NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Ques

Extract:

Question 1 of 5

Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adherence to a low-tyramine diet. Which of the following are foods that she should avoid?

Correct Answer: A

Rationale: These foods may produce elevation in blood pressure when consumed during MAO inhibition therapy. These foods have not been pickled, fermented, smoked, or aged. They contain very little, if any, tyramine or tryptophan. As long as the meat has not been aged or smoked, it is within the dietary regimen. Fresh fruits can be consumed as desired. However, the consumption of bananas is limited.

Question 2 of 5

A client with a history of atrial flutter is admitted with complaints of dizziness. The nurse should give priority to:

A. Monitoring heart rate B. Administering pain medication C. Monitoring respiratory rate D. Administering diuretics

Correct Answer: A

Rationale: Atrial flutter causes rapid heart rates, which can lead to dizziness due to reduced cardiac output, so monitoring heart rate is the priority.

Question 3 of 5

The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:

A. Teaching the client to report a nosebleed B. Instructing the client to maintain strict bed rest C. Telling the client to notify the doctor of pedal edema D. Advising the client to avoid sodium sources in the diet

Correct Answer: A

Rationale: Nosebleeds in preeclampsia may indicate severe hypertension or coagulopathy, requiring immediate reporting. Pedal edema is common, bed rest is not always needed, and sodium restriction is secondary.

Question 4 of 5

A client with increased intracranial pressure is receiving Osmitrol (Mannitol) and Furosemide (Lasix). The nurse recognizes that these two drugs are given to reverse which effect?

A. Energy failure B. Excessive intracellular calcium C. Cellular edema D. Excessive glutamate release

Correct Answer: C

Rationale: Mannitol and Furosemide reduce cellular edema by promoting diuresis and osmotic fluid shifts, lowering ICP. Energy failure (
A), calcium (
B), and glutamate (
D) are not directly targeted.

Question 5 of 5

In preparation for the removal of the client's chest tubes, the nurse should instruct the client to:

A. Breathe normally B. Hold his breath and bear down C. Take deep breaths D. Take shallow breaths

Correct Answer: B

Rationale: During chest tube removal, the client should hold their breath and bear down (Valsalva maneuver) to increase intrathoracic pressure, reducing the risk of air entering the pleural space.