision?
Correct Answer: C
Rationale: The occipital lobe processes visual information. A cerebral vascular accident affecting this area can cause visual deficits such as hemianopia or visual agnosia. The temporal lobe manages auditory and memory functions, the frontal lobe controls behavior and motor skills, and the parietal lobe handles sensory integration.
Question 5 of 5
Arterial ulcers are best described as ulcers that:
Correct Answer: D
Rationale: Arterial ulcers caused by poor blood flow are typically painful due to tissue ischemia. They often have irregular borders a pale base and may be cool due to reduced circulation but pain is the most defining feature.