NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?
Correct Answer: B
Rationale: A high-iron diet includes iron-rich foods like veal and spinach. Sliced veal, spinach salad, and whole-wheat roll (
B) are optimal. Other options lack significant iron sources.
Question 2 of 5
A client is admitted with a ruptured spleen following a four-wheeler accident. In preparation for surgery, the nurse suspects that the client is in the compensatory stage of shock because of which clinical manifestation?
Correct Answer: A
Rationale: Compensatory shock involves normal BP (120/70), tachycardia (HR 120), and early neurological changes (confusion). Options B, C, and D indicate progressive or irreversible shock with severe symptoms.
Question 3 of 5
The nurse is caring for a client with a history of bipolar disorder. The nurse should expect the client to have:
Correct Answer: A
Rationale: Bipolar disorder is characterized by mood swings, including manic and depressive episodes, a hallmark of the condition.
Question 4 of 5
The physician has prescribed imipramine (Tofranil) for a client with depression. The nurse should continue to monitor the client's affect because the maximal effects of tricyclic antidepressant medication do not occur for:
Correct Answer: C
Rationale: Tricyclic antidepressants like imipramine take 2-4 weeks for maximal therapeutic effects due to gradual neurotransmitter changes. Monitoring affect is essential during this period.
Question 5 of 5
Nursing care for the parents of a child with a congenital heart defect would include:
Correct Answer: B
Rationale: It is important to discuss with parents the need to treat the child as they would any other children, but they must be truthful and honest with the child about the heart defect. As the child grows older, explanations can go into greater depth. Parents of children with congenital heart defects go through a grieving process over the loss of their 'healthy' child. The nurse needs to recognize these feelings and give the parents a role in the child's care when they are ready. Anger and resentment are normal feelings that must be dealt with appropriately. Parents may go through a second grieving process after the repair of the cardiac defect. During this grieving period, they mourn the loss of the 'defective' child who now may be essentially 'normal.'